Metformin is used in combination with a proper diet and exercise program and possibly along with other medications to control high blood sugar. It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney harm, blindness, nerve dilemmas, loss of limbs, and sexual function problems. Appropriate control of diabetic issues may lessen your risk also of a heart attack or swing. Metformin works by helping restore your body's proper response towards the insulin you naturally produce. It decreases the amount of sugar that your particular liver makes and your stomach/intestines absorb.
OTHER USES: This part contains uses of this drug being maybe not listed in the approved labeling that is professional the medication but that could be prescribed by your health care professional. Utilize this medication for a state of being which is listed in this section as long as it has been so prescribed by your health care professional.
Metformin may be used with lifestyle changes such as diet and exercise to prevent diabetes in people who are at high risk for becoming diabetic. It is also used in women with a certain disease of the ovaries (polycystic ovarian syndrome). Metformin may make cycles that are menstrual regular and increase fertility.
Read the Patient Information Leaflet if available from your pharmacist before you start taking metformin and each time you get a refill. If you have any relevant questions, check with your doctor or pharmacist.
Take this medication by mouth as directed by your physician, often 1-3 times each day with meals. Drink plenty of liquids while taking this medication unless otherwise directed by the physician.
The dosage is situated on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). To reduce your risk of adverse effects (such as upset stomach), your doctor may direct you to start this medication at a dose that is low slowly boost your dose. Follow your doctor's instructions carefully.
Take this medication regularly in order to have the most benefit from it. Remember to use it at the same times each day.
If you should be already using another anti-diabetic drug (such as for example chlorpropamide), follow your medical professional's instructions carefully for stopping/continuing the old drug and metformin that is starting.
Check your blood sugar regularly as directed by your physician. Record the total results, and share them with your doctor. Tell your doctor if your blood sugar measurements are too high or too low. Your dosage/treatment might have to be changed.
Nausea, vomiting, stomach upset, diarrhea, weakness, or a taste that is metallic the mouth may occur. If any of these effects persist or worsen, tell your doctor or pharmacist quickly. If belly symptoms return later (after taking the dose that is same several days or weeks), tell your doctor right away. Stomach symptoms that occur after the first days of your treatment might be signs of lactic acidosis.
Keep in mind that your doctor has prescribed this medication she has judged that the benefit to you is greater than the risk of adverse effects because he or. Many people using this medication do not have serious adverse effects.
Metformin does perhaps not usually cause low blood sugar (hypoglycemia). Low blood sugar may occur if this drug is prescribed with other medications that are anti-diabetic. Talk with your doctor or pharmacist about perhaps the dose of your other diabetic s that are medication( has to be lowered.
Signs and symptoms of low blood sugar consist of sudden sweating, shaking, quick heartbeat, hunger, blurred vision, dizziness, or tingling hands/feet. It is a good habit to carry glucose tablets or gel to treat low blood sugar. In the event that you don't possess these reliable types of glucose, rapidly raise your blood sugar by eating a quick source of sugar such as table sugar, honey, or candy, or drink fruit juice or non-diet soda. Tell your doctor about the reaction right away. Low blood sugar is more likely if you drink large amounts of alcohol, do unusually heavy exercise, or do not consume enough calories from meals. To greatly help prevent blood that is low, eat meals on a regular schedule, and do not skip meals. Check with your doctor or pharmacist to find out what you ought to do if you miss a meal.
Signs of high bloodstream sugar (hyperglycemia) include thirst, increased urination, confusion, drowsiness, flushing, rapid breathing, and fruity breath odor. If these signs occur, tell your doctor straight away. Your doctor may have to adjust your diabetes medication(s).
Stop taking this medication and tell your doctor immediately if this extremely severe complication happens: lactic acidosis (see Warning section).
a very serious reaction that is allergic this drug is rare. However, get medical help right away if you notice any of the following symptoms of a serious allergic reaction: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
It is not a complete list of possible adverse effects. If you notice other effects not listed above, contact your doctor or pharmacist.
Into the US -
Phone your doctor for medical advice about part results. You may report effects that are side FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Phone your doctor for medical advice about negative effects. You'll report effects that are side Health Canada at 1-866-234-2345.
See section that is also warning.
Before taking this medication, inform your doctor or pharmacist if you have any other allergies if you are allergic to metformin; or. This product may contain ingredients that are inactive which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using this medicine, tell your doctor or pharmacist your medical history, especially of: serious respiration problems (such as obstructive lung disease, severe asthma), blood issues (such as for instance anemia, vitamin B12 deficiency), kidney condition, liver disease.
Before having surgery or any X-ray/scanning procedure using injectable iodinated contrast material, tell your physician that this medication is being taken by you. You will need to temporarily stop this medication before the right time of your surgery/procedure. Consult your doctor for further instructions.
Before having surgery, tell your doctor or dental practitioner about all the items you use (including prescription drugs, nonprescription drugs, and organic products).
You might experience blurred vision, dizziness, or drowsiness as a result of extremely low or high blood sugar levels. Do not drive, use machinery, or do any activity that requires alertness or clear vision you can perform such activities safely until you are sure.
Limit liquor while using the this medication as it increases your danger of lactic acidosis and developing blood sugar that is low.
Tall temperature, "water pills" (diuretics such as for instance hydrochlorothiazide), too much sweating, diarrhea, or vomiting could potentially cause loss of too much body water (dehydration) while increasing your risk of lactic acidosis. Stop taking this medication and tell your physician immediately if you have prolonged vomiting or diarrhea. Be sure to drink enough fluids to prevent dehydration unless your doctor directs you otherwise.
It may be harder to control your blood sugar when your body is stressed (such as due to fever, infection, injury, or surgery). Consult your doctor because increased stress may require a noticeable change in your treatment plan, medications, or blood glucose evaluation.
Older adults are at greater risk for side-effects such as for instance low blood sugar or acidosis that is lactic.
During pregnancy, this medication should be used just when clearly required. Discuss the risks and benefits with your physician. Your doctor may direct one to use insulin instead of the product during your pregnancy. Follow your doctor's instructions very carefully.
Metformin can cause alterations in the cycle that is menstrualpromote ovulation) and increase the risk of becoming pregnant. Consult your doctor or pharmacist about the utilization of trustworthy birth control while using this medicine.
Metformin passes into breast milk in small quantities. Check with your doctor before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.