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    Avandamet

    precautions

    What should I know regarding pregnancy, nursing and administering Avandamet to children or the elderly?

    If you are:

    Pregnant:

    Possibly Safe: INSUFFICIENT HUMAN DATA AVAILABLE

    Only When Necessary: CROSSES HUMAN PLACENTA & FOUND IN FETAL TISSUE;MANUFACT. RECOMMENDS NOT USING.

    Nursing:

    Precaution: NO KNOWN INFANT ADVERSE OUTCOMES; MFR ADVISES CAUTION

    Precaution: INSUFFICIENT HUMAN DATA AVAILABLE; ANIMAL DATA SUGGEST EXCRETION

    An adult over 60:

    management or monitoring precaution: Renal-Increased risk for drug induced metabolic acidosis with increasing age and declining renal function. Metformin is contraindicated in patients with an eGFR below 30 mL/min. Cardiovascular-Heart failure patients may have a higher risk for metabolic acidosis.

    management or monitoring precaution: Cardiovascular-Box warning states drug may cause or exacerbate CHF. Contraindicated in patients with NYHA Class III or IV heart failure. Monitor for weight gain, peripheral edema and new onset dyspnea. Hepatic-Monitor for elevations of serum transaminases. Musculoskeletal-Consider increased fracture risk.

    Giving Avandamet to a child under 12:

    management or monitoring precaution: Safety and efficacy in pediatrics age < 10 years not established.

    management or monitoring precaution: Insufficient efficacy data to support pediatric use. Pediatric studies demonstrated less effect in lowering fasting glucose from baseline when compared to metformin.

    Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, expect as may be authorized by the applicable terms of use.

    CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

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