Empagliflozin, linagliptin, and metformin

["Before taking this medicine", "You should not use empagliflozin, linagliptin, and metformin if you are allergic to empagliflozin, linagliptin, or metformin, or if you have:", "\\\\nsevere kidney disease (or if you are on dialysis) \\\\n\\\\n\\\\na history of severe allergic or skin reaction after taking linagliptin or\\\\n\\\\n\\\\nmetabolic acidosis or diabetic ketoacidosis (call your doctor for treatment).\\\\n", "If you need to have surgery or any type of x-ray or CT scan using a dye that is injected into your veins, you may need to temporarily stop taking this medicine Be sure your caregivers know ahead of time that you are using Trijardy XR.", "Tell your doctor if you have ever had:", "\\\\nliver or kidney disease \\\\n\\\\n\\\\na bladder infection or urination problems \\\\n\\\\n\\\\na pancreas disorder \\\\n\\\\n\\\\ncongestive heart failure, a heart attack or stroke \\\\n\\\\n\\\\ngallstones \\\\n\\\\n\\\\na genital infection (penis or vagina) \\\\n\\\\n\\\\nalcoholism, or if you currently drink large amounts of alcohol \\\\n\\\\n\\\\nhigh cholesterol or triglycerides \\\\n\\\\n\\\\nif you are on a low salt diet or\\\\n\\\\n\\\\nif you are 65 or older.\\\\n", "You may develop lactic acidosis, a dangerous build-up of lactic acid in your blood 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.", "You should not use Trijardy XR 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.", "Do not breastfeed.", "Not approved for use by anyone younger than 18 years old.", "", "How should I take Trijardy XR?", "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.", "Trijardy XR is usually taken in the morning with a meal.", "Swallow the tablet whole and do not crush, chew, break, or dissolve it Tell your doctor if you have trouble swallowing the tablet.", "\\\\n\\\\n", "Part of a tablet shell may appear in your stool but this will not make the medicine less effective.", "Your blood sugar will need to be checked often, and you may also need to test the level of ketones in your urine Empagliflozin 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 high ketones in the urine.", "Blood sugar can be affected by stress, illness, surgery, exercise, alcohol use, or skipping meals.", "Low blood sugar (hypoglycemia) can make you feel very hungry, dizzy, irritable, or shaky To quickly treat hypoglycemia, eat or drink hard candy, crackers, raisins, fruit juice, or non-diet soda Your doctor may prescribe glucagon injection in case of severe hypoglycemia.", "Tell your doctor if you have frequent symptoms of high blood sugar (hyperglycemia) such as increased thirst or urination Ask your doctor before changing your medication dosage.", "You may get dehydrated during prolonged illness Call your doctor if you are sick with vomiting or diarrhea, or if you eat or drink less than usual.", "This medicine can affect the results of certain medical tests Tell any doctor who treats you that you are using Trijardy XR.", "Your doctor may have you take extra vitamin B12 while you are taking Trijardy XR Take only the amount of vitamin B12 your doctor has prescribed.", "Store at room temperature away from moisture and heat.", "", ""]