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Nateglinida para la diabetes

Starlix

Clinical author's note Michael Stewart 08/08/2023: Starlix® tablets were discontinued in the United Kingdom in August 2020. At the time of review there are no licensed injection products containing nateglinide available in the UK. Nateglinide may still be available in other countries. This medicine leaflet is based on medical information available in the UK at the time of writing and is left here for reference purposes. Please also refer to the manufacturer's information supplied with your medicine.

Take nateglinide up to 30 minutes before each of your three main meals.

The most common side-effects are feeling shaky, feeling hungry, having a feeling of a pounding heart (palpitations), feeling dizzy (hypoglycaemia) and stomach upset (nausea, diarrhoea, indigestion).

Remember to follow any advice you have been given about your diet.

De un vistazo

  • Nateglinide is a medicine for people with type 2 diabetes.

  • It helps to lower blood sugar by encouraging your pancreas to produce more insulin.

  • Take one tablet three times daily immediately before or up to 30 minutes before your main meals.

  • Common side-effects include symptoms of low blood sugar, diarrhoea, and tummy pain.

  • Tell your doctor if you experience unusually frequent thirst, more frequent urination, or feel very tired.

About nateglinide

Tipo de medicamento

Un medicamento antidiabético

Usado para

Diabetes mellitus tipo 2

También llamado

Starlix® (discontinued)

Disponible como

Comprimidos

Insulin is a hormone which is made naturally in your body, in the pancreas. It helps to control the levels of sugar (glucose) in your blood. If your body does not make enough insulin, or if it does not use the insulin it makes effectively, this results in the condition called diabetes (diabetes mellitus).

People with diabetes need treatment to control the amount of glucose in their blood. This is because good control of blood sugar levels reduces the risk of complications later on. Some people can control the sugar in their blood by making changes to the food they eat but, for other people, medicines like nateglinide are given alongside the changes in diet.

Nateglinide lowers blood sugar by encouraging your pancreas to produce more insulin. It starts to work quickly so it is particularly helpful in controlling blood sugar levels straight after a meal. Nateglinide will be prescribed for you alongside another antidiabetic medicine called metformina.

Before taking nateglinide

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking nateglinide it is important that your doctor knows:

  • If you are under 18 or over 75 years of age.

  • Si estás embarazada, intentando tener un bebé o amamantando.

  • Si tienes algún problema con el funcionamiento de tu hígado.

  • If you have a severe illness or infection.

  • Si alguna vez has tenido una reacción alérgica a un medicamento.

  • Si está tomando otros medicamentos. Esto incluye cualquier medicamento que esté tomando y que esté disponible para comprar sin receta, así como medicamentos herbales y complementarios.

How to take nateglinide

  • Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about nateglinide tablets and will provide you with a full list of the side-effects which you may experience from taking them.

  • Take nateglinide exactly as your doctor tells you to. The usual dose is one tablet three times daily, before your main meals (usually breakfast, lunch and dinner). It is best to take the tablet immediately before you eat your meal, but it can be taken up to 30 minutes before a meal. If you miss a meal, do not take a tablet.

  • You will be prescribed a low dose to begin with. If it becomes necessary, your doctor may increase the number of tablets you need to take each day.

  • Swallow the tablet with a drink of water. Do not break or crush the tablets.

  • If you forget to take a dose, do not worry, just take your next dose at the next mealtime. Do not take two doses together to make up for a forgotten dose, and do not take the tablets between meals.

Obteniendo el máximo de tu tratamiento

  • Es importante que mantengas tus citas regulares con el médico y la clínica. Esto es para que se pueda monitorear tu progreso. Necesitarás chequeos regulares con una clínica de ojos y una clínica de pies, así como con tu médico y la clínica de diabetes.

  • Su médico puede recomendarle que se haga pruebas de azúcar (glucosa) en la sangre o en la orina regularmente para verificar que su diabetes esté controlada. Su médico o enfermera especializada en diabetes le mostrará cómo hacerlo.

  • Drinking alcohol is not recommended with nateglinide as it can affect the control of your blood sugar.

  • Si eres conductor, debes tener especial cuidado, ya que tu capacidad de concentración puede verse afectada si tu diabetes no está bien controlada. Se te puede aconsejar que verifiques tus niveles de azúcar en sangre antes de viajar y que lleves un refrigerio contigo en viajes largos.

  • Si tu médico te ha dado consejos sobre cambios en tu dieta, dejar de fumar o hacer ejercicio regularmente, es importante que sigas los consejos que te han dado.

  • Consulte con su médico antes de comenzar cualquier nuevo ejercicio físico, ya que esto afectará sus niveles de azúcar en la sangre y es posible que necesite controlar sus niveles de sangre u orina con más regularidad.

  • Make sure you know what it feels like if your blood sugar is low. This is known as hypoglycaemia, or a 'hypo'. The first signs of hypoglycaemia are feeling shaky or anxious, sweating, looking pale, feeling hungry, having a feeling that your heart is pounding (palpitations), and feeling dizzy.

  • If you are due to have an operation or dental treatment, you should tell the person carrying out the treatment that you have diabetes and that you are taking nateglinide. This is because if you are not able to eat for a time, you will be advised to skip your doses until you are eating normally again.

  • Si sientes una sed inusual, orinas con más frecuencia y te sientes muy cansado, debes informar a tu médico. Estos son signos de que hay demasiado azúcar en tu sangre y es posible que tu tratamiento necesite ajustes.

  • El tratamiento para la diabetes suele ser de por vida. Continúe tomando las pastillas a menos que su médico le indique lo contrario.

Can nateglinide cause problems?

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with nateglinide. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.

Common nateglinide side-effects (these affect fewer than 1 in 10 people)


¿Qué puedo hacer si experimento esto?

Symptoms of hypoglycaemia: feeling shaky or anxious, sweating, looking pale, feeling hungry, having a feeling of a pounding heart (palpitations), feeling dizzy

Eat something containing sugar, such as a biscuit or a sugary drink (not diet), and follow this up with a snack such as a sandwich. Do not drive and do not use tools or machines until you feel better. Tell your doctor if you notice these symptoms frequently

Diarrhoea, tummy (abdominal) pain, indigestion, feeling sick (nausea)

Let your doctor know if any of these become severe or troublesome

Si experimenta cualquier otro síntoma que crea que puede deberse a las tabletas, hable con su médico o farmacéutico para obtener más consejos.

How to store nateglinide

  • Mantenga todos los medicamentos fuera del alcance y la vista de los niños.

  • Almacenar en un lugar fresco y seco, lejos del calor y la luz directos.

Información importante sobre todos los medicamentos

Información importante sobre todos los medicamentos

Si compras algún medicamento, siempre consulta con un farmacéutico que sea seguro tomarlos junto con tus otros medicamentos.

Nunca tome más de la dosis prescrita. Si sospecha que usted u otra persona podría haber tomado una sobredosis de este medicamento, acuda al departamento de accidentes y emergencias de su hospital local. Lleve el envase con usted, incluso si está vacío.

Este medicamento es para ti. Nunca lo des a otras personas, incluso si su condición parece ser la misma que la tuya.

No guardes medicamentos caducados o no deseados. Llévalos a tu farmacia local, que se encargará de desecharlos por ti.

Si tienes alguna pregunta sobre este medicamento, consulta a tu farmacéutico.

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Preguntas frecuentes

Can I take nateglinide if I am taking other medications?

You should always tell your doctor about any other medicines you are taking, including those you can buy without a prescription, as well as herbal and complementary medicines. This is important because some medicines are not suitable to be taken with nateglinide, or may require extra care.

What should I do if I forget to take my nateglinide dose?

If you forget to take a dose, you should not worry. Just take your next dose at the next mealtime. Do not take two doses together to make up for a forgotten dose, and do not take the tablets between meals.

What are the common symptoms of low blood sugar (hypoglycaemia) and what should I do if I experience them?

The first signs of low blood sugar, also known as a 'hypo', include feeling shaky or anxious, sweating, looking pale, feeling hungry, a pounding heart (palpitations), and feeling dizzy. If you experience these, eat something sugary, like a biscuit or a non-diet sugary drink, and then follow it up with a snack such as a sandwich. Avoid driving or operating machinery until you feel better, and inform your doctor if these symptoms occur frequently.

What should I do if I think my blood sugar is too high?

If you experience unusual thirst, pass urine more frequently, and feel very tired, these could be signs that your blood sugar levels are too high. You should inform your doctor immediately so they can assess your condition and potentially adjust your treatment.

What should I do with expired or unwanted nateglinide tablets?

Do not keep out-of-date or unwanted medicines at home. You should take them to your local pharmacy, which will safely dispose of them for you.

Lecturas adicionales y referencias

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Imagen del autor

Michael Stewart, MRPharmS

Gerente de Revisión de Folletos de Medicamentos – Contratista, Farmacéutico

BPharm (Hons), MRPharmS

Michael es un farmacéutico comunitario que ejerce en Midlands y South Yorkshire con más de 20 años de experiencia asesorando sobre medicamentos y condiciones médicas. Tiene una sólida formación en capacitación en atención médica, habiendo producido e impartido cursos de formación para equipos de farmacia y personal de entornos de atención residencial, incluidas enfermeras. También ha contribuido a juntas asesoras de farmacia para la gestión de condiciones de baja gravedad en la comunidad.

Acerca del revisor

Imagen del autor

Sid Dajani

Sultan Dajani se graduó en la Escuela de Farmacia de Londres en 1994 y se convirtió en el miembro más joven elegido para el consejo de la Sociedad Real de Farmacia desde su fundación en 1842.

Historial del artículo

La información en esta página está escrita y revisada por pares por clínicos calificados.

  • Siguiente revisión prevista: 29 de agosto de 2026
  • 30 de agosto de 2023 | Última versión

    Última actualización por

    Michael Stewart, MRPharmS

    Revisado por pares por

    Sid Dajani
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