
Glyburide And Metformin
Metformin may rarely cause a serious, life-threatening condition called lactic acidosis. Tell your doctor if you have kidney disease. Your doctor will probably tell you not to take glyburide and metformin. Also, tell your doctor if you are over 65 years old and if you have ever had a heart attack; stroke; diabetic ketoacidosis (blood sugar that is high enough to cause severe symptoms and requires emergency treatment); a coma; or heart or liver disease. Tell your doctor if you are taking acetazolamide (Diamox), dichlorphenamide (Keveyis), methazolamide, topiramate (Topamax, in Qsymia), or zonisamide (Zonegran). Tell your doctor if you have recently had any of the following conditions, or if you develop them during treatment: serious infection; severe diarrhea, vomiting, or fever; or if you drink much less fluid than usual for any reason. You may have to stop taking glyburide and metformin until you recover. If you are having surgery, including dental surgery, or any major medical procedure, tell the doctor that you are taking glyburide and metformin. Also, tell your doctor if you plan to have any x-ray procedure in which dye is injected, especially if you drink or have ever drunk large amounts of alcohol or have or have had liver disease or heart failure. You may need to stop taking glyburide and metformin before the procedure and wait 48 hours to restart treatment. Your doctor will tell you exactly when you should stop taking glyburide and metformin and when you should start taking it again. If you experience any of the following symptoms, stop taking glyburide and metformin and call your doctor immediately: extreme tiredness, weakness, or discomfort; nausea; vomiting; stomach pain; decreased appetite; deep and rapid breathing or shortness of breath; dizziness; lighthea Continue reading >>

Let’s Get To Know Synjardy
SYNJARDY and SYNJARDY XR are prescription medicines that contain 2 diabetes medicines, empagliflozin (JARDIANCE) and metformin. SYNJARDY and SYNJARDY XR can be used along with diet and exercise to improve blood sugar in adults with type 2 diabetes, and can be used in adults with type 2 diabetes who have known cardiovascular disease when both empagliflozin and metformin are appropriate and empagliflozin is needed to reduce the risk of cardiovascular death. SYNJARDY and SYNJARDY XR are not for people with type 1 diabetes, or for people with diabetic ketoacidosis (increased ketones in the blood or urine). IMPORTANT SAFETY INFORMATION What is the most important information I should know about SYNJARDY or SYNJARDY XR? SYNJARDY or SYNJARDY XR can cause serious side effects, including Lactic Acidosis (a build-up of lactic acid in the blood). Metformin, one of the medicines in SYNJARDY and SYNJARDY XR, can cause lactic acidosis, a rare but serious condition that can cause death. Lactic acidosis is a medical emergency and must be treated in a hospital. Call your doctor right away if you get any of the following symptoms of lactic acidosis: cold in your hands or feet; feel dizzy or lightheaded; slow or irregular heartbeat; feel very weak or tired; have unusual muscle pain; have trouble breathing; feel sleepy or drowsy; have stomach pains, nausea, or vomiting. You have a higher chance of getting lactic acidosis with SYNJARDY or SYNJARDY XR if you: have moderate to severe kidney problems or your kidneys are affected by certain x-ray tests that use injectable dye; have liver problems; drink alcohol very often, or drink a lot of alcohol in the short term (“binge” drinking); get dehydrated (lose a large amount of body fluids); have surgery; have a heart attack, severe infection, o Continue reading >>

Drinking Wine Can Fight Diabetes: Regular Glass Can Cut Risk By A Third Say Experts
Experts say those who enjoy a regular tipple in moderation can stop themselves being struck down with the Type 2 form of the condition and avoid the need for painful daily injections. They believe wine provides the greatest protection because of the way polyphenols regulate blood sugar. The chemical is especially abundant in red wine. But the scientists have warned heavy drinking will not help combat the debilitating condition and increases the threat of a host of life-threatening diseases like cancer. The Danish experts behind the latest study found consuming alcohol three to four days a week resulted in the lowest risk compared to those drinking once a week, reducing the danger by 27 per cent in men and 32 per cent in women. Professor Janne Tolstrup, of the University of Southern Denmark, said: “Our findings suggest alcohol drinking frequency is associated with risk and that consumption over three to four days a week is associated with the lowest risk of diabetes, even after taking average weekly alcohol consumption into account.” The findings come after researchers from Denmark’s National Institute of Public Health examined the effects of drinking frequency on risk and the association with different types. Data from the Danish Health Examination Survey from 2007–2008 saw 70,551 people aged 18 and over provide details on lifestyle and health including frequency of consumption. A standard drink was classified as one unit (12g) of alcohol. They were monitored for an average of five years until 2012 with information on diabetes incidence obtained from the Danish National Diabetes Register which did not distinguish between Type 1, an autoimmune disease, and Type 2. During that time 859 men and 887 women developed diabetes. The findings mirrored previous studies sh Continue reading >>

Diabetes & Alcohol
Drinking alcohol can lead to serious low blood sugar reactions. Alcohol can also affect diabetic nerve damage, eye disease, and high blood triglycerides. You may wonder if drinking alcohol is safe for people with diabetes. If you drink alcohol, there are some things you need to know first about alcohol safety. Is it Safe to Drink Alcohol? Check with your doctor to make sure alcohol doesn’t interfere with your medications or complicate any of your medical conditions. Drinking alcohol can lead to serious low blood sugar reactions, especially if you take insulin or types of diabetes pills that stimulate the release of insulin from the pancreas. Alcohol can also affect other medical conditions you may have, like diabetic nerve damage, diabetic eye disease, and high blood triglycerides. Get guidelines for alcohol use from your medical provider. How Much Alcohol Can I Drink? If you choose to drink alcohol, drink in moderation. Limit your intake of alcohol to no more than one serving per day for women, and no more than two servings per day for men. One serving size of alcohol equals: 12 ounces of beer 5 ounces of wine 1½ ounces of distilled spirits (such as rum, whiskey, gin, etc.) Alcohol and Risk of Low Blood Sugar If you are managing your diabetes with diet and exercise alone, drinking alcohol can stil increase your risk of low blood sugars. And if you take insulin or types of diabetes pills that stimulate insulin production, drinking alcohol can lead to even more serious low blood sugar reactions. Normally, the liver releases glucose to maintain blood sugar levels. But when you drink alcohol, the liver is busy breaking the alcohol down, so it does a poor job of releasing glucose into the bloodstream. This can lead to a drop in blood sugar levels if you are drinking alco Continue reading >>

Mixing Alcohol With Metformin
In this article, we answer a reader question regarding whether or not you can drink alcohol while taking metformin. Are there any interactions between Metformin and alcohol that might cause memory loss while drinking? Lately, I barely have to drink anything (2 or 3 beers) and my memory of the time is significantly impaired. I recently stopped taking Topiramate for migraines, but began taking Metformin to manage my PCOS symptoms. I've looked up information but the only harmful interactions I could find were lactic acidosis and low blood sugar. Answer It is recommended to either limit or avoid drinking alcohol while taking the diabetes medication metformin. As you mentioned in your question, metformin raises the risk of a condition known as lactic acidosis. Lactic acidosis is the accumulation of lactate in the blood, which lowers the pH (i.e.increases the acidity) of the bloodstream. Left untreated, it is a potentially fatal condition. Blood lactate concentrations are known increase when combining alcohol with metformin. At onset, the symptoms of lactic acidosis are often subtle, accompanied mostly by nonspecific symptoms such as fatigue and muscle pain. These can quickly be followed by more serious symptoms such as respiratory distress. Lactic acidosis is a medical emergency which must be treated immediately. In addition, metformin is well known to cause nausea and GI distress. Mixing alcohol with metformin can potentiate these adverse reactions leading to extreme nausea, vomiting and diarrhea. In regards to memory loss when mixing alcohol with metformin, there is no data regarding that specific interaction. Having said that, metformin has conflicting information in regard to how it may affect memory by itself. Early studies with metformin actually showed potential promi Continue reading >>

Metformin And Alcohol
It is recommended that alcohol not be consumed when taking the diabetes medication, metformin. Drinking alcohol while taking metformin increases the risk of developing a life-threatening condition known as lactic acidosis. However, some doctors say small amounts of alcohol can be consumed without ill effects. It is important to discuss the consumption of alcohol with a health care professional when taking metformin. Metformin is a medication used to treat diabetes, and is part of the biguinide class of drugs. Although the risk is low, taking metformin increases the risk of developing lactic acidosis, a condition characterized by a low pH level in the body and an increase of lactate in the blood. Drinking too much alcohol, in the form of binge drinking or drinking every day, also increases your risk of lactic acidosis, and combining alcohol in large amounts with metformin compounds the risk. In addition, alcohol lowers blood sugar which increases the risk of hypoglycemia. Metformin may also be prescribed for PCOS (Polycystic Ovarian Syndrome) in women. Alcohol should also be avoided by women who are being treated for PCOS with Metformin. Safe or Moderate Amounts Small amounts of alcohol may be safe to drink when taking metformin. How much alcohol is safe depends on a number of factors including age, weight, medical conditions and other medications that are being taken. Consulting with a physician is recommended to help determine the amount of alcohol that is safe to drink while taking metformin. It should also be noted that drinking alcohol with meals can help prevent hypoglycemia. Signs of Overconsumption Monitoring for signs of lactic acidosis and hypoglycemia can reduce the risk of serious consequences when drinking alcohol while taking metformin. Immediate medical at Continue reading >>

8 Facts About Pcos And Alcohol
Did you download the Mocktail Guide yet? It is a must for every celebration! The drinks are so delicious and are a great alternative to alcoholic beverages that only make symptoms of PCOS so much worse. I guarantee you that you’ll even convert some alcohol drinkers over to the mocktails once they’ve seen yours. They not only taste incredible but they’re beautiful too. Let’s talk about how alcohol impacts our bodies… to begin, studies show that women with PCOS are already more prone to fatty liver disease so it doesn’t make a lot of sense to add alcoholic fuel to the fire. Here are some other downers about alcohol: • Most cocktails are very high in sugar, and women with PCOS are already insulin resistant, causing a spike in blood sugar and more fat storage • Alcohol stimulates the appetite and reduces inhibitions causing us to make poor choices and overeat • It keeps the liver busy – the liver is going to metabolize the worst toxin first…and it perceives alcohol to be very dangerous. So it will work to metabolize alcohol before it works on processing hormones, making the active form of thyroid hormone, etc. So it could suppress thyroid function. • Alcohol can change the way a woman’s body metabolizes estrogen. This can cause blood estrogen levels to rise. And women with PCOS already have an imbalanced estrogen to progesterone ratio, further compromising hormonal balance. • Alcohol can also damage the lining of the intestines, causing poor nutrient absorption, and a disruption in the balance of the microflora impacting digestion and immune function. • If you take Metformin, alcohol can significantly increase the gastrointestinal distress that Metformin already causes. • Alcohol is dehydrating for your body both inside and out. • And last, Continue reading >>

Metformin And Sitagliptin
Pronunciation: met FOR min and SI ta glip tin Brand: Janumet, Janumet XR Janumet 100 mg-50 mg What is the most important information I should know about metformin and sitagliptin? You should not use this medicine if you have severe kidney disease or diabetic ketoacidosis (call your doctor for treatment with insulin). This medicine may cause a serious condition called lactic acidosis. Get emergency medical help if you have even mild symptoms such as: muscle pain or weakness, numb or cold feeling in your arms and legs, trouble breathing, stomach pain, nausea with vomiting, slow or uneven heart rate, dizziness, or feeling very weak or tired. What is metformin and sitagliptin? Metformin and sitagliptin are oral diabetes medicines that help control blood sugar levels. Metformin works by decreasing glucose (sugar) production in the liver and decreasing absorption of glucose by the intestines. Sitagliptin works by regulating the levels of insulin your body produces after eating. Metformin and sitagliptin is a combination medicine that is used together with diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus. This medicine is not for treating type 1 diabetes. Metformin and sitagliptin may also be used for purposes not listed in this medication guide. What should I discuss with my health care provider before taking metformin and sitagliptin? You should not use this medicine if you are allergic to metformin or sitagliptin (Januvia), or if you have severe kidney disease or diabetic ketoacidosis (call your doctor for treatment with insulin). Some people taking metformin develop a serious condition called lactic acidosis. This may be more likely if you have liver or kidney disease, congestive heart failure, a heart attack or stroke, a severe infe Continue reading >>

What Is The Effect Of A Glass Of Wine After Taking Metformin?
It is generally acceptable to drink a glass of wine while taking metformin; however, it's best to be careful because of the risk of lactic acidosis. Additionally, there is a risk of hypoglycemia when a diabetes patient drinks alcohol, whether or not the patient takes metformin. Symptoms of hypoglycemia include hunger, shakiness, nervousness, sweating, dizziness, sleepiness, confusion, difficulty speaking, anxiety and weakness. Symptoms of lactic acidosis include nausea, vomiting, hyperventilation, abdominal pain, lethargy, anxiety, hypotension, rapid or irregular heart rate and metal status changes. If you take metformin or are diabetic, ask your doctor if it's safe to drink alcoholic beverages. Video of the Day Metformin is a biguanide, a type of oral medication used to treat Type 2 diabetes by helping control the amount of glucose in the blood. It primarily works to reduce gluconeogenesis, glucose production by the liver, but also aids in blood glucose control by increasing insulin sensitivity and decreasing glucose absorption in the gastrointestinal tract. The most common side effects of metformin are gastrointestinal related, but rarely, lactic acidosis can occur. Hypoglycemia is an unlikely side effect of metformin when it is used alone. The liver is largely responsible for clearing lactate from the body, and when a patient takes metformin, the rate of clearance by the liver is reduced. This is part of the reason for the correlation between taking metformin and the risk of lactic acidosis. Dr. Thomas Higgins, an endocrinologist at Boulder Medical Center, cautions against prescribing metformin to patients with conditions that predispose them to lactic acid accumulation. For example, use of metformin, which is not metabolized but cleared via tubular secretion into th Continue reading >>

Alcohol & Diabetes
As a general rule, there is no need to avoid alcohol because you have diabetes. You should not drink alcohol if you: Are pregnant or trying to get pregnant Are breastfeeding Have a personal or family history of drinking problems Are planning to drive or engage in other activities that require attention or skill Are taking certain medications. Ask your pharmacist about your medications. Consider the following questions when deciding what is best for you: Is my diabetes under control? Am I free from health problems that alcohol can make worse such as disease of the pancreas, eye disease, high blood pressure, high triglycerides, liver problems, nerve damage or stroke? Do I know how to prevent and treat low blood glucose (sugar)? If you answered “no” to any of these questions, you should speak to your diabetes educator or health-care professional before drinking alcohol. If you answered “yes” to all of these questions, it is OK to drink alcohol in moderation. Moderate alcohol intake is limited to two standard drinks/day or less than 10 drinks/week for women; and less than three standard drinks/day or less than 15 drinks/week for men. This recommendation is the same for people without diabetes. Health risks of alcohol use You may have heard that alcohol has certain health benefits. However, any pattern of drinking can be harmful. Proven ways of improving your health include: healthy eating, being active, and being a non-smoker. Diabetes Canada’s Clinical Practice Guidelines recommend that: People using insulin or insulin secretagogues should be aware of delayed hypoglycemia (low blood glucose) that can occur up to 24 hours after drinking alcohol. People with type 1 diabetes should be aware of the risk of morning hypoglycemia if alcohol is consumed two to three hour Continue reading >>

Is It Safe To Mix Metformin And Alcohol?
If you’re taking metformin to treat your diabetes, you may be wondering how this drug affects your ability to drink safely. Drinking alcohol can affect your diabetes symptoms directly, but there are additional risks if you drink alcohol with metformin. This article gives you information on how alcohol interacts with metformin and also how drinking alcohol can affect your diabetes. With any medicine you take, you should be aware of interactions that can happen if you use other substances. Metformin and alcohol can interact to increase your risk of harmful effects. You are at much greater risk of these effects if you frequently drink a lot of alcohol or you binge drink (drink a lot in short periods). These effects include an extremely low blood sugar level, called hypoglycemia, and a condition called lactic acidosis. Hypoglycemia Drinking alcohol while you’re taking metformin may cause extremely low blood sugar levels. Some symptoms of low blood sugar levels can be similar to symptoms of having too much alcohol. These include: drowsiness dizziness confusion Tell the people who are with you while you drink that you have diabetes. They can help you watch for these symptoms. If you or the people around you notice these symptoms, stop drinking and eat something right away to help increase your blood sugar level. If your symptoms of hypoglycemia are severe, such as losing consciousness, and you do not have a glucagon hypoglycemia rescue kit, someone with you should call 9-1-1. A glucagon hypoglycemia rescue kit includes human glucagon (a natural substance that helps balance your blood sugar level), a syringe to inject it, and instructions. You can use this kit for severe hypoglycemia when eating food will not help. If you are not familiar with this kit, talk to your doctor Continue reading >>

Sulfonylureas/ethyl Alcohol Interactions
This information is generalized and not intended as specific medical advice. Consult your healthcare professional before taking or discontinuing any drug, changing your diet or commencing any course of treatment. Medical warning: Important. Possible changes in your diet, medicine, or dosage should be discussed with your doctor or pharmacist. How the interaction occurs: Alcohol lowers blood glucose levels and disrupts the product of glucose in the liver. What might happen: Consuming alcohol with your medicine may lead to hypoglycemia, a condition in which your blood glucose levels are too low. Symptoms of low blood sugar include pale skin, blurred vision, loss of consciousness, increased thirst, increased urination, blurred vision, fatigue, or fast, deep breathing.Your diabetic medicine may also make you intolerant to alcohol. Symptoms of alcohol intolerance include flushing, throbbing in the head and neck, irregular heart beat, rapid heart beat, low blood pressure, sweating, nausea, and vomiting. What you should do about this interaction: Avoid drinking alcohol while taking this medicine.Contact your healthcare professional (e.g., doctor or pharmacist) for more information.Your healthcare professionals may be aware of this interaction and may be monitoring you for it. Do not start, stop, or change your medicine or diet before checking with them first. Continue reading >>

Diabetes And Alcohol: What You Need To Know
If you are meeting a friend for a drink after work or attending a holiday party where alcohol is being offered, is it a health risk or a benefit? The medical and nutrition literature reports that moderate consumption of alcohol can offer some health benefits, particularly for your heart. The Dietary Guidelines for Americans 2005 defines drinking in moderation as no more than one drink per day for women or two drinks per day for men. One drink, by definition, is a 12-ounce beer, eight-ounce glass of malt liquor, five ounces of wine, or 1.5 ounces of hard liquor. Moderate alcohol consumption may reduce the risk of having a heart attack or stroke, lower the risk of developing gallstones, and prevent the development of type 2 diabetes in people with pre-diabetes. Studies show that those benefiting from moderate consumption are middle-aged and older adults. It is not recommended, however, that anyone begin drinking or drink more frequently on the basis of health considerations. Drinking more than the recommendation is harmful to your health. Excessive alcohol consumption increases the risk of adverse health consequences. Over time, excess alcohol can cause cirrhosis of the liver and heart damage, increase the risk for cancer and pancreatitis, and increase the occurrence of injuries due to impairment. Alcohol consumption must be evaluated in reference to any health conditions or prior history of alcohol abuse. Many prescription medications are contraindicated with even moderate intake of alcohol. In cases of a medical condition, regardless of medication, alcohol consumption should be discussed with a healthcare provider. People with diabetes can consume alcohol in moderation if they are prepared and regularly monitor their blood glucose. Take into consideration the medication Continue reading >>

Metformin 500mg And 850mg Tablets
The Patient Information Leaflet (PIL) is the leaflet included in the pack with a medicine. It is written for patients and gives information about taking or using a medicine. It is possible that the leaflet in your medicine pack may differ from this version because it may have been updated since your medicine was packaged. Below is a text only representation of the Patient Information Leaflet, the original can be viewed in PDF format using the link above. The text only version may be available from RNIB in large print, Braille or audio CD. For further information call RNIB Medicine Leaflet Line on 0800 198 5000. The product code(s) for this leaflet is: PL 17780/0081. Continue reading >>

Metformin And Alcohol
Hi i have been put on Metformin for my PCOS, but see that it says not to drink with them. I will be drinking a lot over the next couple of months what with weddings, hen dos and holidays and whilst I know 'binge drinking' isn't good for you full stop I was wondering if it is going to be dangerous on Metformin or if it is just a warning? Please can someone let me know? Would it be better to stop taking the day before a big event for example or is it better to just not take it at all? Thank you! Continue reading >>