Metformin is used with a proper diet and exercise program and possibly with other medications to control blood sugar that is high. It is used in patients with type 2 diabetes. Controlling blood that is high helps prevent kidney harm, blindness, nerve problems, loss of limbs, and sexual function problems. Appropriate control of diabetes may lessen your risk also of a heart attack or stroke. Metformin works by helping to restore your body's proper response towards the insulin you naturally produce. It also decreases the amount of sugar your liver makes and that your stomach/intestines absorb.
OTHER USES: This section contains uses of this medication which can be not listed in the approved professional labeling for the drug but which may be prescribed by the health care professional. Use this drug for a condition that is placed in this part only when it was so prescribed by your wellbeing care professional.
Metformin may be used with lifestyle changes such as exercise and diet 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 you get a refill before you start taking metformin and each time. If you have any relevant questions, check with your doctor or pharmacist.
Take this medication by mouth as directed by your doctor, frequently 1-3 times each and every day with meals. Drink plenty of liquids while using this medicine unless otherwise directed by the physician.
The dosage is situated on your condition that is medical 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 side effects (such as upset stomach), your doctor may direct you to start this medication at a low dose and slowly increase your dose. Follow your doctor's instructions carefully.
Take this medication frequently in order to get the benefit that is most from it. Remember to use it at the times that are same time.
If you should be already taking another anti-diabetic drug (such as for instance chlorpropamide), follow your medical professional's guidelines carefully for stopping/continuing the old drug and starting metformin.
Check always your blood sugar regularly as directed by your physician. Keep track of 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, nausea, stomach upset, diarrhoea, weakness, or a metallic taste in the mouth may occur. If any of these effects persist or worsen, tell your pharmacist or doctor quickly. If stomach symptoms return later (after taking the same dose for several days or weeks), tell your doctor right away. Stomach symptoms that occur after the first days of your treatment may be signs of lactic acidosis.
Understand that your medical professional has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Metformin does maybe not usually cause blood that is low (hypoglycemia). Low blood sugar may occur if this drug is prescribed with other medications that are anti-diabetic. Consult with your physician or pharmacist about if the dose of your other diabetic medication(s) needs to be lowered.
Signs and symptoms of low blood sugar consist of sudden sweating, shaking, quick heartbeat, hunger, blurred vision, dizziness, or hands/feet that is tingling. It is a good habit to carry glucose tablets or gel to treat low blood sugar. If you don't possess these reliable forms of glucose, rapidly elevate your blood sugar by eating a quick source of sugar such as dining table sugar, honey, or candy, or drink fruit juice or soda that is non-diet. 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 food. 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 discover what you ought to do if you skip a meal.
Symptoms 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 right away. Your medical professional may need certainly to adjust your diabetes medication(s).
Stop taking this medication and tell your doctor straight away if this very serious adverse effect occurs: lactic acidosis (see Warning section).
an extremely serious allergic reaction to 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 regarding the face/tongue/throat), severe dizziness, trouble breathing.
This is simply not a list that is complete of side effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In the United States -
Call your physician for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about unwanted effects. You may report adverse effects to Health Canada at 1-866-234-2345.
See section that is also warning.
Before taking this medicine, tell your medical practitioner 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 allergies or other problems. Confer with your pharmacist for more details.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: serious breathing problems (such as obstructive lung disease, severe asthma), blood issues (such as for example anemia, vitamin B12 deficiency), kidney illness, liver disease.
Before having surgery or any X-ray/scanning procedure using injectable iodinated contrast material, tell your doctor 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 medical practitioner for further instructions.
Before having surgery, tell your doctor or dentist about all of the products you employ (including prescription drugs, nonprescription medications, and herbal products).
You might experience blurred vision, dizziness, or drowsiness because of extremely low or blood that is high levels. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely.
Limit alcohol when using this medication since it can increase 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 in too much body water (dehydration) while increasing your danger of lactic acidosis. Stop taking this medicine and inform your physician right away when you have prolonged diarrhea or vomiting. Make sure to drink enough liquids to prevent dehydration unless your doctor directs you otherwise.
It might 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 therapy plan, medications, or blood sugar evaluating.
Older grownups may be at greater risk for side-effects such as for example low blood sugar or acidosis that is lactic.
During pregnancy, this medication should be used only when clearly required. Discuss the risks and benefits together with your medical practitioner. Your doctor may direct you to definitely use insulin instead of the product during your pregnancy. Follow your doctor's instructions very carefully.
Metformin can cause alterations in the menstrual cycle (promote ovulation) and increase the risk of becoming pregnant. Consult your doctor or pharmacist about the use of trustworthy birth control while using this medication.
Metformin passes into breast milk in small quantities. Consult your physician before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.