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Prandase (Generic Acarbose)

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Why is this medication prescribed?

Prandase is a brand name for the generic drug acarbose. It is commonly prescribed to manage type 2 diabetes mellitus. Acarbose belongs to a class of medications known as alpha-glucosidase inhibitors. These drugs work by slowing down the digestion and absorption of carbohydrates in the small intestine. By doing so, they help regulate blood sugar levels after meals.

How should this medicine be used?

Here’s how Prandase is typically used:

  • Dosage: The usual starting dose is 25 mg, taken three times a day with the first bite of each main meal. The dosage can be gradually increased, based on the individual’s response and tolerance.
  • Administration: Prandase tablets are usually taken with the first bite of each main meal. It should be swallowed with a small amount of water or other liquid.
  • Meal Timing: Since Prandase is designed to control post-meal blood sugar levels, it is important to take it with meals. If a meal is skipped, the medication should also be skipped to avoid the risk of hypoglycemia (low blood sugar).
  • Monitoring: Regular monitoring of blood glucose levels is essential to ensure that the medication is effectively controlling blood sugar levels. This helps in adjusting the dosage as needed.
  • Compliance: It is crucial to take Prandase consistently and as prescribed by the healthcare provider. Missing doses or not taking the medication with meals can affect its efficacy.

It’s important to note that the use of Prandase or any other antidiabetic medication should be a part of a comprehensive diabetes management plan, which may include dietary changes, regular exercise, and other medications as prescribed by a healthcare professional.

As with any medication, individuals should consult their healthcare provider for specific guidance on the use of Prandase, taking into consideration their medical history, overall health, and any potential interactions with other medications they may be taking.

Other uses for this medicine

Prandase is primarily used for the management of type 2 diabetes. It is not typically used for other medical conditions. Always use the medication as prescribed by your healthcare provider.

What special precautions should I follow?

Regarding special precautions, here are some key considerations when using Prandase:

  • Hypersensitivity: Individuals with a known allergy or hypersensitivity to acarbose or any of the ingredients in Prandase should not use the medication.
  • Gastrointestinal Disorders: Prandase can cause gastrointestinal side effects such as flatulence, diarrhea, and abdominal discomfort. Individuals with inflammatory bowel disease, intestinal obstruction, or other severe gastrointestinal disorders may need special monitoring or alternative treatments.
  • Liver or Kidney Impairment: Prandase is eliminated by the kidneys, and its metabolism may be affected in individuals with impaired renal function. Patients with significant kidney or liver disease may require dosage adjustments or additional monitoring.
  • Digestive Enzyme Deficiency: Prandase may not be suitable for individuals with certain digestive enzyme deficiencies, such as sucrase-isomaltase deficiency or maltase-glucoamylase deficiency.
  • Pregnancy and Breastfeeding: The safety of Prandase during pregnancy and breastfeeding has not been well established. Healthcare providers should carefully weigh the potential benefits and risks before prescribing it to pregnant or breastfeeding individuals.
  • Hypoglycemia Risk: Since Prandase works by reducing the postprandial (after-meal) rise in blood sugar, there is a risk of hypoglycemia (low blood sugar), especially if meals are skipped or delayed. Patients should be educated on recognizing and managing hypoglycemia.

It’s crucial to provide your healthcare provider with a comprehensive medical history, including information about other medications, supplements, and health conditions, before starting Prandase. Always follow your healthcare provider’s instructions and attend regular follow-up appointments for monitoring and adjustments as needed. If you have specific concerns or questions about Prandase, it’s best to discuss them with your healthcare provider for personalized guidance.

What special dietary instructions should I follow?

Special Dietary Instructions:

  • Take with Meals: Prandase is typically taken with the first bite of each main meal. It is designed to control blood sugar levels after meals.
  • Consistent Carbohydrate Intake: Maintain a consistent carbohydrate intake from meal to meal. Fluctuations in carbohydrate consumption may affect the effectiveness of Prandase.
  • Avoid High-Carbohydrate Snacks: Snacking on high-carbohydrate foods between meals may contribute to an increased risk of hypoglycemia. It’s advisable to choose snacks with a balanced combination of macronutrients.
  • Limit Alcohol: Alcohol consumption can affect blood sugar levels. It’s essential to moderate alcohol intake and discuss its impact on diabetes management with your healthcare provider.

What should I do if I forget a dose?

  • Take It with the Next Meal: If you forget a dose, take it with the next main meal. Do not double up on doses to make up for a missed one.
  • Timing Matters: Since Prandase is meant to be taken with meals to control postprandial blood sugar levels, taking it outside of mealtime may not be as effective.
  • Notify Healthcare Provider: If you consistently forget doses or have concerns about missed doses, inform your healthcare provider. They can provide guidance and may need to adjust your treatment plan if necessary.

What side effects can this medication cause?

Prandase, or acarbose, like any medication, may cause side effects. It’s important to note that not everyone will experience these side effects, and some individuals may experience side effects that are not listed. If you are prescribed Prandase and have concerns about potential side effects, it’s best to discuss them with your healthcare provider. Common side effects of Prandase include:

  • Gastrointestinal Effects: The most common side effects are related to the gastrointestinal system and may include flatulence (gas), diarrhea, abdominal discomfort, and bloating. These effects are often transient and may improve over time as the body adjusts to the medication.
  • Hypoglycemia (Low Blood Sugar): Prandase can increase the risk of hypoglycemia, particularly if it is not taken with meals or if meals are skipped. Symptoms of hypoglycemia may include shakiness, sweating, dizziness, confusion, and hunger.
  • Liver Enzyme Abnormalities: In some cases, Prandase may cause elevated liver enzymes. Regular monitoring of liver function may be recommended by your healthcare provider.
  • Allergic Reactions: Although rare, allergic reactions to acarbose can occur. Seek medical attention if you experience symptoms such as rash, itching, swelling, severe dizziness, or difficulty breathing.
  • Other Side Effects: Less common side effects may include skin reactions, joint pain, and changes in blood cell counts.

It’s important to report any unusual or severe side effects to your healthcare provider promptly. Additionally, if you have any signs of an allergic reaction, such as difficulty breathing or swelling of the face, lips, or tongue, seek emergency medical attention.

While side effects are possible, many people tolerate Prandase well, and the benefits of controlling blood sugar levels often outweigh the risks. Your healthcare provider will carefully consider your individual health status and potential risks before prescribing Prandase or any other medication. If you have concerns about the side effects or if you are experiencing any unusual symptoms, don’t hesitate to contact your healthcare provider for guidance.

What should I know about storage and disposal of this medication?

Storage and Disposal:

  • Store Prandase (acarbose) at room temperature, away from moisture, heat, and light.
  • Keep it in the original container or packaging to protect it from environmental factors.
  • Do not store it in the bathroom.


  • Dispose of Prandase in accordance with local regulations and guidelines.
  • If you have unused or expired medication, consult your pharmacist or local waste disposal facility for proper disposal instructions.
  • Do not flush medications down the toilet unless specifically instructed to do so.

In case of emergency/overdose

Seek Medical Attention:

  • If you suspect an overdose or experience symptoms such as severe hypoglycemia (low blood sugar), seek immediate medical attention.
  • Symptoms of hypoglycemia may include confusion, shakiness, sweating, rapid heartbeat, fainting, or seizures.

Emergency Contact:

  • In case of an emergency, contact your local emergency services or poison control center.

What other information should I know?

  • Regular Monitoring: Regularly monitor your blood sugar levels as directed by your healthcare provider to ensure the effectiveness of Prandase in managing your diabetes.
  • Dietary Instructions: Follow your healthcare provider’s dietary instructions, which may include maintaining a consistent carbohydrate intake and taking Prandase with meals.
  • Medication Interactions: Inform your healthcare provider about all medications, supplements, or herbal products you are taking to check for potential interactions with Prandase.
  • Medical Appointments: Attend scheduled medical appointments for monitoring and adjustments to your treatment plan.
  • Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss the use of Prandase with your healthcare provider to assess potential risks and benefits.
  • Hypoglycemia Awareness: Be aware of the symptoms of hypoglycemia and carry a source of quick-acting glucose, such as glucose tablets or juice, to address low blood sugar episodes.
  • Regular Follow-up: Follow up with your healthcare provider regularly to discuss your response to Prandase and address any concerns or questions you may have.
  • Allergic Reactions: Seek medical attention if you experience signs of an allergic reaction, such as rash, itching, swelling, severe dizziness, or difficulty breathing.

Always follow your healthcare provider’s instructions regarding the use of Prandase, and consult them if you have any concerns or experience unexpected symptoms. Individual responses to medications can vary, so open communication with your healthcare team is essential for effective diabetes management.

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