Stop taking XIGDUO XR and call your healthcare provider right away if you have any of the following symptoms, which could be signs of lactic acidosis: you feel cold in your hands or feet you feel dizzy or lightheaded you have a slow or irregular heartbeat you feel very weak or tired you have unusual (not normal) muscle pain you have trouble breathing you feel unusual sleepiness or sleep longer than usual you have stomach pains, nausea or vomiting Most people who have had lactic acidosis with metformin have other things that, combined with the metformin use, led to the lactic acidosis
While licensed doctors and pharmacies are closely monitored, Dumont noted that "those who are operating outside of licensure are not being monitored for quality and safety
ying, Cui, S., Jin, Jian, Piao, S
An individuals history of obesity, chronic kidney disease, medullary thyroid carcinoma or any other family health may influence the course of treatment