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Abacus (Acarbose)

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Abacus slows the digestion of carbohydrates in the body, which helps control blood sugar levels. Abacus is used together with diet and exercise to treat type 2 diabetes. Abacus is sometimes used in combination with insulin or other diabetes medications you take by mouth.

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Also known as: Acarbose


Abacus slows the digestion of carbohydrates in the body, which helps control blood sugar levels.

Abacus is used together with diet and exercise to treat type 2 diabetes. This medicine is sometimes used in combination with insulin or other diabetes medications you take by mouth.


Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.

Take Abacus with the first bite of a main meal, unless your doctor tells you otherwise.

Your blood sugar will need to be checked often, and you may need other blood tests at your doctor's office.

If you take Abacus with insulin or other diabetes medications, your blood sugar could get too low.

Low blood sugar (hypoglycemia) can happen to everyone who has diabetes. Symptoms include headache, hunger, sweating, confusion, irritability, dizziness, or feeling shaky. Always keep a source of dextrose (D-glucose) with you in case you have low blood sugar. When taking Abacus, dextrose will work better than cane sugar or table sugar in treating hypoglycemia. Sources of dextrose include honey, dates, raisins, plums, dried prunes, grapes, or glucose tablets. Be sure your family and close friends know how to help you in an emergency.

If you have severe hypoglycemia and cannot eat or drink, use a glucagon injection. Your doctor can prescribe a glucagon emergency injection kit and tell you how to use it.

Also watch for signs of high blood sugar (hyperglycemia) such as increased thirst, increased urination, hunger, dry mouth, fruity breath odor, drowsiness, dry skin, blurred vision, and weight loss.

Check your blood sugar carefully during times of stress, travel, illness, surgery or medical emergency, vigorous exercise, or if you drink alcohol or skip meals. These things can affect your glucose levels and your dose needs may also change. Do not change your medication dose or schedule without your doctor's advice.

Abacus is only part of a complete treatment program that may also include diet, exercise, weight control, regular blood sugar testing, and special medical care. Follow your doctor's instructions very closely.

Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.

Detailed Abacus dosage information


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

In case of overdose, do not eat or drink anything containing carbohydrates for the next 4 to 6 hours.


Store at room temperature below 25 degrees C (77 degrees F) away from moisture and heat. Keep container tightly closed. Throw away any unused medicine after the expiration date. Keep out of the reach of children.

Side effects

The most common side effects associated with Abacus are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Avoid drinking alcohol. It can lower your blood sugar.

Avoid taking a digestive enzyme such as pancreatin, amylase, or lipase at the same time you take Abacus. These enzymes can make it harder for your body to absorb this medicine. Products that contain digestive enzymes include Arco-Lase, Cotazym, Donnazyme, Pancrease, Creon, and Ku-Zyme.

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