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Metformin is used in combination with a proper diet and exercise program and perhaps along with other medicines to control high blood sugar. It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response towards the insulin you naturally produce. In addition decreases the amount of sugar that your liver makes and that your stomach/intestines absorb.

OTHER USES: This area contains uses of this medication which are perhaps not listed in the approved labeling that is professional the medication but which may be recommended by your health care professional. Utilize this medication for a state of being which is listed in this part only when it is often therefore prescribed by your wellbeing 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 menstrual cycles more regular and increase fertility.

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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.

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Take this medication by mouth as directed by your physician, usually 1-3 times each day with meals. Drink lots of liquids while taking this medicine unless otherwise directed by your doctor.

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 side effects (such as upset stomach), your doctor may direct you to start this medication at a dose that is low slowly raise your dose. Follow your physician's instructions carefully.

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Take this medication regularly in order getting the most benefit from it. Remember to use it at the same times each day.

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If you are already taking another anti-diabetic drug (particularly chlorpropamide), follow your doctor's guidelines carefully for stopping/continuing the old drug and metformin that is starting.

Check your blood sugar regularly as directed by your doctor. 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 should be changed.

Negative Effects

Nausea, vomiting, stomach upset, diarrhoea, weakness, or a metallic taste in the mouth may occur. If any of these effects persist or worsen, tell your doctor or pharmacist quickly. If belly symptoms return later (after using 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.

Keep in mind that your physician 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 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 medical professional or pharmacist about if the dose of your other diabetic medication(s) has to be lowered.

Apparent symptoms of low blood sugar include 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. In the event that you do not have these reliable types 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 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 exercise that is heavy or do not consume enough calories from food. To simply help prevent low blood sugar, eat meals on a regular schedule, and do not skip meals. Check with your pharmacist or doctor to find out what you ought to do in the event that you miss a meal.

Signs of high bloodstream sugar (hyperglycemia) include thirst, increased urination, confusion, drowsiness, flushing, rapid breathing, and fruity breath smell. If these symptoms happen, tell your doctor immediately. Your doctor may need certainly to adjust your diabetes medication(s).

Stop using this medicine and inform your doctor right away if this really serious adverse effects occurs: lactic acidosis (see Warning section).

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a really serious reaction that is allergic this drug is rare. However, get help that is medical away if you observe some of the following symptoms of a serious allergic reaction: rash, itching/swelling (especially associated with face/tongue/throat), severe dizziness, trouble breathing.

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This is not a list that is complete of side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

Into the United States -

Call your medical practitioner for medical advice about side impacts. You may report adverse effects to FDA at 1-800-FDA-1088 or at

In Canada - Phone your doctor for medical advice about negative effects. You could report adverse effects to Health Canada at 1-866-234-2345.


See section that is also warning.

Before taking this medicine, inform your physician or pharmacist if you are allergic to metformin; or if you have any other allergies. This product may contain ingredients that are inactive which can cause allergy symptoms or other problems. Confer with your pharmacist for more details.

Before using this medicine, tell your doctor or pharmacist your medical history, especially of: severe breathing problems (such as obstructive lung disease, severe asthma), blood problems (such as for example 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 dentist about all the items you employ (including prescription drugs, nonprescription drugs, and natural products).

You could 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 until you are sure you can perform such activities safely.

Limit liquor while using this medication as it increases your risk of lactic acidosis and developing low blood sugar.

High fever, "water pills" (diuretics such as for example hydrochlorothiazide), too much sweating, diarrhea, or vomiting may cause lack of too much body water (dehydration) while increasing your danger of lactic acidosis. Stop taking this medication and inform your doctor right away if you have extended vomiting or diarrhea. Be sure to drink sufficient fluids to prevent dehydration unless your doctor directs you otherwise.

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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 levels assessment.

Older adults 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 just whenever clearly needed. Discuss the risks and benefits along with your doctor. Your doctor may direct you to definitely instead use insulin of the product during your pregnancy. Follow your physician's instructions very carefully.

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Metformin can cause alterations in the cycle that is menstrualpromote ovulation) and increase the risk of becoming pregnant. Consult your pharmacist or doctor about the use of trustworthy birth control while using this medication.

Metformin passes into breast milk in small amounts. Consult with your medical practitioner before breast-feeding.

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