Because it raises sugar in the urine, it can increase genital and urinary infections. Keep good hygiene and tell your doctor about itching, discharge or burning on passing urine. Seek urgent care for symptoms of a serious acid build-up (nausea, vomiting, deep breathing, drowsiness), which can rarely occur even with near-normal sugar. Stop the tablet and get help. Stay hydrated, and pause it during serious illness, dehydration or before surgery as advised. On its own it rarely causes low blood sugar, but the risk rises with insulin or a sulfonylurea. Use in pregnancy or breastfeeding only on advice. Store below 30°C. This product information is for general guidance only and does not replace professional medical advice. Always consult a qualified healthcare provider before starting any new medication or supplement. Keep all medicines out of reach of children.