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Therapy should be titrated slowly to minimize gastrointestinal side effects. Do not change your dose or stop taking acarbose without first talking to your doctor. Your dose may be adjusted every 4-8 weeks to determine the most effective dose for you. If you are receiving sulfonylureas or insulin at the same time as Acarbose, you may find that your blood sugar is too low, which could in extreme cases lead to hypoglycemic shock. What should avoid while taking geen rx acarbose acarbose? Avoid drinking alcohol while taking acarbose. Acarbose has no inhibitory activity against lactase and consequently would not be expected to induce lactose intolerance.