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Precautions

Do NOT use Metformin if:

• you happen to be allergic to your ingredient in Metformin
• you've congestive heart failure which is treated by medicine
• you use a severe infection, low blood oxygen levels, kidney or liver problems, high blood ketone or acid levels (eg, diabetic ketoacidosis), or severe dehydration
• you experienced a stroke or a recent cardiac event, or else you have been in shock
• you are 80 years old or older and have not were built with a kidney function test
• you will probably be having surgery or certain lab procedures.

Contact a medical expert or health care provider straight away if these affect you.

Some health concerns may interact with Metformin. Tell a medical expert or pharmacist if you have any medical conditions, particularly if any of the following apply to you:

• if you happen to be pregnant, likely to conceive, or are breast-feeding
• if you're taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• in the event you have a very good reputation for heart problems (eg, heart failure), lung or breathing problems, thyroid problems, stomach or bowel irregularity (eg, paralysis, blockage), adrenal or pituitary problems, or lactic acidosis
• if you have vomiting, diarrhea, poor health or nutrition, low blood calcium or vitamin B₁₂ levels, or anemia, or if you are dehydrated
• if you have an infection, fever, recent injury, or moderate to severe burns
• in case you are drinking alcohol or possess a good alcohol abuse
• in case you will be having surgery or certain lab procedures
• if you take a beta-blocker (eg, propranolol).

Some medicines may connect to Metformin. Tell your medical provider if you are taking some other medicines, especially any with the following:

• Amiloride, cimetidine, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamterene, trimethoprim, or vancomycin simply because they could raise the risk of Metformin's unwanted side effects
• Calcium channel blockers (eg, nifedipine), corticosteroids (eg, prednisone), diuretics (eg, furosemide, hydrochlorothiazide), estrogen, hormonal contraceptives (eg, birth control pills), insulin, isoniazid, nicotinic acid, phenothiazine (eg, chlorpromazine), phenytoin, sulfonylureas (eg, glipizide), sympathomimetics (eg, albuterol, pseudoephedrine), or thyroid hormones (eg, levothyroxine) for the reason that chance of high or low blood sugar might be increased.

This is probably not a complete list of all interactions that will occur. Ask your health care provider if Metformin may interact with medicines that you take. Check with your health care provider before you start, stop, or alter the dose of the medicine.

Important safety information:

• Dizziness may occur while you are taking Metformin. This effect could possibly be worse should you take it with alcohol or certain medicines. Use Metformin with caution. Do not drive or perform other possible unsafe tasks and soon you understand how you react to it.
• Follow the exercise and dieting program provided to you from your health care provider.
• Do not drink huge amounts of alcohol whilst you use Metformin. Talk to a medical expert or doctor when you are drinking alcoholic beverages while you use Metformin.
• Tell your physician or dentist that you simply take Metformin when you receive any medical or dental treatments, emergency care, or surgery.
• Be careful not to become dehydrated, especially during summer or while you are being active. Dehydration might increase the likelihood of Metformin's unwanted effects.
• If vomiting or diarrhea occurs, you will need to look at care to never become dehydrated. Contact your physician for instructions.
• Carry an ID card at all times saying you've got diabetes. Check your blood glucose levels levels as directed by your doctor. If they are often higher or less than they should be and you're taking Metformin just as prescribed, tell your medical professional.
• Metformin will not usually cause low blood glucose levels. Low blood glucose might be more likely to occur in case you skip dinner, exercise heavily, or are drinking alcoholic beverages. It may also be likely if you take Metformin in addition to certain medicines for diabetes (eg, sulfonylureas, insulin). It is a good option to carry a reliable supply of glucose (eg, tablets or gel) to treat low blood glucose. If this is not available, you need to eat or drink a fast supply of sugar like ordinary sugar, honey, candy, orange juice, or non-diet soda. This will increase your blood glucose levels level quickly. Tell your physician immediately should this happen. To prevent low blood glucose, eat meals as well each day and never skip meals.
• Fever, infection, injury, or surgery may enhance your risk for high or low blood glucose levels. If any of these occur, look at your blood glucose levels closely and tell your physician straight away.
• Metformin may commonly cause stomach upset, indigestion, nausea, vomiting, or diarrhea at the beginning of treatment. If you develop unusual or unexpected stomach problems, or in case you develop stomach problems later during treatment, speak to your doctor simultaneously. This could be a sign of lactic acidosis.
• Lab tests, including kidney function, fasting blood sugar levels, hemoglobin A_1c, and blood counts, might be performed whilst you use Metformin. These tests could possibly be used to monitor your problem or search for negative effects. Be sure to keep all doctor and lab appointments.
• Use Metformin with caution in the elderly; they might be more sensitive to its effects. Low blood sugar levels may also be a little more difficult to recognize inside elderly.
• Metformin shouldn't be used in children younger a decade; safety and effectiveness during these children have not been confirmed.
• Pregnancy and breast-feeding: If you become pregnant, speak to your doctor. You will need to discuss the advantages and perils associated with using Metformin while you're pregnant. It is not known if Metformin is located in breast milk. Do not breastfeed while taking Metformin.

When useful for a long, Metformin might not act as well. If your blood sugar levels has become under control and then becomes tough to manage, speak to your doctor. Do not change the dose of your respective medicine without checking with your doctor.