Patient was educated on precautions to be exercised while taking Avandamet as follows:

  1. Observe compliance with any regular lab work ordered, such as, hemoglobin A1c. As Avandamet increases risk for heart failure and bladder cancer, periodical follow-up may be ordered on cardiac function and bladder study. Also, as Avandamet is mostly metabolized in the liver and eliminated in the urine, compliance with hepatic and renal function panel ordered periodically is highly recommended.
  2. Report any symptoms of exacerbation of cardiac failure, such as, edema, shortness of breath, reduced endurance, as Avandamet is known to increase risk for heart failure.
  3. Maintain compliance with your dietary recommendations, as ordered.
  4. Maintain compliance with any exercise schedule prescribed by your doctor. Try not to overdo on your exercise.