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Uses

Metformin can be used using a proper dieting and workout program and perchance along with other medications to manage high blood sugar levels. It can be used in patients with diabetes type 2. Controlling high blood glucose levels helps prevent kidney damage, blindness, nerve problems, decrease of limbs, and sexual function problems. Proper control of diabetes could also lessen your chance of heart disease or stroke. Metformin operates by making an effort to restore your body's proper reply to the insulin you naturally produce. It also decreases how much sugar your liver makes and your stomach/intestines absorb.

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Read the Patient Information Leaflet if provided by the pharmacist before you start taking metformin every time you have a refill. If you might have any queries, speak to your doctor or pharmacist.

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Take prescription drugs by mouth as directed from your doctor, usually 1-3 times a day with meals. Drink a good amount of fluids while taking prescription drugs unless otherwise directed from your doctor.

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The dosage is dependant on your problem, a reaction to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about each of the products you use (including prescription drugs, nonprescription drugs, and herbal products). To reduce your likelihood of side effects (such as upset stomach), your physician may direct one to start this medication at a low dose and gradually raise your dose. Follow a medical expert's instructions carefully.

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Take this medication regularly in order to get the most benefit from it. Remember to make use of it on the same times on a daily basis.

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If you might be already taking another diabetes drug (like chlorpropamide), follow your doctor's directions carefully for stopping/continuing that old drug and starting metformin.

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Check your blood sugar levels regularly as directed through your doctor. Keep track of the final results, and share them your medical professional. Tell your physician if your blood glucose levels measurements are far too high or too low. Your dosage/treatment might need to be changed.

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Side Effects

See also Warning section.

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Nausea, vomiting, stomach upset, diarrhea, weakness, or perhaps a metallic taste in the mouth may occur. If these effects persist or worsen, inform your doctor or pharmacist promptly. If stomach symptoms return later (after utilizing the same dose for several days or weeks), tell your doctor without delay. Stomach symptoms that occur following the first times of your treatment could possibly be indications of lactic acidosis.

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Remember your doctor has prescribed prescription drugs while he or she's got judged how the advantage of you is greater than the chance of negative effects. Many people using this medication would not have serious negative effects.

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Metformin won't usually cause low blood glucose levels (hypoglycemia). Low blood glucose levels may occur if it drug is prescribed along with other diabetes medications. Talk with your medical professional or pharmacist about perhaps the dose of your other diabetes medication(s) should be lowered.

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Symptoms of low blood sugar levels include sudden sweating, shaking, fast heartbeat, hunger, blurred vision, dizziness, or tingling hands/feet. It is a good habit to carry glucose tablets or gel to deal with low blood glucose levels. If you don't have these reliable kinds of glucose, rapidly raise the blood glucose by eating an instant way to obtain sugar such as countertop sugar, honey, or candy, or drink liquid or non-diet soda. Tell a medical expert in regards to the reaction straight away. Low blood glucose levels is more probable if you drink large amounts of alcohol, do unusually heavy exercise, or tend not to consume enough calories from food. To help prevent low blood sugar levels, eat meals over a regular schedule, and tend not to skip meals. Check with a medical expert or pharmacist to learn list of positive actions in case you miss dinner.

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Symptoms of high blood sugar levels (hyperglycemia) include thirst, increased urination, confusion, drowsiness, flushing, rapid breathing, and fruity breath odor. If these symptoms occur, educate doctor straight away. Your doctor should adjust your diabetes medication(s).

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Stop taking prescription drugs and tell your doctor straight away if it much more severe unwanted effect occurs: lactic acidosis (see Warning section).

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A much more severe hypersensitive reaction for this drug is rare. However, get medical help straight away in the event you notice the following symptoms of a serious allergic attack: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

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This is not a complete list of possible side effects. If you notice other effects unlisted above, contact your medical professional or pharmacist.

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Call your medical professional for health advice about side effects. You may report unwanted side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

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In Canada - Call your physician for medical health advice about unwanted side effects. You may report side effects to Health Canada at 1-866-234-2345.

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Precautions

See also Warning section.

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Before taking this medication, educate doctor or pharmacist if you might be allergic to metformin; or should you have another allergies. This product could have inactive ingredients, which could cause hypersensitive reactions or another problems. Talk to your pharmacist for more information.

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Before using this medication, tell your doctor or pharmacist your health background, especially of: severe breathing problems (including obstructive lung disease, severe asthma), blood problems (including anemia, vitamin B12 deficiency), kidney disease, liver disease.

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Before having surgical treatment or any X-ray/scanning procedure using iodinated contrast, tell your doctor or dentist about all of the products you employ (including prescription medications, nonprescription drugs, and herbal products). You might need to stop prescription drugs for any limited time for the surgery/procedure. Ask a medical expert or dentist for instructions before your surgery/procedure.

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You may feel blurred vision, dizziness, or drowsiness as a result of extremely low or high blood sugar. Do not drive, use machinery, or do any activity that needs alertness or clear vision until you happen to be sure you'll be able to perform such activities safely.

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Limit alcohol with all the prescription drugs as it can increase your probability of lactic acidosis and developing low blood glucose levels.

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High fever, "water pills" (diuretics such as hydrochlorothiazide), an excessive amount of sweating, diarrhea, or vomiting could cause decrease of a lot of body water (dehydration) and improve your likelihood of lactic acidosis. Stop taking medicines and inform your doctor straight away in case you have prolonged diarrhea or vomiting. Be sure to drink enough fluids to avoid dehydration unless your doctor directs you otherwise.

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It may be harder to regulate your blood glucose when your is stressed (including on account of fever, infection, injury, or surgery). Consult a medical expert because increased stress might require a change in your plan for treatment, medications, or blood glucose levels testing.

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Older adults may be at greater risk for side effects including low blood glucose or lactic acidosis.

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During pregnancy, prescription drugs must be used only if clearly needed. Discuss the hazards and benefits with your medical professional. Your doctor may direct you to work with insulin instead of this device during your pregnancy. Follow your medical professional's instructions carefully.

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Metformin could cause alterations in the menstrual period (promote ovulation) and increase the risk of becoming pregnant. Consult a medical expert or pharmacist about the usage of reliable birth control when using prescription drugs.

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Metformin passes into breast milk in a small amount. Consult your medical professional before breast-feeding.

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