Metformin is an antidiabetic medicine that helps to control blood sugar in people with type 2 diabetes mellitus.

1. Glycomet1000 Mg (Metformin)
Uses
Metforminisan antidiabeticmedicine thathelpstocontrol bloodsugarinpeople withtype 2
diabetesmellitus.
How It Works
Metforminbelongstoclassof medicationscalledantidiabetics.Itdecreasesthe amountof glucose
absorbedfromthe foodand the amountofglucose made byliver.Metforminalsoincreasesthe
body’sresponse toinsulin(anatural substancethatcontrolsthe amountof glucose inthe blood).
What Is Metformin?
Metforminisan oral diabetesmedicine thathelpscontrol bloodsugarlevels.Itisusedtoimprove
bloodsugarcontrol inpeople withtype 2diabetes.Itissometimesusedincombinationwithinsulin
or othermedications,butthismedicine isnotfortreatingtype 1 diabetes.Itmayalsobe usedfor
purposesnotlistedinthismedicationguide.
ImportantInformation
You shouldnotuse metforminif youhave severe kidneydisease,orif youare ina state of diabetic
ketoacidosis(call yourdoctorfortreatmentwithinsulin).
If you needtohave any type of x-rayor CT scan usinga dye that isinjectedintoyourveins,youwill
needtotemporarilystoptakingmetformin.
Thismedicine maycause a seriousconditioncalledlacticacidosis.Getemergencymedical helpif you
have evenmildsymptoms suchas:muscle painorweakness,numborcoldfeelinginyourarms and
legs,trouble breathing,stomachpain,nauseawithvomiting,slow orunevenheartrate,dizziness,or
feelingveryweakortired.
Before TakingThisMedicine
You shouldnotuse metforminif youare allergictoit,or if you have:
• severe kidneydisease;or

2. • if youare in a state of diabeticketoacidosis(call yourdoctorfortreatmentwithinsulin).
If you needtohave any type of x-rayor CT scan usinga dye that isinjectedintoyourveins,youwill
needtotemporarilystoptakingmetformin.
To make sure metforminissafe foryou,tell yourdoctorif youhave:
• kidneydisease;
• liverdisease;
• a historyof heartdisease orrecentheartattack;
• if youhave recentlytakenchlorpropamide;or
• if youare over80 yearsold andhave not recentlyhadyourkidneyfunctionchecked.
Some people takingmetformindevelopaseriousconditioncalledlacticacidosis.Thismaybe more
likelyif youhave liverorkidneydisease,congestive heartfailure,asevere infection,if youare
dehydrated,orif youdrinklarge amountsof alcohol.Talkwithyourdoctor aboutyour risk.
It isnot knownwhetherthismedicine willharmanunbornbaby. Tell yourdoctorif you are pregnant
or planto become pregnantwhile usingthismedicine.
It isnot knownwhethermetforminpassesintobreastmilkorif itcouldharm a nursingbaby.You
shouldnotbreast-feedwhile usingthismedicine.
Metforminshouldnotbe giventoa childyounger than10 yearsold.Extended-releaseformulations
(Glucophage XR,Glumetza,Fortamet) are notapprovedforuse byanyone youngerthan18 years
old.
How ShouldITake Metformin?

3. Take metforminexactlyasprescribedbyyourdoctor.Follow all directionson yourprescriptionlabel.
Your doctor mayoccasionallychange yourdose tomake sure yougetthe bestresults.Donotuse
thismedicine inlargerorsmalleramountsorforlongerthan recommended.
Take metforminwithameal,unlessyourdoctortellsyouotherwise.Someformsof metforminare
takenonlyonce dailywiththe eveningmeal.Follow yourdoctor’sinstructions.
Do not crush,chew,or breakan extended-release tablet.Swallowitwhole.
Your bloodsugarwill needtobe checkedoften,andyoumayneedotherbloodtestsat yourdoctor’s
office.
Low bloodsugar(hypoglycemia) canhappentoeveryonewhohasdiabetes.Symptomsinclude
headache,hunger,sweating,confusion,irritability,dizziness,orfeelingshaky.Alwayskeepasource
of sugarwithyou incase youhave lowbloodsugar.Sugar sourcesinclude fruitjuice,hardcandy,
crackers,raisins,andnon-dietsoda.Be sure yourfamilyandclose friendsknow how tohelpyouin
an emergency.
If you have severe hypoglycemiaandcannoteator drink,use a glucagoninjection.Yourdoctorcan
prescribe aglucagonemergencyinjectionkitandtell youhow touse it.
Checkyour bloodsugarcarefullyduringtimesof stress,travel,illness,surgeryormedical emergency,
vigorousexercise,orif youdrinkalcohol orskipmeals.These thingscanaffectyourglucose levels
and yourdose needsmayalsochange.Do not change yourmedicationdose orschedule without
your doctor’sadvice.
Metforminisonlypartof a complete treatmentprogramthatmayalso include diet,exercise,weight
control,and special medical care.Followyourdoctor’sinstructionsveryclosely.
Your doctor mayhave you take extravitaminB12 while youare takingmetformin.Take onlythe
amountof vitaminB12 that yourdoctor has prescribed.
Store at room temperature awayfrommoisture,heat,andlight.

4. What HappensIf I Miss A Dose?
Take the misseddose assoonas youremember(be sure totake the medicine withfood).Skipthe
misseddose if itisalmosttime foryour nextscheduleddose.Donottake extramedicine tomake up
the misseddose.
What HappensIf I Overdose?
Too much Metforminhydrochloride maycause harmful effectsonbodyasyoumay face
hypoglycemia(lowbloodsugar).Youmayrequire urgentmedical helpinthissituation.The following
symptomscouldbe faced:
• Weakness,tremblingorshaking
• Hunger
• Lossof co-ordination
• Fitsor lossof consciousness
• Sloworunevenheartrate
In suchcases youmust needtoimmediatelyincrease the sugarlevels,by:
• Eating2-3 teaspoonsugaror honey
• Drinkinganon dietsoftdrink
• Eating2-3 concentratedglucose tablets
If the situationworsensthenvisitthe nearesthealthcare centerorcall the doctor immediately.
What ShouldIAvoidWhile TakingMetformin?
Avoiddrinkingalcohol.Itlowersbloodsugarandmayincrease yourriskof lacticacidosiswhile
takingmetformin.

5. CommonSide Effects
Flatulence,Muscle pain,Abdominal bloating,Chestpain,Skinrash,Flushing,Abdominal pain,Nail
disorder,Diarrhoea, Headache,Indigestion,Bittertaste,Constipation,Allergicreaction,Heartburn
ExpertAdvice ForGlycomet
• Take the medicine withfoodtoavoidupsetstomach.
• Checkyourbloodsugar regularly.
• Do not take metformininseverediarrhoeaorvomiting,orwhenstartingantihypertensive or
diuretictherapyortherapywitha non-steroidal anti-inflammatorydrug(NSAID).
• Thismedicationmaycause lacticacidosis(abuild-upof lacticacidinthe body,whichcan be fatal).
• Lactic acidosiscanstart slowlyandgetworse overtime.
• Consultyourdoctorimmediatelyif youhave evenmildsymptomsof lacticacidosis,suchas:muscle
painor weakness,numborcold arms and legs,trouble breathing,feelingdizzy,stomachpain,nausea,
vomiting,slowheart rate.
• Do nottake metforminif youneedtohave anytype of x-rayor CT scan usinga dye
• You needtogetcertainkidneyfunctiontestsdone before startingtreatment withmetforminand
regularlythereafter.
• Be careful whentakingthisdrugincombinationwithinsulinorotheroral antidiabetics,asitmay
leadto low bloodglucose level (hypoglycemia).
FrequentlyAskedQuestionsForGlycomet
Metformin
Q. Is Metforminabirthcontrol pill/insulin/statin?
Metformin(alsoavailable asglyciphage,glycomet,glycometSR) isanantidiabeticdrugusedin
treatmentof type 2 diabetesmellitus,particularlyinoverweightpatients,asanadjunctto the diet
and exercise.
Q. Is metforminsafe?
Metforminisgenerallysafe if usedatprescribeddosesforthe prescribeddurationasadvisedby
your doctor.

6. Q. Can I take metforminforever?
Metforminshouldbe takenatprescribeddosesforthe prescribeddurationasadvisedbyyour
doctor.
Q. Is metformingoodforweightloss/weightlossinnon-diabetics?
Metforminisusedforthe treatmentof type 2 diabetesmellitus,particularlyinoverweightpatients.
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