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When starting this medication, it's common to experience diarrhea, gas, or abdominal discomfort as your body adjusts, but these usually improve over time. If these symptoms persist or worsen, it's important to inform your healthcare provider. While many individuals do not experience serious side effects, it's crucial to be aware of potential ones. Notify your doctor immediately if you experience signs of liver problems, such as persistent nausea or vomiting, loss of appetite, stomach pain, yellowing of the skin or eyes, or dark urine.

This medication typically does not cause low blood sugar (hypoglycemia) unless combined with other diabetes medications, insufficient calorie intake, or intense exercise. Symptoms of low blood sugar include sudden sweating, shaking, fast heartbeat, hunger, blurred vision, dizziness, or tingling in the hands or feet. Acarbose slows the breakdown of table sugar, so carry glucose tablets or gel for quick relief. If unavailable, honey or orange juice can also help. To prevent low blood sugar, maintain a regular eating schedule and avoid skipping meals.

High blood sugar (hyperglycemia) symptoms include increased thirst and urination. If these occur, consult your doctor to adjust your medication, exercise, or diet. Rarely, this medication may cause a severe intestinal condition called pneumatosis cystoides intestinalis. Seek medical attention if you experience persistent diarrhea, constipation, or blood/mucus in your stool. Although a severe allergic reaction is rare, seek immediate help if you notice a rash, itching, swelling, severe dizziness, or difficulty breathing. If you encounter any other side effects, contact your healthcare provider.