Package	Price	Per Item	Savings	Order
	Duetact 30 pills x 17 mg	$40.57	$1.35	$0
	Duetact 60 pills x 17 mg	$70.03	$1.17	$12
	Duetact 90 pills x 17 mg	$90.63	$1.01	$31
	Duetact 60 pills x 16 mg	$45.53	$0.76	$0
	Duetact 90 pills x 16 mg	$52.47	$0.58	$16

Duetact
	Duetact is used for treating type 2 diabetes in certain patients.

Drug Name

Duetact (Glimepiride/Pioglitazone)

Drug Uses

Duetact is used for treating type 2 diabetes in certain patients. It is used along with diet and exercise.

How to use

Use Duetact as directed by your doctor. Check the label on the medicine for exact dosing instructions.

An extra patient leaflet is available with Duetact . Talk to your pharmacist if you have questions about this information.

Take Duetact by mouth with breakfast or the first main meal of the day unless instructed otherwise by your doctor. Continue to take Duetact even if you feel well. Do not miss any doses.

Taking Duetact at the same time each day will help you remember to take it.

Drug Class and Mechanism

Duetact is a thiazolidinedione and sulfonylurea antidiabetic combination. It lowers blood sugar by making the cells of the body more sensitive to the action of insulin. It also causes the pancreas to release insulin, which helps to lower blood sugar.

Missed Dose

If you miss a dose of Duetact , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Storage

Store Duetact at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep in a tight, light-resistant container. Keep Duetact out of the reach of children and away from pets.

Warnings/Precautions

Do NOT use Duetact if:

• you are allergic to any ingredient in Duetact
• you have moderate to severe heart failure, liver problems or abnormal liver function tests, certain severe problems associated with diabetes (eg, diabetic ketoacidosis, diabetic coma), moderate to severe burns, or very high blood acid levels (acidosis)
• you have type 1 diabetes
• you are taking bosentan

Contact your doctor or health care provider right away if any of these apply to you.

Some medical conditions may interact with Duetact . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have had a severe allergic reaction (eg, severe rash, hives, breathing difficulties, dizziness) to any other sulfonamide medicine such as acetazolamide, celecoxib, certain diuretics (eg, hydrochlorothiazide), glipizide, probenecid, sulfamethoxazole, valdecoxib, or zonisamide
• if you have a history of kidney, thyroid, heart, or blood vessel problems; stroke; certain hormonal problems (eg, adrenal or pituitary problems, syndrome of inappropriate secretion of antidiuretic hormone [SIADH]); or low blood sodium levels
• if you have stomach or bowel problems (eg, stomach or bowel blockage, stomach paralysis), drink alcohol, or have had poor nutrition
• if you have very poor health, a high fever, a severe infection, severe diarrhea, or high blood acid levels, or if you have had a severe injury
• if you have swelling problems (edema) or certain eye problems (macular edema)
• if you will be having surgery

Some MEDICINES MAY INTERACT with Duetact . Tell your health care provider if you are taking any other medicines, especially any of the following:

• Bosentan because liver problems may occur, and the effectiveness of both medicines may be decreased
• Beta-blockers (eg, propranolol) because the risk of low blood sugar may be increased. They may also hide certain signs of low blood sugar and make it more difficult to notice
• Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril), azole antifungals (eg, miconazole, ketoconazole), chloramphenicol, clofibrate, fenfluramine, insulin, metformin, monoamine oxidase inhibitors (MAOIs) (eg, phenelzine), nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), phenylbutazone, probenecid, quinolone antibiotics (eg, ciprofloxacin), salicylates (eg, aspirin), and sulfonamides (eg, sulfamethoxazole) because the risk of low blood sugar may be increased
• Calcium channel blockers (eg, diltiazem), corticosteroids (eg, prednisone), decongestants (eg, pseudoephedrine), diazoxide, diuretics (eg, furosemide, hydrochlorothiazide), estrogens, hormonal contraceptives (eg, birth control pills), isoniazid, niacin, phenothiazines (eg, promethazine), phenytoin, rifamycins (eg, rifampin), sympathomimetics (eg, albuterol, epinephrine), or thyroid supplements (eg, levothyroxine) because they may decrease Duetact ’s effectiveness, resulting in high blood sugar
• Gemfibrozil because blood sugar may be increased or decreased
• Anticoagulants (eg, warfarin) because their effectiveness may be decreased or the risk of their side effects may be increased by Duetact

Possible Side Effects

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

• Diarrhea; headache; limb pain; muscle aches; nausea; upper respiratory tract infection; weight gain.

Seek medical attention right away if any of these SEVERE side effects occur:

• Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); blurred vision or other vision changes; chest pain; confusion; fever, chills, or sore throat; increased or painful urination; irregular heartbeat; symptoms of heart failure (eg, shortness of breath; sudden unexplained weight gain; swelling of the hands, ankles, or feet); symptoms of liver problems (eg, dark urine, severe or persistent nausea, stomach pain, unexplained vomiting or loss of appetite, yellowing of the skin or eyes); symptoms of low blood sugar (eg, anxiety, chills, dizziness or drowsiness, headache, increased hunger, increased sweating, tremors); unusual bone pain; unusual bruising or bleeding; unusual tiredness or weakness.

More Information

If you have any questions about Duetact , please talk with your doctor, pharmacist, or other health care provider.

Duetact is to be used only by the patient for whom it is prescribed. Do not share it with other people.

If your symptoms do not improve or if they become worse, check with your doctor.

Duetact
		Duetact 30 pills x 17 mg	$40.57
		Duetact 60 pills x 17 mg	$70.03
		Duetact 90 pills x 17 mg	$90.63
		Duetact 60 pills x 16 mg	$45.53
		Duetact 90 pills x 16 mg	$52.47

	Package	Price	Per Item	Savings	Order
	Amaryl 30 pills x 4 mg	$66.2	$2.21	$0
	Amaryl 60 pills x 4 mg	$114.26	$1.9	$18
	Amaryl 90 pills x 4 mg	$147.87	$1.64	$51
	Amaryl 30 pills x 2 mg	$49.12	$1.64	$0
	Amaryl 60 pills x 2 mg	$84.77	$1.41	$14
	Amaryl 90 pills x 2 mg	$109.71	$1.22	$38
	Amaryl 60 pills x 1 mg	$56.91	$0.95	$0
	Amaryl 90 pills x 1 mg	$71.55	$0.8	$14

Amaryl
	Amaryl is used for treating type 2 diabetes in patients who cannot control blood sugar levels by diet and exercise alone.

Amaryl

Generic name: Glimepiride

Glimepiride tablets

What are glimepiride tablets?

GLIMEPIRIDE (Amaryl®) helps to treat type 2 diabetes mellitus. Treatment is combined with a suitable diet and balanced exercise. Glimepiride increases the amount of insulin released from the pancreas and helps your body to use insulin more efficiently.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• diabetic ketoacidosis
• kidney disease
• liver disease
• major surgery
• severe infection or injury
• thyroid disease
• an unusual or allergic reaction to glimepiride, sulfonamides, other medicines, foods, dyes, or preservatives
• pregnancy or recent attempts to get pregnant
• breast-feeding

How should I take this medicine?

Take glimepiride tablets by mouth. Follow the directions on the prescription label. Swallow the tablets with a drink of water. Take your dose at the same time each day, with breakfast or your first large meal; do not take more often than directed.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

Elderly patients over 65 years old can have a stronger reaction and need a smaller dose.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What drug(s) may interact with glimepiride?

• bosentan
• medicines for fungal or yeast infections (examples: fluconazole, itraconazole, voriconazole)
• rifampin
• warfarin

Many medications may cause changes (increase or decrease) in blood sugar, these include:

• alcohol containing beverages
• aspirin and aspirin-like drugs
• beta-blockers, often used for high blood pressure or heart problems (examples include atenolol, metoprolol, propranolol)
• chromium
• female hormones, such as estrogens or progestins, birth control pills
• isoniazid
• male hormones or anabolic steroids
• medications for weight loss
• medicines for allergies, asthma, cold, or cough
• niacin
• pentamidine
• phenytoin
• quinolone antibiotics (examples: ciprofloxacin, levofloxacin, ofloxacin)
• some herbal dietary supplements
• steroid medicines such as prednisone or cortisone
• thyroid hormones
• water pills (diuretics)

Tell your prescriber or health care professional: about all other medicines you are taking including nonprescription medicines; if you are a frequent user of drinks with caffeine or alcohol; if you smoke; or if you use illegal drugs. These can affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What side effects might I notice from taking glimepiride?

Side effects that you should report to your prescriber or health care professional as soon as possible:

• anxiety or nervousness, confusion, difficulty concentrating
• blurred vision
• breathing difficulties or excessive phlegm
• cold sweats, increased sweating
• cool, pale skin
• coughing up blood
• dark yellow or brown urine
• dizziness, drowsiness
• excessive hunger
• fast heartbeat, palpitations, chest pain
• fever, chills, sore throat
• seizures (convulsions)
• tremor or shakiness
• unusual bleeding or bruising
• unusual tiredness or weakness

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):

• diarrhea
• headache
• heartburn, stomach discomfort
• increased sensitivity to the sun
• nausea, vomiting

.skin rash, redness, swelling, or itching.

What should I watch for while taking glimepiride?

Visit your prescriber or health care professional for regular checks on your progress. Learn how to monitor regularly blood or urine sugar and urine ketones. Check with your prescriber or health care professional if your blood sugar is high; you might need to change the dose of glimepiride. Do not skip meals. If you are exercising much more than usual, you might need extra snacks to avoid side effects caused by low blood sugar. Alcohol can increase possible side effects of glimepiride. Ask your prescriber or health care professional if you should avoid alcohol. If you have mild symptoms of low blood sugar, eat or drink something containing sugar at once and contact your prescriber or health care professional. It is wise to check your blood sugar to confirm that it is low. It is important to recognize your own symptoms of low blood sugar so that you can treat them quickly. Make sure family members know that you can choke if you eat and drink when you have serious symptoms of low blood sugar such as seizures or unconsciousness. They must get medical help at once.

Glimepiride can increase the sensitivity of your skin to the sun. Keep out of the sun, or wear protective clothing outdoors and use a sunscreen. Do not use sun lamps or sun tanning beds or booths.

If you are going to have surgery, tell your prescriber or health care professional that you are taking glimepiride.

Wear a medical identification bracelet or chain to say you have diabetes, and carry a card that lists all your medications.

Where can I keep my medicine?

Keep out of the reach of children in a container that small children cannot open.

Store at room temperature below 30 degrees C (86 degrees F). Throw away any unused medicine after the expiration date.

Amaryl
		Amaryl 30 pills x 4 mg	$66.2
		Amaryl 60 pills x 4 mg	$114.26
		Amaryl 90 pills x 4 mg	$147.87
		Amaryl 30 pills x 2 mg	$49.12
		Amaryl 60 pills x 2 mg	$84.77
		Amaryl 90 pills x 2 mg	$109.71
		Amaryl 60 pills x 1 mg	$56.91
		Amaryl 90 pills x 1 mg	$71.55

	Package	Price	Per Item	Savings	Order
	Diabecon 2 bottles x 1 pc	$53.64	$26.82	$0

Diabecon
	Diabecon is a complex herbal formula supplement that provides safe glycemic control.

Drug Name

Diabecon

Drug Uses

It maintains proper blood sugar balance, a very important component of maintaining good health. It also helps regulate lipid metabolism and maintain healthy serum triglyceride and cholesterol levels. Diabecon’s benefits have been linked to an improved regeneration of pancreatic cells.

How to use

Take 2 tablets twice daily, 30 minutes before meals on an empty stomach. If needed, may increase to 2 tablets three times daily.

Drug Class and Mechanism

Diabecon increases the peripheral utilization of glucose. Diabecon increases the hepatic and muscle glycogen content. Diabecon promotes b-cell repair/regeneration and increases the C-peptide level. As it has antioxidant properties, Diabecon exerts an insulin-like action. By reducing the glycated hemoglobin level, normalizing the microalbuminuria and modulating the lipid profile, Diabecon minimizes the long term diabetic complications.

Missed Dose

If you miss a dose of this medicine and you are using it regularly, take it as soon as possible. Do not take 2 doses at once.

Storage

Store at the room temperature away from moisture and sunlight. Keep out of the reach of children.

Warnings/Precautions

Himplasia should be used with caution in patients with hypertension.

Possible Side Effects

Diabecon is not known to have any side effects if taken as per the prescribed dosage.

More Information

By reducing the glycated hemoglobin level, normalizing the microalbuminuria and modulating the lipid profile, Diabecon minimizes the long-term diabetic complications.

Diabecon
		Diabecon 2 bottles x 1 pc	$53.64

	Package	Price	Per Item	Savings	Order
	Karela 2 bottles x 1 pc	$52.47	$26.24	$0

Karela
	Karela is known to aid in the metabolism of carbohydrates.

Drug Name

Karela

Drug Uses

Karela is known to aid in the metabolism of carbohydrates.

How to use

One or two caps twice daily. To be swallowed with water or milk.

Drug Class and Mechanism

Throughout history, the extracts of Karela have been used in natural medicine of their purifying qualities. Karela is a blood purifier, activates spleen and liver and is highly beneficial in diabetes. It is a purgative, appetizer, digestive, anti inflammatory, anti flatulent and has healing capacity.

Missed Dose

If you miss a dose of this medicine and you are using it regularly, take it as soon as possible. Do not take 2 doses at once.

Storage

Store at the room temperature away from moisture and sunlight. Keep out of the reach of children.

Warnings/Precautions

Himplasia should be used with caution in patients with hypertension.

Possible Side Effects

Karela is not known to have any side effects if taken as per the prescribed dosage.

More Information

Investigations were carried out to evaluate the effect of Momordica charantia (Karela) on the glucose tolerance of maturity onset diabetic patients. The juice of Momordia charantia (Karela) was found to significantly improve the glucose tolerance of 73% of the patients investigated while the other 27% failed to respond.

Karela
		Karela 2 bottles x 1 pc	$52.47