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suspender al menos 2 meses antes de embarazo planeado se desconoce si se excreta en leche materna riesgo de hipoglucemia puede afectar capacidad de conducir no recomendado en insuficiencia renal severa no se requiere modificacin de dosis S pluma y agujas deben manejarse como RPBI punzocortante N/A medicamento biolgico que requiere registro COFEPRIS