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Its not recommended to increase the dosage by more than 2.5 mg at one time

Key information to share includes: Complete list of all medications, including over-the-counter drugs and supplements Any history of antibiotic allergies or adverse reactions Current diabetes control and recent A1C results Presence of diabetes complications, particularly gastroparesis Any upcoming procedures or schedule changes that might affect medication timing If you experience severe vomiting or diarrhea during antibiotic treatment that prevents you from taking oral medications or maintaining hydration, contact your healthcare provider promptly

Nature 372 , 425432 (1994)

However, you should always make this change under your doctors guidance and talk to your doctor before switching medications