Minerva 25mg Tablet should be consumed just prior to a meal or alongside the initial mouthful of food The dosage and frequency will be determined by your doctor to ensure proper blood sugar control The dosage may be gradually increased It is essential to consult your doctor before discontinuing the medication as stopping it without guidance can elevate blood sugar levels and pose serious risks such as kidney damage and blindness Please note that this medication is just one component of a comprehensive treatment plan which should also include a balanced diet regular exercise and weight reduction as recommended by your doctor It is important to regularly monitor your blood sugar levels while taking this medication The most common side effects of this medication include skin rash flatulence gas stomach pain and diarrhea If any of these side effects bother you or persist please consult your doctor This medication alone does not cause hypoglycemia low blood sugar levels However when combined with other diabetes medications especially insulin or sulphonylureas it can lead to hypoglycemia If you experience episodes of low blood sugar levels it is important to treat it by taking plain glucose Table sugar or common sugar will not effectively raise your blood sugar levels if you are taking this medication Before taking this medication inform your doctor about any kidney or liver problems you may have If you have ulceration or inflammation in the bowel eg ulcerative colitis or Crohns disease do not take this medication Pregnant or breastfeeding women should also consult their doctor before taking it It is important to inform your doctor about all other medications you are taking to ensure your safety Additionally excessive alcohol consumption should be avoided while taking this medication as it may increase the risk of hypoglycemia