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Small Drug Uses: Metformin is a biguanide anti-diabetic that works by decreasing the amount of sugar that the liver produces and the intestines absorb.
Drug Class and Mechanism: Metformin is a biguanide antidiabetic. It works by decreasing the amount of sugar that the liver produces and the intestines absorb. It also helps to make your body more sensitive to the insulin that you naturally produce.
Warnings Precautions: Do not use Metformin if:
- you are allergic to any ingredient in Metformin;
- you have congestive heart failure that is treated by medicine;
- you have a severe infection, low blood oxygen levels, kidney or liver problems, high blood ketone or acid levels (e.g., diabetic ketoacidosis), or severe dehydration;
- you have had a stroke or a recent heart attack, or you are in shock;
- you are 80 years old or older and have not had a kidney function test;
- you will be having surgery or certain lab procedures.
Contact your doctor or health care provider right away if any of these apply to you.
Important :- Dizziness may occur while you are taking Metformin. This effect may be worse if you take it with alcohol or certain medicines. Use Metformin with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- Follow the diet and exercise program given to you by your health care provider.
- Do not drink large amounts of alcohol while you use Metformin. Talk to your doctor or health care provider before you drink alcohol while you use Metformin.
- Tell your doctor or dentist that you take Metformin before you receive any medical or dental care, emergency care, or surgery.
- Be careful not to become dehydrated, especially during hot weather or while you are being active. Dehydration may increase the risk of Metformin 's side effects.
- Carry an ID card at all times that says you have diabetes. Check your blood sugar levels as directed by your doctor. If they are often higher or lower than they should be and you take Metformin exactly as prescribed, tell your doctor.
- This medicine does not usually lower your blood sugar levels. Low blood sugar may be more likely to occur if you skip a meal, exercise heavily, or drink alcohol. It may also be more likely if you take Metformin along with certain medicines for diabetes (e.g., sulfonylureas, insulin). It is a good idea to carry a reliable source of glucose (e.g., tablets or gel) to treat low blood sugar. If this is not available, you should eat or drink a quick source of sugar like table sugar, honey, candy, orange juice, or non-diet soda. This will raise your blood sugar level quickly. Tell your doctor right away if this happens. To prevent low blood sugar, eat meals at the same time each day and do not skip meals.
- Fever, infection, injury, or surgery may increase your risk for high or low blood sugar levels. If any of these occur, check your blood sugar closely and tell your doctor right away.
- Metformin may commonly cause stomach upset, indigestion, nausea, vomiting, or diarrhea at the beginning of treatment. If you develop unusual or unexpected stomach problems, or if you develop stomach problems later during treatment, contact your doctor at once. This may be a sign of lactic acidosis.
- Lab tests, including kidney function, fasting blood glucose, hemoglobin A1c, and blood counts, may be performed while you use Metformin. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
- Use Metformin with caution in the elderly; they may be more sensitive to its effects. Low blood sugar levels may also be more difficult to recognize in the elderly.
- Metformin should not be used in children younger than 10 years old; safety and effectiveness in these children have not been confirmed.
- Pregnancy and breast-feeding: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Metformin while you are pregnant. It is not known if Metformin is found in breast milk. Do not breast-feed while taking Metformin.
Possible Side Effects: Check with your doctor if any of these most common side effects persist or become bothersome:
- Diarrhea; gas; headache; indigestion; nausea; stomach upset; temporary metallic taste; vomiting.
Seek medical attention right away if any of these severe side effects occur:
- Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain or discomfort; dizziness or lightheadedness; fast or difficult breathing; feeling of being unusually cold; fever, chills, or persistent sore throat; general feeling of being unwell; muscle pain or weakness; slow or irregular heartbeat; unusual drowsiness; unusual or persistent stomach pain or discomfort; unusual tiredness or weakness.
More Information: If you have any questions about Hydrochlorothiazide, please talk with your doctor, pharmacist, or other health care provider.
Metformin is to be used only by the patient for whom it is prescribed. Do not share it with other people.
Storage: Store Metformin between 68 and 77 degrees F (20 and 25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Metformin out of the reach of children and away from pets.
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Dysmenorrhea - painful periods, including severe menstrual cramps. In younger women, there is often no known disease or condition associated with the pain. A hormone called prostaglandin is responsible for the symptoms. Some pain medicines available over the counter, such as ibuprofen, can help with these symptoms. Sometimes a disease or condition, such as uterine fibroids or endometriosis, causes the pain. Treatment depends on what is causing the problem and how severe it is.
The message for now: Carry an aspirin with you in case you have a heart attack, and talk to your health care professional about what's best for you in terms of preventing heart disease.
* Drinking too much alcohol
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In 2007, the FDA recommended that patients of Asian ancestry get a genetic test prior to taking carbamazepine (Tegetrol, Equetro, Carbatrol). Rare, but serious, side effects of carbamazepine include life-threatening skin reactions such as Stevens-Johnson syndrome. The risk for these skin reactions is significantly higher for patients of Asian ancestry. A simple blood test can check for the presence of a genetic mutation that increases this risk. Patients who test positive for this gene should not take carbamazepine unless the benefits clearly outweigh the risks... Metformin online UK
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* Low blood sugar (hypoglycemia), a complication of diabetes in both children and adults.
Others recommend a psychotherapeutic approach to MCS syndrome, including psychotherapy, given the similarity of this disease to other known psychiatric diseases.
* The onset is how soon the insulin starts to work to lower your blood sugar after you inject it.
The most common cause of resistant hypertension, and the most difficult to treat, is what medical researchers commonly refer to as "patient noncompliance." The term "patient noncompliance" refers to instances where patients are not adherent to the prescribed treatment, but is not meant to imply the patient is always to blame. To the contrary, most cases of "noncompliance" actually indicate that circumstances not in the patient's control have made following the recommended therapy either impractical or intolerable.
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