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Characteristic Details
Active Ingredient Metformin Hydrochloride
Dosage Forms 500 mg, 850 mg, 1000 mg
Usage Type 2 Diabetes Management
Administration Oral
Side Effects Gastrointestinal Symptoms, Lactic Acidosis
More Information

Metformin is a cornerstone in the management of Type 2 Diabetes. Its introduction in the 1950s revolutionized diabetes care. Available in doses such as Metformin 500 mg, its primary role is to improve insulin sensitivity and lower blood glucose levels. Understanding the correct usage is crucial for optimal benefit.

How and When to Take Metformin

Patients should take Metformin 500 mg with meals to minimize gastrointestinal discomfort. Consistency is key—take it at the same time each day. This aligns the medication with the body’s glucose cycle. A slow-release formulation is available for those experiencing severe side effects. Monitor blood sugar levels to assess effectiveness.

The initial dose usually starts low and gradually increases. Titration minimizes side effects. Missed doses should be taken as soon as remembered unless it’s close to the next dose. Doubling up can cause hypoglycemia.

Areas of Use

Metformin is primarily indicated for Type 2 Diabetes. It is often the first-line treatment. It can be used alone or with other medications. It is also beneficial in polycystic ovary syndrome (PCOS) due to its effects on insulin. Recent studies explore its potential in weight management.

Metformin’s role in cancer prevention and cardiovascular protection is under investigation. However, these are not established uses yet.

Warning & Precautions

Patients with renal impairment should use Metformin cautiously. Regular kidney function monitoring is advised. Metformin is contraindicated in severe renal or hepatic conditions. Lactic acidosis, although rare, is a serious concern. Symptoms like fatigue, unusual muscle pain, or difficulty breathing need immediate attention.

Alcohol can increase the risk of lactic acidosis. Limiting intake is advisable. Patients must inform healthcare providers of any surgeries or radiologic procedures.

Pregnancy and Breastfeeding

Metformin’s safety in pregnancy is debated. It crosses the placenta but doesn’t appear teratogenic. Some studies suggest its use in gestational diabetes. However, insulin remains the standard. Consult a healthcare provider for tailored advice.

Metformin is excreted in breast milk in small amounts. Its effect on nursing infants is unknown. Alternatives should be considered if breastfeeding.

Side Effects

Gastrointestinal symptoms are common: nausea, vomiting, diarrhea. These usually resolve over time. Taking Metformin 500 mg with food can mitigate these effects. Rare but serious, lactic acidosis requires vigilance.

Long-term use may affect vitamin B12 levels. Periodic monitoring can prevent deficiency. Other side effects include taste disturbance and rash.

Metformin Over The Counter

Metformin is not available over-the-counter. It requires a prescription. This ensures proper monitoring and minimizes risks. Discuss with a healthcare provider before any changes in treatment.

Accessing Metformin without prescription circumvents medical supervision. This may lead to inappropriate use or complications.

Dose Indication Administration
500 mg Type 2 Diabetes Twice daily with meals
850 mg Type 2 Diabetes Once daily
1000 mg Type 2 Diabetes Twice daily

Information taken from:

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