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This medication comes with several important safety warnings and contraindications. It is crucial to familiarize yourself with them and discuss any concerns with your healthcare provider.

• Risk of Low Blood Sugar: When combined with other diabetes medications like insulin or sulfonylureas, acarbose may cause dangerously low blood sugar levels. Symptoms include a rapid heartbeat, sweating, pale skin, shakiness, confusion, and irritability. Always have glucose tablets handy, as sucrose is ineffective for quick blood sugar correction in this situation.

• Liver Function Changes: Some patients on acarbose have experienced changes in liver function tests, which typically normalize after discontinuation. Regular monitoring through lab tests is essential. Seek immediate medical attention if you notice symptoms such as nausea, stomach pain, clay-colored stools, or yellowing of the skin or eyes, as these may indicate liver issues. Women and those on higher doses are at increased risk.

• Blood Sugar Control Loss: Acarbose might eventually become ineffective in controlling blood sugar, especially during stress from fever, trauma, infection, or surgery. In such cases, a switch to insulin may be necessary. Regular blood sugar monitoring and adherence to follow-up appointments are critical.

Contraindications:

Avoid using this medication if you have any of the following conditions, as it could lead to severe health complications:

• Diabetic ketoacidosis
• Liver damage, such as cirrhosis
• Inflammatory bowel disease
• Colon ulcers
• Intestinal blockages
• Digestive or absorption disorders
• Conditions aggravated by excessive intestinal gas

Consult your healthcare provider if any of these contraindications apply to you.

When taking this medication, some individuals may experience common side effects, which are generally mild. These include excessive gas, affecting up to 74% of users, diarrhea in about 31%, and stomach pain in approximately 19% of cases. While these side effects are usually not severe, it is advisable to consult a healthcare provider if they persist or become bothersome.

In addition to these, there are other side effects that have been reported, including rash, skin redness, itching, and swelling. It is important to monitor these symptoms and seek medical advice if they occur, especially if they appear to be severe or cause significant discomfort.

There are no reported serious side effects associated with this medication. However, always remain vigilant and communicate with a healthcare professional if you have any concerns or unusual reactions while using it.