Discontinue use if hypersensitivity reaction, ketoacidosis, necrotising perineum fasciitis/Fournier's gangrene, pancreatitis & bullous pemphigoid are suspected; prior to major surgery. Not to be used in patients w/ type 1 diabetes or diabetic ketoacidosis. Risk of vol depletion &/or hypotension; insulin deficiency/dose reduction, reduced caloric intake, increased insulin requirements due to infections, low carbohydrate diet, acute illness, surgery, previous ketoacidosis & alcohol abuse; urosepsis & pyelonephritis, recurrent UTI; cardiac failure (NYHA class IV); arthralgia, exacerbation of joint symptoms; patients w/ known CV disease. Monitor vol status eg, physical exam, BP & electrolytes in intercurrent conditions leading to vol depletion eg, GI illness, heat stress, severe infections; haematocrit, Hb. Evaluate renal function prior to initiation & periodically thereafter. Counsel diabetic patients on routine preventative footcare. Hypoglycaemia w/ insulin & insulin secretagogues. Concomitant use w/ diuretics, antihypertensives. May affect ability to drive & use machines. Not to be used in patients w/ eGFR <45 mL/min/1.73 m
2 & severe hepatic impairment. Not to be used during pregnancy & lactation. Not to be used in childn & adolescents 10-17 yr. Elderly.