METFORMIN

Bivalirudin

Metformin is a drug that is used to treat diabetes mellitus type 2. It is known as a biguanide with antihyperglycemic effects. It decreases glucose production in the liver by inhibiting gluconeogenesis and glycogenolysis. It also delays intestinal absorption of glucose and enhances insulin sensitivity in the body tissues.

Metformin is used in the treatment of the following conditions:

  • Type 2 diabetes
  • Prediabetes
  • Polycystic ovary syndrome
  • Female infertility
  • Gestational diabetes

Metformin should not be used in people with the following conditions:

  • Patients with acute or chronic metabolic acidosis
  • Diabetic ketoacidosis with or without coma
  • Intravascular administration of iodinated contrast agents
  • Kidney impairment

Metformin may give rise to the following side effects:

  • Anorexia
  • Nausea
  • Vomiting
  • Diarrhea
  • Abdominal pain
  • Taste disturbance
  • Hepatitis
  • Decreased vitamin B12 absorption (rare)
  • Erythema
  • Pruritus
  • Urticaria
  • Lactic acidosis

Precautions

Special precautions should be observed by people with the following conditions:

  • Patient with heart failure requiring drug therapy
  • Cardiac or respiratory failure
  • Recent heart attack
  • Shock
  • Patient exposed to stress-related states (example fever, trauma, infection, surgery)
  • Liver impairment
  • Elderly
  • Pregnancy
  • Lactation

 

Interactions

Metformin may interact with the following medicines:

  • Sulfonylureas
  • Thiazide diuretics
  • Corticosteroids
  • Phenothiazines
  • Oral contraceptives
  • Sympathomimetics
  • Niacin
  • Calcium channel blockers
  • Isoniazid
  • ACE inhibitors
  • Cimetidine

Symptoms of Metformin overdose include the following:

  • Hypoglycemia
  • Lactic acidosis

Seek medical help immediately.

Available Brands:

Formet 500, Formetin, Fornidd, Glucophage, Gludin, Glumet, Hovid, Humamet, I-Max, Insumed, Ansures ER, Diafat, Dimet-500, Euform, Glucoform, Glucogen, Glucomed, Glucotin, Glyformin

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