Glikos can decrease the levels of vitamin B-12 in your body. In rare cases, this can cause anemia or low levels of red blood cells. If you don’t get much vitamin B-12 or calcium through your diet, you may be at higher risk of very low vitamin B-12 levels.
Your vitamin B-12 levels can improve if you stop taking Glikos or take vitamin B-12 supplements. Do not stop taking Glikos without talking to your doctor.
The more common symptoms of anemia include:
If you think you may have anemia, make an appointment with your doctor to have your red blood cell levels checked.
Surgical or radiologic procedures
If you plan to have surgery or a radiology procedure that uses iodine contrast, you should stop taking Glikos 48 hours before the procedure.
These procedures can slow the removal of Glikos from your body, raising your risk of lactic acidosis. You should resume taking Glikos after the procedure only when your kidney function tests are normal.
4) Patients with Kidney Disease
Glikos may decrease kidney function in diabetics with co-existing kidney disease .
Glikos and breastfeeding
You can take Glikos while you're breastfeeding.
Glikos passes into breast milk, but the amount is too small to affect your baby.
If you have acute heart failure or have recently had a heart attack, you should not take Glikos.
Your heart may not send enough blood to your kidneys. This would prevent your kidneys from removing Glikos from your body as well as they normally would, raising your risk of lactic acidosis.
Heavy alcohol use leads to dehydration and causes a lowered level of oxygen in the blood. This increases a patient’s risk of lactic acidosis, one of the Glikos’s most common side effects. Frequent drinking also decreases blood sugar, which may lead to complications when combined with Glikos .
The most serious, but uncommon, side effect Glikos can cause is lactic acidosis. In fact, Glikos has a “boxed” — also referred to as a “black box” — warning about this risk. A boxed warning is the most severe warning the Food and Drug Administration (FDA) issues.
Lactic acidosis is a rare but serious problem that can occur due to a buildup of Glikos in your body. It’s a medical emergency that must be treated right away in the hospital.
See the precautions section for more information about factors that raise your risk of lactic acidosis.
Call your doctor right away if you have any of the following symptoms of lactic acidosis. If you have trouble breathing, call 911 right away or go to the nearest emergency room.
- extreme tiredness
- decreased appetite
- trouble breathing
- a fast or slow heart rate
- feeling cold
- muscle pain
- flushing or sudden reddening and warmth in your skin
- stomach pain with any of these other symptoms
Is Glikos safe to take if I'm pregnant or breastfeeding?
- There are no adequate studies in pregnant women. Most experts agree that insulin is the best treatment for pregnant women with diabetes.
- Glikos is excreted into breast milk and can therefore be transferred to the nursing infant. Nursing mothers should not use Glikos.
Vitamin B-12 deficiencies
Vitamin B-12 is an essential nutrient that is key to cardiovascular and neurological health, as well as being vital for healthy red blood cells.
Glikos may reduce vitamin B-12 absorption in some people. Alcohol can also interfere with B-12 absorption by causing inflammation in the stomach.
Vitamin B-12 deficiency is a rare side effect of using Glikos. However, some research suggests that the risk may be much higher, with 10 to 30 percent of people who take Glikos for long-term type 2 diabetes experiencing reduced circulating B-12 levels.
While the symptoms of deficiency may be subtle and slow to progress, significant B-12 deficiency can pose serious health risks. If a person suspects they may have a B-12 deficiency, they should seek medical advice.
The warning signs and complications of vitamin B-12 deficiencies include:
- numbness or tingling in the hands and feet
- impaired memory
- inability to concentrate
Supplements or diet change can reverse most B-12 deficiencies and reduce any symptoms. Vitamin B-12 is present in high levels in foods such as beef, eggs, dairy products, and shellfish.
People with diabetes using Glikos should discuss B-12 screening options with their doctor.
Hypersensitivity to Glikos
Diabetic ketoacidosis with or without coma
Severe renal disease: eGFR Formulary Patient Discounts
Adding plans allows you to compare formulary status to other drugs in the same class.
To view formulary information first create a list of plans. Your list will be saved and can be edited at any time.
Adding plans allows you to:
- View the formulary and any restrictions for each plan.
- Manage and view all your plans together – even plans in different states.
- Compare formulary status to other drugs in the same class.
- Access your plan list on any device – mobile or desktop.
The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information.
Serious allergic reaction
It's possible to have a serious allergic reaction (anaphylaxis) to Glikos.
Side Effects of Glikos
The most common side effects of Glikos are related to gut complications and include upset stomach, nausea, vomiting, diarrhea, lightheadedness, or a metallic taste in the mouth .
In general, older patients may be at an increased risk for some of its side effects, such as lactic acidosis or low blood sugar, due to other factors .
However, other more severe side effects should be taken into account . Consult your doctor if these effects are severe or mild but persistent and carefully follow their recommendations.
2) Use During Pregnancy and Breastfeeding
A review of several studies showed that Glikos does not have any acute negative effects on pregnancy outcomes. However, there is not enough evidence regarding its prolonged use during pregnancy. Pregnant women should always consult their doctors about the potential risks of using Glikos .
Moreover, several human studies have shown that Glikos may decrease the relative risks of pregnancy complications, miscarriage, premature birth, and early pregnancy loss in women with polycystic ovarian syndrome .
Because regulating their blood sugar and insulin levels is crucial to pregnant women, the benefits of taking Glikos generally outweigh the risks.
A study of seven women taking Glikos immediately after giving birth showed that, although traces of the drug were found in the milk, they were too low to have any effects on the blood sugar levels of the babies .
Your healthcare supplier might have to test your blood regularly to see to it you are profiting from the therapy. Your healthcare supplier might have to test your blood regularly to see to it you are profiting from the therapy. If you do not have health insurance coverage and are not ready to pay a great deal of money out of your pocket, you could look in to the choice of buying Glikos online. Never share this medication with individuals to which it was not prescribed. It's essential that you allow your medical supplier know concerning any of these reactions, as they often become worse with time affecting your health and well-being.
What other drugs will affect Glikos?
Many drugs can interact with Glikos, making it less effective or increasing your risk of lactic acidosis. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here. Tell your doctor about all your current medicines and any medicine you start or stop using.
See also Warning section.
Before taking this medication, tell your doctor or pharmacist if you are allergic to Glikos; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: severe breathing problems (such as obstructive lung disease, severe asthma), blood problems (such as anemia, vitamin B12 deficiency), kidney disease, liver disease.
Before having surgery or any X-ray/scanning procedure using iodinated contrast, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). You may need to stop this medication for a short time for the surgery/procedure. Ask your doctor or dentist for instructions before your surgery/procedure.
You may experience blurred vision, dizziness, or drowsiness due to extremely low or high blood sugar. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely.
Limit alcohol while using this medication because it can increase your risk of lactic acidosis and developing low blood sugar.
High fever, "water pills" (diuretics such as hydrochlorothiazide), too much sweating, diarrhea, or vomiting may cause loss of too much body water (dehydration) and increase your risk of lactic acidosis. Stop taking this medication and tell your doctor right away if you have prolonged diarrhea or vomiting. Be sure to drink enough fluids to prevent dehydration unless your doctor directs you otherwise.
It may be harder to control your blood sugar when your body is stressed (such as due to fever, infection, injury, or surgery). Consult your doctor because increased stress may require a change in your treatment plan, medications, or blood sugar testing.
Older adults may be at greater risk for side effects such as low blood sugar or lactic acidosis.
During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor. Your doctor may direct you to use insulin instead of this product during your pregnancy. Follow your doctor's instructions carefully.
Glikos can cause changes in the menstrual cycle (promote ovulation) and increase the risk of becoming pregnant. Consult your doctor or pharmacist about the use of reliable birth control while using this medication.
Glikos passes into breast milk in small amounts. Consult your doctor before breast-feeding.
3. Who can and can't take Glikos
Glikos is prescribed for adults, and children aged 10 years and older.
Glikos is not suitable for some people. Tell your doctor before starting the medicine if you:
- have had an allergic reaction to Glikos or other medicines in the past
- have uncontrolled diabetes
- have liver or kidney problems
- have a severe infection
- are being treated for heart failure or have recently had a heart attack
- have severe problems with your circulation or breathing difficulties
- drink a lot of alcohol
You may need to stop taking Glikos before having surgery and certain medical tests. Tell your doctor if you need to have:
- a test such as an X-ray or scan involving the injection of a dye that contains iodine into your blood
- surgery where you'll be put to sleep