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Before you start, or as your dose changes, your prescriber should review your health history and current medications to make sure its a good fit for you and to choose a dose-escalation plan that prioritizes safety and tolerability
Tolerance considerations: Reported effects can be dose-sensitive, and adverse reactions such as nausea, flushing, fatigue , and changes in freckles/moles are commonly cited
Key considerations include: Increased risk of hypoglycemia when used with insulin or sulfonylureas Possible need for INR monitoring if taking warfarin Limited clinically relevant effects on most other oral medications Understanding what's normal during the initial treatment period helps set realistic expectations and identify situations requiring medical attention
Comparing these two classes of medications is important with respect to perioperative patients requiring glycemic control
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