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Acarbose Dose

Acarbose Dose

What is acarbose?

Acarbose is a prescription medication. It comes as an oral tablet.

Acarbose is available as the brand-name drug Precose. It’s also available in a generic version. Generic drugs usually cost less. In some cases, they may not be available in every strength or form as the brand-name version.

This drug may be used as part of a combination therapy. That means you may need to take it with other drugs.

How should I use this medication?

The recommended adult dose of acarbose varies. The starting dose is 50 mg once daily, with a gradual increase in dose as needed to control blood glucose. The maximum daily dose is 100 mg three times daily, taken with the first bite of a meal.

Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

Take this medication regularly in order to keep blood glucose under control. If you forget a dose, start your regular dosing schedule again with your next meal. Do not take a double dose to make up for a missed one. Do not stop taking this medication without first consulting your doctor.

Acarbose Dosage

Acarbose Overdose

If you suspect an overdose, you should contact a poison-control center or emergency room immediately.

Missed Dose of Acarbose

If you miss a dose of acarbose, take it as soon as you remember.

If you plan on having a snack soon, take your dose with the snack.

If it's almost time for your next dose, skip the missed dose and continue on your regular dosing schedule. Don't double up on doses.

Side Effects of Acarbose

Signs of an allergic reaction, which include hives; difficulty breathing; or swelling of the face, lips, tongue, or throat

  • Severe itching
  • Severe stomach pain
  • Severe constipation
  • Diarrhea that's watery or bloody
  • Unusual bleeding
  • Easy bruising
  • Purple or red pinpoint spots under your skin
  • Upper stomach pain, nausea, or loss of appetite
  • Dark urine or clay-colored stools
  • Yellowing of the eyes or skin (jaundice)



Documented hypersensitivity to acarbose

Diabetic ketoacidosis, cirrhosis, inflammatory bowel disease, colonic ulceration, partial intestinal obstruction or predisposed to intestinal obstruction, known marked absorptive impairment of GI

Conditions that may deteriorate as result of increased gas formation in GI tract


No clinical studies exist establishing conclusive evidence of macrovascular risk reduction with acarbose or any other anti-diabetic drug

Concurrent use with sulfonylureas or insulin may result in hypoglycemia; treat hypoglycemia with oral glucose (dextrose), not sucrose (cane sugar)

Monitoring glycemic control with 1,5-AG assay is not recommended; measurements of 1,5-AG are unreliable in assessing glycemic control in patients taking acarbose; use alternate methods to monitor for glycemic control

Patients that are exposed to stress such as fever, trauma, infection, or surgery, may result in temporary loss of control of blood glucose; temporary insulin therapy may be necessary.

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