What is Dex4 ® (glucose) used for?
Glucose is a form of natural sugar that is normally produced by the liver. Glucose is a source of energy, and all the cells and organs in your body need glucose to function properly. Glucose as a medication is given either by mouth (orally) or by injection.
Glucose is used to treat very low blood sugar (hypoglycemia), most often in people with diabetes mellitus. Glucose is given by injection to treat insulin shock (low blood sugar caused by using insulin and then not eating a meal or eating enough food afterward). This medicine works by quickly increasing the amount of glucose in your blood.
Glucose is also used to provide carbohydrate calories to a person who cannot eat because of illness, trauma, or other medical condition. Glucose is sometimes given to people who are sick from drinking too much alcohol.
Glucose may also be used to treat hyperkalemia (high levels of potassium in your blood).
How should I take Dex4 ® (glucose)?
Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.
The chewable tablet must be chewed before you swallow it.
If you take glucose gel in a pre-measured tube, be sure to swallow the entire contents of the tube to get a full dose.
Your hypoglycemia symptoms should improve in about 10 minutes after taking oral glucose. If not, take another dose. Seek medical attention if you still have hypoglycemia symptoms after taking two doses.
Glucose injection is given through an IV into a vein. Do not inject this medicine into a muscle or under the skin. A glucose injection should be given only as an intravenous (IV) injection.
A glucose injection should be given slowly. Tell your caregivers if you feel any burning, pain, or swelling around the IV needle when glucose is injected.
You may be shown how to use an IV at home. Do not give yourself this medicine if you do not understand how to use the injection and properly dispose of needles, IV tubing, and other items used.
Use a disposable needle, syringe, or prefilled syringe only once. Follow any state or local laws about throwing away used needles and syringes. Use a puncture-proof “sharps” disposal container (ask your pharmacist where to get one and how to throw it away). Keep this container out of the reach of children and pets.
Call your doctor if your symptoms do not improve, or if they get worse.
Check the expiration date on your medicine label each time you use glucose. If the medicine has been stored for a long time, the expiration date may have passed and the glucose may not work as well.
How do I store Dex4 ® (glucose)?
Dex4 ® is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store Dex4 ® in the bathroom or the freezer. There may be different brands of Dex4 ® that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.
You should not flush Dex4 ® down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.
Precautions & warnings
What should I know before using Dex4 ® (glucose)?
Before using this drug, tell your doctor if:
- You are pregnant or breastfeeding. This is because, while you are expecting or feeding a baby, you should only take medicines on the recommendation of a doctor.
- You are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, such as herbal and complementary medicines.
- You have allergy with any of active or inactive ingredients of Dex4 ® or other medications.
- You have any other illnesses, disorders, or medical conditions.
You should not take glucose tablets, liquid, or gel if you are allergic to any of the ingredients in these forms of the medicine.
Is it safe during pregnancy or breastfeeding?
There are no adequate studies in women for determining risk when using Dex4 ® during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking Dex4 ®. Dex4 ® is pregnancy risk category C, according to the US Food and Drug Administration (FDA).
FDA pregnancy risk category reference below:
- A=No risk
- B=No risk in some studies
- C=There may be some risk
- D=Positive evidence of risk
What side effects can occur from Dex4 ® (glucose)?
Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Tell your caregivers or call your doctor right away if you have:
- Redness, swelling, warmth, or skin changes where an injection was given
- A light-headed feeling, like you might pass out
- Swelling in your hands or feet
- Sweating, pale skin, severe shortness of breath, chest pain
Common side effects of glucose injection may include:
- Pain or tenderness where an injection was given
- Flushing (warmth, redness, or tingly feeling) for several minutes after a glucose injection
Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.
What drugs may interact with Dex4 ® (glucose)?
Dex4 ® may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.
Does food or alcohol interact with Dex4 ® (glucose)?
Dex4 ® may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.
What health conditions may interact with Dex4 ® (glucose)?
Dex4 ® may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.
Health conditions that may interact with this drug are:
- Diabetes (unless you are using this medicine to treat insulin-induced hypoglycemia)
- Heart disease, coronary artery disease, or history of a stroke
- Kidney disease
- A possible head injury
- A history of alcoholism
- Any food allergies
The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using Dex4 ® (glucose).
What is the dose of Dex4 ® (glucose) for an adult?
Consult your doctor for the suitable dose.
What is the dose of Dex4 ® (glucose) for a child?
The dosage has not been established in pediatric patients. It may be unsafe for your child. It is always important to fully understand the safety of the drug before using. Please consult with your doctor or pharmacist for more information.
How is Dex4 ® (glucose) available?
Dex4 ® is available in the following dosage forms and strengths:
- Chewable Tablet: 1 gm, 4 gm, 5 gm;
- Tablet: 4 gm;
- Oral Gel/Jelly: 15 gm;
- Intravenous solution/Injection: 2.5 %, 5 %, 10 %, 20 %, 25 %, 30 %, 40 %, 50 %, 70 %
What should I do in case of an emergency or overdose?
In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.
What should I do if I miss a dose?
If you miss a dose of Dex4 ®, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.
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