• Severely low blood sugar may occur when taking this medicine with your insulin. You should not operate dangerous or heavy machinery until you know the effects of this medication on your blood sugar.
• Please read the medication guide.
• If you have an allergy to pramlintide or any other part of this medicine.
• Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other symptoms involved.
• If you have slow stomach emptying.
• If you can not tell when your blood sugar is low.
• Pramlintide works like amylin, a hormone necessary for the body's use of food. Type 1 diabetics have no amylin of their own and require complete replacement. Type 2 diabetics still make amylin, but may need more.
• Use prescription as directed, even if feeling better.
• Throw away needles in needle/sharp disposal box and return box to healthcare provider when full.
• Inject this medication at a different site from where you inject your insulin.
• Do not mix this medicine in the same syringe with the insulin.
• Follow diet plan and exercise program as recommended by healthcare provider.
• This medicine is given as a shot right before a meal into the fatty part of the skin.
• You may need to decrease the dose of insulin you normally take, talk with healthcare provider.
• Never try to make up a missed dose, skip the missed dose and return to your regular schedule.
• If it is almost time for the next dose and you have already eaten, skip the missed dose and return to your regular schedule.
• Do not take a double dose or extra doses.
• If you stop taking this medicine, talk to your healthcare provider. You may need to be restarted at a lower dose and increased slowly.
• Change in condition being treated. Is it better, worse, or about the same?
• Check blood sugar as directed by healthcare provider.
• Check blood work regularly. Talk with healthcare provider.
• Have a yearly eye exam and visit to the foot doctor.
• Store unopened vials and pens in a refrigerator. Do not freeze.
• Store opened vials and pens at room temperature or in a refrigerator. Throw away any unused portion after 1 month.
• Protect opened vials and pens from heat.
• Protect vials and pens from light.
Created: 2005-04-07 17:11:38.0
Modified: 2010-03-09 08:22:10.0
Lexi-PALS TM © (1977)-(2007) Lexi-Comp, Inc. All rights reserved.
• If you have a life-threatening allergy, wear allergy identification at all times.
• Do not share your medicine with others and do not take anyone else's medicine.
• Keep all medicine out of the reach of children and pets.
• Most medicines can be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.
• Keep a list of all your medicines (prescription, natural products, supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, nurse practitioner, pharmacist, physician assistant).
• Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or in Canada to Health Canada's Canada Vigilance Program at 1-866-234-2345.
• Talk with healthcare provider before starting any new medicine, including over-the-counter, natural products, or vitamins.
• Wear disease medical alert identification.
• If you are 80 or older, use this medicine with caution. You could be more sensitive to low blood sugar.
• Do not drive if blood sugar has been low. There is a greater risk of an accident.
• Tell your healthcare provider if you have had repeated episodes of low blood sugar or if you cannot feel or are unable to recognize symptoms of very low blood sugar.
• Check medicines with healthcare provider. This medicine may not mix well with other medicines.
• Tell your healthcare provider if you are taking any other medication to speed up your stomach emptying.
• Limit alcohol intake (includes wine, beer, and liquor).
• Tell healthcare provider if you are pregnant or plan on getting pregnant.
• Tell healthcare provider if you are breast-feeding.
• Low blood sugar. Signs include anger, shaking, fast heartbeat, confusion, or sweating. Keep hard candies, glucose tablets, liquid glucose, or juice on hand for low blood sugar.
• Headache.
• Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help. This may improve once you are on a stable dose of medicine.
• Weight loss.
• Not hungry.
• Irritation where the shot is given.
• If you suspect an overdose, call your local poison control center or emergency department immediately.
• Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue, or throat.
• Signs or symptoms of infection. These include a fever of 100.5 degrees or higher, chills, severe sore throat, ear or sinus pain, cough, increased sputum or change in color, painful urination, mouth sores, wound that will not heal, or anal itching or pain.
• Severe nausea or vomiting.
• Very low blood sugar or very high blood sugar.
• Any rash.
• No improvement in condition or feeling worse.
