Topiramate undergoes partial hepatic metabolism and is primarily eliminated unchanged via renal excretion
More serious adverse events are rare but can include pancreatitis, gallbladder disease, and hypoglycaemia, particularly in patients with diabetes
Some compounding pharmacies source their active ingredients from suppliers with less rigorous oversight
Some individuals may find that medications are not the right fit for them due to various factors, including medical history, preferences, or the desire for more immediate and substantial weight loss
Explain to patients receiving JANUMET XR in combination with these medications the risks of hypoglycemia, its symptoms and treatment and conditions that predispose to its development [see WARNINGS AND PRECAUTIONS ]
A review of online sources suggests that suppliers arent transparent about this rule