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Educate patients and their families about the symptoms of lactic acidosis and if these symptoms clomiphene, order zithromax. occur instruct them to discontinue Glucovance and report these symptoms to their healthcare provider.

Metformin is negligibly bound to plasma proteins and isthereforeless likely to interact with highly protein-bound drugs such as salicylatessulfonamideschloramphenicoland probenecidas compared to the sulfonylureaswhich are extensively bound to serum proteins.

Topiramate or other carbonic anhydrase inhibitorse.gzonisamideacetazolamide or dichlorphenamidefrequently causes a decrease in serum bicarbonate and induce non-anion gaphyperchloremic metabolic acidosisConcomitant use of these drugs with Glucovance may increase the risk for lactic acidosisConsider more frequent monitoring of these patients.

Tirednessweaknessunusual muscle painpain in the stomachdifficulty breathingdizzinessand slow or irregular heartbeat.

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