Amaryl

Use alcohol with care; excessive alcohol intake can cause low blood sugar.

Special information if you are pregnant or breastfeeding

Do not take Amaryl while pregnant. Since studies suggest the importance of maintaining normal blood sugar levels during pregnancy, your doctor may prescribe injected insulin instead. Drugs similar to Amaryl do appear in breast milk and may cause low blood sugar in nursing infants. You should not take Amaryl while nursing. If diet alone does not control your sugar levels, your doctor may prescribe injected insulin.

Recommended dosage for Amaryl

ADULTS

The usual starting dose is 1 to 2 milligrams taken once daily with breakfast or the first main meal. The maximum starting dose is 2 milligrams.

If necessary, your doctor will gradually increase the dose 1 or 2 milligrams at a time every 1 or 2 weeks. Your diabetes will probably be controlled on 1 to 4 milligrams a day; the most you should take in a day is 8 milligrams. If the maximum dose fails to do the job, your doctor may add Glucophage to your regimen.

Weakened or malnourished people and those with adrenal, pituitary, kidney, or liver disorders are particularly sensitive to hypoglycemic drugs such as Amaryl and should start at 1 milligram once daily. Your doctor will increase your medication based on your response to the drug.

CHILDREN

Safety and effectiveness in children have not been established.

Overdosage

An overdose of Amaryl can cause low blood sugar (see "What side effects may occur?" for symptoms).

Eating sugar or a sugar-based product will often correct mild hypoglycemia. For severe hypoglycemia, seek medical attention immediately.