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Nateglinide

Brand Names

; Starlix®

Antidiabetic Agent

This medicine is used to lower blood sugar in diabetic patients. It is used in type 2 or non-insulin dependent diabetes. It can be used alone or in combination with another diabetes medicine called metformin.

Nateglinide increases insulin secretion from the pancreas. The pancreas makes insulin. The insulin helps the body handle and use the sugar in the blood after a meal.

If you miss a dose then skip the missed one. Return to your regular schedule.
Do not take a double dose or extra doses.
Do not change dose or stop taking medicine without talking with healthcare provider.

Wear disease medical alert identification for diabetes.
If you have been taking a medicine called a sulfonylurea for diabetes tell your healthcare provider. Some examples include glyburide, glipizide, and glimepiride. Patients on a sulfonylurea do not get any extra benefit by adding nateglinide.
Certain medicines may increase your blood sugar and certain ones may increase the risk of developing very low blood sugars. Talk with healthcare provider.
If you are 80 years of age or older, you may be more sensitive to low blood sugars.
Avoid alcohol (includes wine, beer, and liquor).
Keep hard candies, liquid glucose, or milk on hand for low blood sugars.
Do not drive if blood sugar has been low. There is a greater risk of an accident.
Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, throat; or any other symptoms involved.
Tell healthcare provider if you are pregnant or plan on getting pregnant.
Tell healthcare provider if you are breast-feeding.

Lung infections.
Back pain.
Dizziness. Avoid driving, doing other tasks or activities that require you to be alert until you see how this medicine affects you.
Flu-like symptoms.
Weight gain.

Check blood sugar as ordered by healthcare provider. Call if glucose is less than 80 mg/dL or greater than 250 mg/dL. Bring results to follow-up visits.
Watch for low blood sugar. Causes anger, shaking, rapid heartbeats, confusion, sweating.
Watch for high blood sugar. Causes many trips to the bathroom, thirst, and weight loss.
Check blood work. Talk with healthcare provider.
Weight.
Have a yearly eye exam and visit to the foot doctor.

Signs of a life-threatening reaction. These include wheezing; tightness in the chest; fever; itching; bad cough; blue skin color; fits; swelling of face, lips, tongue, throat.
Signs and symptoms of infection.
Low blood sugar or very high blood sugar.
Any rash.

Do not share your medicine with others and do not take anyone else's medicine.
Keep all medicine out of the reach of children and pets.
Keep a list of all your medicines (prescription, herbal/supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, pharmacist, physician assistant).
Talk with healthcare provider before starting any new medicine, including over-the-counter or natural products (herbs, vitamins).