What is Metformin for:

This medication is an oral antidiabetic agent, prescribed for type 2 diabetes. It helps control
blood sugar levels.

How does Metformin work:

Metformin lowers sugar and helps insulin work better.

How should Metformin be used:

Take Metformin exactly as directed by your doctor. Do not take more or less than instructed by
your doctor. - Metformin must be taken regularly for it to work well. Do not stop taking it unless
instructed by your doctor. - Metformin must be taken with food. - If you are taking an extended-
release type of Metformin, swallow the tablet whole with food. Do not crush or chew the tablet.

Common side effects of Metformin :

Low blood sugar signs include, anger, shaking, a fast heartbeat, confusion, or sweating. Keep
hard candies, glucose tablets, liquid glucose, or juice on hand for low blood sugar. - Belly pain. -
Upset stomach or throwing up. Many small meals, good mouth care, sucking hard, sugar-free
candy, or chewing sugar-free gum may help. - Loose stools (diarrhea). - Not hungry. - Bad taste
in your mouth. This most often goes back to normal. - Too much acid in the blood (lactic
acidosis) may rarely happen.

What do I do if I miss a dose

Take a missed dose as soon as you think about it. - If it is close to the time for your next dose,
skip the missed dose and go back to your normal time. - Do not take 2 doses at the same time or
extra doses. - Do not change the dose or stop this drug. Talk with the doctor.

What precautions should I take when taking Metformin :

Metformin may not be suitable for you if you suffer from heart, liver, kidney, adrenal or pituitary
disease. - Alert your doctor if you are pregnant or breastfeeding. - If you are going for an
operation, dental work or any X-ray procedure in which a dye is injected, inform your doctor or
dentist that you are taking Metformin. - You may need to stop taking Metformin before the
procedure and wait 48 hours to restart your medicine.

When do I need to seek medical help

If you think there was an overdose, call your local poison control center or ER right away. -
Signs of a very bad reaction to the drug. - These include wheezing, chest tightness, fever, itching,
bad cough, blue or gray skin color, seizures, or swelling of face, lips, tongue, or throat. - Very
low blood sugar or very high blood sugar. - Very bad dizziness. - Trouble breathing. - Feeling
cold. - Very bad belly pain. - Very upset stomach or throwing up. - Very loose stools (diarrhea). -
A big weight loss. - Very bad muscle pain or weakness. - Feeling very tired or weak. - Any rash. -
Side effect or health problem is not better or you are feeling worse

Can I take Metformin with other medicines:

A type of heart medicine called beta-blockers may mask the symptoms of hypoglycaemia when
taken with Metformin. Some examples of beta-blockers are metoprolol, atenolol and propranolol.
- Inform your doctor if you are taking diuretics (medicines to remove excess water) such as
hydrochlorothiazide; a group of heart medicine such as captopril or enalapril; a type of gastric
medicine called cimetidine or birth control pills. - Always inform your doctor and pharmacist if
you are taking any other medicines, including herbal tonics, supplements and medicines that you
buy without a prescription.

Are there any food restrictions

It is important for you to maintain a healthy diet and weight in order to help keep your diabetes
under control. - Avoid alcohol.

How do I store Metformin :

Store in a cool, dry place away from the reach of children. - Medicines must not be used past the
expiry date.

Pregnancy Category

Category B : Animal reproduction studies have failed to demonstrate a risk to the fetus and there
are no adequate and well-controlled studies in pregnant women OR Animal studies have shown
an adverse effect, but adequate and well-controlled studies in pregnant women have failed to
demonstrate a risk to the fetus in any trimester.

Therapeutic Classification

Antidiabetic Agents

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