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

OTHER USES: This part contains uses of this medication which can be perhaps not listed in the approved professional labeling for the medication but that may be prescribed by the health care professional. Utilize this drug for a state of being which is listed in this part only if it has been so prescribed by your wellbeing care professional.

Metformin may be used with lifestyle changes such as exercise and diet 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, consult with your doctor or pharmacist.

Take this medication by mouth as directed by your medical professional, frequently 1-3 times per day with meals. Drink lots of fluids while taking this medicine unless otherwise directed by your doctor.

The dosage is situated on your condition that is medical 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 gradually increase your dose. Follow your doctor's instructions carefully.

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Take this medication frequently in order to have the most benefit from it. Remember to use it at the times that are same day.

If you should be already taking another anti-diabetic drug (such as for example chlorpropamide), follow your doctor's directions carefully for stopping/continuing the old drug and starting metformin.

Check always your blood sugar regularly as directed by your medical practitioner. Keep track of 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 may should be changed.

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Unwanted Effects

Nausea, vomiting, stomach upset, diarrhea, 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 stomach symptoms return later (after taking the same dose for 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.

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Understand that your physician 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 low blood sugar (hypoglycemia). Low blood sugar may occur if this drug is prescribed with other medications that are anti-diabetic. Talk to your doctor or pharmacist about perhaps the dose of your other diabetic medication(s) needs to be lowered.

Signs and symptoms 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 have these reliable kinds of glucose, rapidly boost your blood sugar by eating a quick source of sugar such as dining 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 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 find out what you should do if you skip a meal.

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

Stop using this medicine and tell your doctor right away if this extremely serious side-effect happens: lactic acidosis (see Warning section).

a very serious allergic reaction to this drug is rare. However, get medical help right away if you observe some of the after symptoms of a serious allergic reaction: rash, itching/swelling (especially of this face/tongue/throat), severe dizziness, trouble respiration.

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This isn't a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

Within the United States -

Call your physician for medical advice about part effects. You may report effects that are side FDA at 1-800-FDA-1088 or at

In Canada - Phone your doctor for medical advice about side effects. You might report side effects to wellness Canada at 1-866-234-2345.


See also Warning section.

Before taking this medicine, inform your medical practitioner or pharmacist if you are allergic to metformin; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Speak to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: severe respiration problems (such as obstructive lung disease, severe asthma), blood problems (such as anemia, vitamin B12 deficiency), kidney disease, liver disease.

Before having surgery or any X-ray/scanning procedure using injectable iodinated contrast material, tell your doctor that you are taking this medication. You will need to temporarily stop this medication before the right time of your surgery/procedure. Consult your physician for further instructions.

Before having surgery, tell your doctor or dentist about all the products you employ (including prescription drugs, nonprescription drugs, and organic products).

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

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Limit liquor while using the this medication because it can increase your danger of lactic acidosis and developing low blood sugar.

High temperature, "water pills" (diuretics such as for instance hydrochlorothiazide), too much sweating, diarrhea, or vomiting may cause lack of too much body water (dehydration) and increase your danger of lactic acidosis. Stop taking this medicine and tell your doctor straight away if you have prolonged vomiting or diarrhea. Make sure to take in sufficient liquids 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 treatment plan, medications, or blood glucose screening.

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Older adults may be at greater risk for negative effects such as for example low bloodstream sugar or acidosis that is lactic.

During pregnancy, this medication should be used just whenever clearly required. Discuss the risks and benefits with your physician. Your doctor may direct one to use insulin instead with this product during your maternity. Follow your doctor's instructions carefully.

Metformin can cause changes 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 medicine.

Metformin passes into breast milk in small quantities. Consult with your physician before breast-feeding.

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