Indications  

Starlix is a prescribed medication intended to be used alongside diet and exercise to enhance glycemic control among adults diagnosed with type 2 diabetes mellitus. 

Classified as a meglitinide drug, Starlix facilitates the regulation of blood glucose levels by prompting the pancreas to secrete insulin, thereby reducing the amount of glucose in the bloodstream. 

Uses and Dosage 

Before taking Starlix and with every prescription refill, carefully review its medication guide and patient information leaflet. Seek the guidance of your doctor or pharmacist if you have any queries. 

Starlix dosage may differ for each individual based on their medical condition, frequency of meals, and treatment response. 

Typically, this medication is taken three times a day, 1 to 30 minutes before each main meal, as directed by the doctor.  

If a meal is skipped, the corresponding dose of Starlix should also be omitted; similarly, if an extra meal is added, an additional dose of Starlix must be taken. 

For optimal results, take this medication exactly as directed. Consistently follow the prescribed treatment plan, dietary regimen, and exercise program recommended by your doctor. 

Regularly monitor and share blood sugar levels with your doctor to adjust the treatment plan accordingly. 

Side Effects 

Listed below are the potential adverse effects of Starlix. Inform your physician right away if any of them persist or worsen. 

Common Side Effects 

• Nasal congestion, sneezing, cough, or cold/flu symptoms 
• Diarrhea 
• Back pain 
• Dizziness 
• Joint pain or stiffness 

Serious Side Effects 

• Seizures 
• Jaundice (yellowing of the skin or eyes) 

Call your doctor promptly if any of the serious side effects above are experienced. 

Allergic Reactions 

Although rare, a severe allergic reaction to Starlix may occur. Seek prompt medical attention in case of any signs of an allergic reaction, such as: 

• Hives 
• Labored breathing 
• Facial, lip, tongue, or throat swelling 

Not all side effects of Starlix are included in this list. Tell your doctor if any unlisted effects occur. 

Cautions 

Before starting treatment with Starlix, inform your doctor if you have any known allergies, particularly to nateglinide and other medicines. 

Seek further guidance from your pharmacist about Starlix, as it may contain inactive ingredients that may cause allergic reactions or other complications. 

To ensure Starlix is safe for you, disclose to your physician your medical background, especially if you have a history of: 

• Kidney disease 
• Liver disease 
• Gout 

Inform all your healthcare providers of any current or recently started or stopped medications, including prescription/nonprescription drugs, vitamins, and herbal supplements, to prevent drug interaction with Starlix. 

Various medications can impact your blood sugar levels, complicating its management. Examples of such medicines include: 

• Corticosteroids (e.g., prednisone) 
• Psychiatric drugs (e.g., olanzapine) 
• Fluoroquinolone antibiotics (e.g., ciprofloxacin), and more 

If you experience high or low blood sugar symptoms, promptly notify your doctor. Your doctor may need to adjust your diabetes medication, exercise regimen, or dietary plan. 

Various medications can influence the outcomes of urine tests for sugar or ketones. For further details, consult your doctor or pharmacist. 

Take caution when taking nonprescription medicines, like cough and cold products, as they might have ingredients that can influence your blood sugar. Seek guidance from a pharmacist to ensure their safe utilization. 

Blurred vision, dizziness, or drowsiness from severe low or high blood sugar might occur. Refrain from driving, operating machinery, or engaging in tasks demanding alertness or clear vision until you are certain of your capability to do so safely. 

While taking Starlix, low blood sugar (hypoglycemia) might manifest as increased hunger, dizziness, irritability, confusion, anxiety, or tremors. To promptly address hypoglycemia, consume a rapid-acting sugar source (e.g., fruit juice, hard candy, crackers, raisins, non-diet soda). 

Managing blood sugar levels can be challenging under stress, like during fever, infection, injury, or surgery. Seek medical advice, as heightened stress might necessitate adjustments in your treatment plan, medications, or blood sugar monitoring. 

The potential impact of Starlix on fetal well-being in pregnant individuals remains uncertain. Its use during pregnancy is advisable only if the potential benefits outweigh the potential risks to the fetus. 

Prior to breastfeeding, seek guidance from your doctor, as the transfer of nateglinide into breast milk is not established.