Ertugliflozin and metformin

["Before taking this medicine", "You should not use this medicine if you are allergic to ertugliflozin or metformin, or if you have:", "\\\\nsevere kidney disease (or if you are on dialysis) or\\\\n\\\\n\\\\ndiabetic ketoacidosis (call your doctor for treatment).\\\\n", "If you need to have any type of x-ray or CT scan using a dye that is injected into your veins, you may need to temporarily stop taking ertugliflozin and metformin.", "Ertugliflozin may increase your risk of lower leg amputation, especially if you have had a prior amputation, a foot ulcer, heart disease, circulation problems, or nerve damage.", "Tell your doctor if you have ever had:", "\\\\nheart problems \\\\n\\\\n\\\\na diabetic foot ulcer or amputation \\\\n\\\\n\\\\ncirculation problems or nerve problems in your legs or feet \\\\n\\\\n\\\\nliver or kidney disease \\\\n\\\\n\\\\nhigh ketone levels in your blood or urine \\\\n\\\\n\\\\nbladder infections or other urination problems \\\\n\\\\n\\\\nlow blood pressure \\\\n\\\\n\\\\nproblems with your pancreas, including surgery \\\\n\\\\n\\\\nif you drink alcohol often or\\\\n\\\\n\\\\nif you are on a low salt diet.\\\\n", "You may develop lactic acidosis, a dangerous build-up of lactic acid in your blood This may be more likely if you have other medical conditions, a severe infection, chronic alcoholism, or if you are 65 or older Ask your doctor about your risk.", "Follow your doctor's instructions about using this medicine if you are pregnant or you become pregnant Controlling diabetes is very important during pregnancy, and having high blood sugar may cause complications in both the mother and the baby.", "You should not use this medicine during the second or third trimester of pregnancy.", "Metformin may stimulate ovulation in a premenopausal woman and may increase the risk of unintended pregnancy Talk to your doctor about your risk.", "You should not breastfeed while using this medicine.", "Ertugliflozin and metformin is not approved for use by anyone younger than 18 years old.", "", "How should I take ertugliflozin and metformin?", "Follow all directions on your prescription label and read all medication guides or instruction sheets Your doctor may occasionally change your dose Use the medicine exactly as directed.", "Ertugliflozin and metformin works best if you take it with food.", "Call your doctor if you are sick with vomiting or diarrhea, if you consume less food or fluid than usual, or if you are sweating more than usual.", "Your blood sugar will need to be checked often, and you may also need to test the level of ketones your urine Ertugliflozin and metformin can cause life-threatening ketoacidosis (too much acid in the blood) Even if your blood sugar is normal, contact your doctor if a urine test shows that you have ketones in the urine.", "\\\\n\\\\n", "You may have low blood sugar (hypoglycemia) and feel very hungry, dizzy, irritable, confused, anxious, or shaky To quickly treat hypoglycemia, eat or drink a fast-acting source of sugar (fruit juice, hard candy, crackers, raisins, or non-diet soda).", "Your doctor may prescribe a glucagon injection kit in case you have severe hypoglycemia Be sure your family or close friends know how to give you this injection in an emergency.", "Also watch for signs of high blood sugar (hyperglycemia) such as increased thirst or urination.", "Blood sugar levels can be affected by stress, illness, surgery, exercise, alcohol use, or skipping meals Ask your doctor before changing your dose or medication schedule.", " ertugliflozin and metformin can cause unusual results with certain lab tests Tell any doctor who treats you that you are using ertugliflozin and metformin.", "Ertugliflozin and metformin is only part of a complete treatment program that may also include diet, exercise, weight control, blood sugar testing, and special medical care Follow your doctor's instructions very closely.", "Your doctor may have you take extra vitamin B12 Take only the amount of vitamin B12 that your doctor has prescribed.", "Store at room temperature away from moisture and heat.", "", ""]