Metformin is used with a proper exercise and diet program and possibly along with other medicines to control blood sugar that is high. It is used in patients with type 2 diabetes. Controlling high blood sugar aids in preventing kidney harm, blindness, nerve problems, loss in limbs, and sexual function problems. Appropriate control of diabetic issues may lessen your risk also of a heart attack or stroke. Metformin works by helping restore your body's proper response to the insulin you naturally produce. In addition 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 not detailed in the approved labeling that is professional the medication but that may be recommended by the health care professional. Utilize this medication for a condition which is placed in this section as long as it was so prescribed by your quality of life 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, consult with your doctor or pharmacist.
Take this medication by mouth as directed by your physician, often 1-3 times on a daily basis with meals. Drink lots of fluids while using this medicine unless otherwise directed by the medical practitioner.
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 increase your dose. Follow your medical professional's instructions carefully.
Take this medication regularly in order to get the most benefit from it. Remember to use it at the times that are same day.
If you are already taking another anti-diabetic drug (such as for instance chlorpropamide), follow your doctor's directions carefully for stopping/continuing the old drug and metformin that is starting.
Always check your blood sugar regularly as directed by your medical practitioner. Keep an eye on 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 need to be changed.
Nausea, sickness, 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 promptly. 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 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 side that is serious.
Metformin does perhaps not usually cause blood that is low (hypoglycemia). Low blood sugar may occur if this drug is prescribed with other anti-diabetic medications. Talk to your physician or pharmacist about if the dose of your other diabetic medication(s) needs to be lowered.
Outward indications 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 blood sugar that is low. If you don't possess these reliable forms of glucose, rapidly elevate 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 sufficient calories from meals. To greatly help prevent low blood sugar, eat meals on a regular schedule, and do not skip meals. Check with your pharmacist or doctor to discover what you should do in the event that you miss a meal.
Symptoms of high bloodstream sugar (hyperglycemia) include thirst, increased urination, confusion, drowsiness, flushing, rapid breathing, and fruity breath smell. If these symptoms occur, tell your doctor immediately. Your medical professional may have to adjust your diabetes medication(s).
Stop taking this medication and tell your doctor straight away if this extremely serious effect happens: lactic acidosis (see Warning section).
a really serious reaction that is allergic this drug is rare. However, get medical help right away if you see any of the after symptoms of a serious allergic reaction: rash, itching/swelling (especially associated with face/tongue/throat), severe dizziness, trouble respiration.
It is not a list that is complete of adverse effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In the US -
Phone your doctor for medical advice about side effects. 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 unwanted effects. You could report side effects to Health Canada at 1-866-234-2345.
See section that is also warning.
Before taking this medicine, tell 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 could cause allergic reactions 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 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 medical practitioner 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 most of the services and products you utilize (including prescription drugs, nonprescription drugs, and organic products).
You may possibly experience blurred vision, dizziness, or drowsiness as a result of extremely low or blood that is high 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 alcohol when using this medication because it increases your threat of lactic acidosis and developing blood sugar that is low.
Tall temperature, "water pills" (diuretics such as hydrochlorothiazide), too much sweating, diarrhea, or vomiting may cause loss in too much body water (dehydration) while increasing your danger of lactic acidosis. Stop using this medication and inform your doctor straight away when you have prolonged diarrhea or vomiting. Make sure to drink sufficient 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 sugar levels testing.
Older grownups could be at greater risk for adverse effects such as for example low bloodstream sugar or acidosis that is lactic.
During pregnancy, this medication should be used just whenever clearly needed. Discuss the risks and benefits with your medical practitioner. Your doctor may direct one to instead use insulin of the product during your pregnancy. Follow your physician'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 utilization of reliable birth control while using this medicine.
Metformin passes into breast milk in small quantities. Check with your physician before breast-feeding.
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Airmail: 2-3 business weeks, EMS: 3-8 business days.