Starlix (Nateglinide)

Starlix is used for lowering blood sugar levels in patients with type 2 diabetes. It used along with diet and exercise. It may also be used for other conditions as determined by your doctor.

Use Starlix as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Take Starlix by mouth 1 to 30 minutes before meals. If you skip a meal, you must also skip your scheduled dose to avoid the risk of low blood sugar levels (hypoglycemia).
Talk to your doctor or other health care provider about what to do if you miss a dose of Starlix .

Starlix is an antidiabetic agent. It works by lowering blood glucose levels, causing insulin to be released from beta cells of the pancreas.

If you miss a dose of Starlix, skip the missed dose and go back to your regular dosing schedule.

Starlix should be stored at room temperature, 15-30 degrees C(59-86 degrees F) in an air-tight container.

Do NOT use Starlix if:

• you are allergic to any ingredient in Starlix
• you have type 1 diabetes
• you have diabetic ketoacidosis

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have adrenocortical, pituitary, liver, or kidney problems
• if you have a high fever or are malnourished

• Beta-adrenergic blockers (eg, metoprolol), gemfibrozil, imidazoles (eg, ketoconazole), monoamine oxidase inhibitors (MAOIs) (eg, phenelzine), nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), or salicylates (eg, aspirin) because the risk of low blood sugar may be increased
• Corticosteroids (eg, prednisone), rifampin, sympathomimetics (eg, pseudoephedrine), thiazides (eg, hydrochlorothiazide), or thyroid hormones (eg, levothyroxine) because they may decrease Starlix 's effectiveness

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

• Changes in vision; dizziness; flu symptoms (fever, chills, sore throat); headache; increased heartbeat; increased hunger; joint pain; nervousness; sweating; tiredness; tremor; upper respiratory tract infection.

• Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); fever; stomach pain; yellowing of the skin or eyes.

If you have any questions about Starlix , please talk with your doctor, pharmacist, or other health care provider.
Starlix is to be used only by the patient for whom it is prescribed. Do not share it with other people.
If your symptoms do not improve or if they become worse, check with your doctor.