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Metformin Rx

Metformin Side Effects

Metformin Side Effects

Generic Name: metformin (met FOR min) Brand Names: Fortamet, Glucophage, Glucophage XR, Glumetza, Riomet What is metformin? Metformin is an oral diabetes medicine that helps control blood sugar levels. Metformin is used together with diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus. Metformin is sometimes used together with insulin or other medications, but it is not for treating type 1 diabetes. Important information You should not use metformin if you have severe kidney disease or diabetic ketoacidosis (call your doctor for treatment). If you need to have any type of x-ray or CT scan using a dye that is injected into your veins, you will need to temporarily stop taking metformin. 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. Get emergency medical help if you have signs of an allergic reaction to metformin: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Some people develop lactic acidosis while taking this medicine. Early symptoms may get worse over time and this condition can be fatal. 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; feeling dizzy, light-headed, tired, or very weak; stomach pain, nausea with vomiting; or slow or uneven heart rate. Common metformin side effects may include: low blood sugar; nausea, upset stomach; or diarrhea. This is not a complete list of side effects and others may occur. Call your doc Continue reading >>

Metformin Hcl

Metformin Hcl

Uses Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. How to use Metformin HCL Read the Patient Information Leaflet if available from your pharmacist before you start taking metformin and each time you get a refill. If you have any questions, consult your doctor or pharmacist. Take this medication by mouth as directed by your doctor, usually 1-3 times a day with meals. Drink plenty of fluids while taking this medication unless otherwise directed by your doctor. The dosage is based on your medical condition, response 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 low dose and gradually increase your dose. Follow your doctor's instructions carefully. Take this medication regularly in order to get the most benefit from it. Remember to use it at the same times each day. If you are already taking another diabetes drug (such as chlorpropamide), follow your doctor's directions carefully for stopping/continuing the old drug and starting metformin. Check your blood sugar regularly a Continue reading >>

Glucophage

Glucophage

GLUCOPHAGE® (metformin hydrochloride) Tablets GLUCOPHAGE® XR (metformin hydrochloride) Extended-Release Tablets DESCRIPTION GLUCOPHAGE® (metformin hydrochloride) Tablets and GLUCOPHAGE® XR (metformin hydrochloride) Extended-Release Tablets are oral antihyperglycemic drugs used in the management of type 2 diabetes. Metformin hydrochloride (N,N-dimethylimidodicarbonimidic diamide hydrochloride) is not chemically or pharmacologically related to any other classes of oral antihyperglycemic agents. The structural formula is as shown: Metformin hydrochloride is a white to off-white crystalline compound with a molecular formula of C4H11N5 HCl and a molecular weight of 165.63. Metformin hydrochloride is freely soluble in water and is practically insoluble in acetone, ether, and chloroform. The pK of metformin is 12.4. The pH of a 1% aqueous solution of metformin hydrochloride is 6.68. GLUCOPHAGE tablets contain 500 mg, 850 mg, or 1000 mg of metformin hydrochloride. Each tablet contains the inactive ingredients povidone and magnesium stearate. In addition, the coating for the 500 mg and 850 mg tablets contains hypromellose and the coating for the 1000 mg tablet contains hypromellose and polyethylene glycol. GLUCOPHAGE XR contains 500 mg or 750 mg of metformin hydrochloride as the active ingredient. GLUCOPHAGE XR 500 mg tablets contain the inactive ingredients sodium carboxymethyl cellulose, hypromellose, microcrystalline cellulose, and magnesium stearate. GLUCOPHAGE XR 750 mg tablets contain the inactive ingredients sodium carboxymethyl cellulose, hypromellose, and magnesium stearate. System Components And Performance GLUCOPHAGE XR comprises a dual hydrophilic polymer matrix system. Metformin hydrochloride is combined with a drug release controlling polymer to form an “inne Continue reading >>

Rx Metformin : Wide Selection

Rx Metformin : Wide Selection

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Dppos Confirms B12 Deficiency Risk From Long-term Metformin Rx

Dppos Confirms B12 Deficiency Risk From Long-term Metformin Rx

American Diabetes Association's 73rd Scientific Sessions: DPPOS Confirms B12 Deficiency Risk from Long-Term Metformin Rx Physicians need to be aware of the real risk of vitamin B12 deficiency in their patients who are on long-term metformin therapy, and screen for it, according to data from the Diabetes Prevention Program Outcome Study (DPPOS). The DPPOS is the ongoing observational study of participants in the Diabetes Prevention Program (DPP), which compares the effects of lifestyle changes, metformin therapy, and placebo on the development of diabetes in those at risk for the disease. After analyzing the data, the DPPOS team found that B12 levels and the prevalence of anemia did not differ by age in the first year of the DPPOS for either the metformin or placebo group, or in the ninth year for participants in the metformin group. However, over the 13 years of follow-up, 7.4% of participants in the metformin group developed vitamin B12 deficiency, compared to only 5.3% in the placebo group. The prevalence of the deficiency increased in the metformin group the longer the patients took the drug. Weve had a unique opportunity in this study because of its length. With 13 years of follow-up, we can see the long-term effects of using metformin on vitamin B12, Jill Crandall, MD, professor of clinical medicine at the Albert Einstein College of Medicine in N.Y. and poster co-author told EndocrineWeb in an interview. Were not the first to report on this [phenomenon], but in practice, the risk is often not taken that seriously, Dr. Crandall added. Significant vitamin B12 deficiency can lead to permanent neurological damage even when anemia isnt present. Our results are an important message for physicians and patients to be aware of this, and to consider periodic measurements us Continue reading >>

Table Of Medications

Table Of Medications

Medications used to treat type 2 diabetes include: Use this table to look up the different medications that can be used to treat type 2 diabetes. Use the links below to find medications within the table quickly, or click the name of the drug to link to expanded information about the drug. Table of oral medications, incretion-based therapy and amylin analog therapy: Medicine FDA Approval Formulations (color indicated if available by Brand only) Dosing Comments (SE = possible side effects) STIMULATORS OF INSULIN RELEASE (Insulin Secretagogues) – increase insulin secretion from the pancreas1 SULFONYLUREAS (SFUs) Tolbutamide Orinase® various generics 1957 500 mg tablets Initial: 1000-2000 mg daily Range: 250-3000 mg (seldom need >2000 mg/day) Dose: Taken two or three times daily SE: hypoglycemia, weight gain Preferred SFU for elderly Must be taken 2-3 times daily Glimepiride Amaryl® various generics 11/95 1 mg, 2 mg, 4 mg tablets Initial: 1-2 mg daily Range: 1-8 mg Dose: Taken once daily SE: hypoglycemia, weight gain Need to take only once daily Glipizide Glucotrol® Glucotrol XL® various generics 5/84 4/94 5 mg, 10 mg tablets ER: 2.5 mg, 5 mg, 10 mg tablets Initial: 5 mg daily Range: 2.5-40 mg2 (20 mg for XL) Dose: Taken once or twice (if >15 mg) daily SE: hypoglycemia, weight gain Preferred SFU for elderly ER = extended release/take once a day Glyburide Micronase®, DiaBeta® various generics 5/84 1.25 mg, 2.5 mg, 5 mg tablets Initial: 2.5-5 mg daily Range: 1.25-20 mg2 Dose: Taken once or twice daily SE: hypoglycemia, weight gain Glyburide, micronized Glynase PresTab® various generics 3/92 1.5 mg, 3 mg, 4.5 mg, 6 mg micronized tablets Initial: 1.5-3 mg daily Range: 0.75-12 mg Dose: Taken once or twice (if >6 mg) daily SE: hypoglycemia, weight gain GLINIDES Repaglini Continue reading >>

Try Searching The Lowest Price For Metformin!

Try Searching The Lowest Price For Metformin!

Metformin is used to control blood sugar levels for those with type 2 diabetes. It can sometimes be used in combination with insulin or other medications, but is not used to treat type 1 diabetes. Before using Metformin, be sure to consult your doctor and consider the risks of taking the medicine. This is a decision you and your doctor will make. Consider the following before using Metformin: Tell your doctor if you have ever had any unusual or allergic reaction to Metformin or any other medications. You should make your physician aware of any other allergies, such as foods, allergies to dyes, preservatives, or animals. There is no evidence that suggests there are pediatric-specific problems that would limit the usefulness of metformin oral solution and tablets in children ages 10 to 16. However, safety and efficacy of Metformin extended-release tablets in children have not been established. Appropriate studies to correlate the relationship of age to the effects of Metformin haven’t been performed in the geriatric population, geriatric-specific problems are not expected to limit the usefulness of Metformin in the elderly. However, older patients are more likely to have age-related kidney problems. Adequate studies show no evidence of risk to the fetus during pregnancy. Studies show that Metformin poses minimal risk to the infant when used during breastfeeding. Consult your doctor before using Metformin while pregnant or breast-feeding. Other Medical Issues The presence of certain medical problems may affect the use of Metformin. Consult with your doctor before taking Metformin if you have any of the following conditions: Severe breathing problems (severe asthma, obstructive lung disease) Blood problems (anemia, vitamin B12 deficiency) Kidney Disease Liver Disease Inst Continue reading >>

Metformin Oral Paste, Wedgewood Pet Rx

Metformin Oral Paste, Wedgewood Pet Rx

The dosage form available for Metformin is Oral Paste. Wedgewood Pharmacys oral pastes for horses are dispensed in an easy-to-use Dial-a-Dose syringe. We formulate our oral pastes so they are the ideal texture and consistency, with the flavors horses like best, to help increase compliance 1 strength of Metformin Oral Paste is available in 550 mg/ml. Metformin is also available in this dosage form. Different strengths may be available for different dosage forms. If you have any questions concerning these medications, please consult with your doctor. Print this page now to share with my veterinarian. 405 HERON DRIVE SUITE 200 SWEDESBORO, NJ 08085-1749 | 2004-2017 WEDGEWOOD PHARMACY, ALL RIGHTS RESERVED. The information contained on this site is general in nature and is intended for use as an informational aid. It does not cover all possible uses, actions, precautions, side effects, or interactions of the medications shown, nor is the information intended as medical advice or diagnosis for individual health problems or for making an evaluation as to the risks and benefits of using a particular medication. You should consult your doctor about diagnosis and treatment of any health problems. Information and statements have not been evaluated by the Food and Drug Administration ("FDA"), nor has the FDA approved the medications to diagnose, cure or prevent disease. Medications compounded by Wedgewood Pharmacy are prepared at the direction of a veterinarian. Wedgewood Pharmacy compounded veterinary preparations are not intended for use in food and food-producing animals. Continue reading >>

Consider Rx Metformin To Prevent Metabolic Syndrome

Consider Rx Metformin To Prevent Metabolic Syndrome

Consider Rx metformin to prevent metabolic syndrome Current Psychiatry. 2016 November;15(11):e1-e2 Dr. Gerken is a Psychiatrist in Charge, Schizophrenia and Bipolar Disorder Program Inpatient Unit, McLean Hospital, Belmont, Massachusetts. Dr. Baggett is a Physician-Investigator in the Massachusetts General Hospital Division of General Internal Medicine, and Staff Physician at Boston Health Care for the Homeless Program, Boston, Massachusetts. Dr. Freudenreich is Co-Director of Schizophrenia Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts. The authors report no financial relationships with any company whose products are mentioned in this article or with manufacturers of competing products. 1. Jarskog LF, Hamer RF, Catellier DJ, et al; METS Investigators. Metformin for weight loss and metabolic control in overweight patients with schizophrenia and schizoaffective disorder. Am J Psychiatry. 2013;170(9):1032-1040. 2. Zheng W, Li X-B, Tang Y-L, et al. Metformin for weight gain and metabolic abnormalities associated with antipsychotic treatment: meta-analysis of randomized placebo-controlled trials. J Clin Psychopharmacol. 2015;35(5):499-509. 3. Wang M, Tong J-H, Zhu G, et al. Metformin for treatment of antipsychotic-induced weight gain: a randomized, placebo-controlled study. Schizophr Res. 2012;138(1):54-57. Many atypical antipsychotics, particularly clozapine and olanzapine, are associated with weight gain, insulin resistance, and metabolic syndrome. Metabolic syndrome is associated with type 2 diabetes mellitus (T2DM) and cardiovascular disease, which are among the leading causes of morbidity and mortality in persons with severe mental illness.1 Clinicians should take measures to prevent T2DM and weight gain in individuals taking anti Continue reading >>

Glucophage, Glucophage Xr (metformin) Dosing, Indications, Interactions, Adverse Effects, And More

Glucophage, Glucophage Xr (metformin) Dosing, Indications, Interactions, Adverse Effects, And More

Initial: 500 mg PO q12hr or 850 mg PO qDay with meals; increase q2Weeks Maintenance: 1500-2550 mg/day PO divided q8-12hr with meal Glucophage XR: 500 mg PO qDay with dinner; titrate by 500 mg/day qWeek; not to exceed 2000 mg/day Fortamet: 500-1000 mg PO qDay; titrate by 500 mg/day qWeek; not to exceed 2500 mg/day Glumetza: 1000 mg PO qDay; titrate by 500 mg/day qWeek; not to exceed 2000 mg/day Hepatic impairment: Avoid use; risk of lactic acidosis eGFR 30-45 mL/min/1.73 m: Not recommended to initiate treatment Monitor eGFR at least annually or more often for those at risk for renal impairment (eg, elderly) If eGFR falls below 45mL/min/1.73 m while taking metformin, risks and benefits of continuing therapy should be evaluated If eGFR falls below 30 mL/min/1.73 m: while taking metformin, discontinue the drug Orphan designation for treatment of pediatric polycystic ovary syndrome EffRx Pharmaceuticals SA; Wolleraustrass 41 B; 8807 Freienbach (SZ); SWITZERLAND Orphan designation for treatment of progressive myoclonus epilepsy type 2 (Lafora disease) Consorcio Centro de Investigacin Biomdica en Red, M.P. (CIBER); Monforte de Lemos, 3-5 Pabellon 11; Madrid, Spain Maintenance: Titrate qWeek by 500 mg; no more than 2000 mg/day in divided doses Initial: 500 mg PO q12hr or 850 mg PO qDay with meals; increase q2Weeks Maintenance: 1500-2550 mg/day PO divided q8-12hr with meal Glucophage XR: 500 mg PO qDay with dinner; titrate by 500 mg/day qWeek; not to exceed 2000 mg/day Fortamet: 500-1000 mg PO qDay; titrate by 500 mg/day qWeek; not to exceed 2500 mg/day eGFR 30-45 mL/min/1.73 m: Initiating not recommended Obtain GFR at least annually in all patients taking metformin; assess eGFR more frequently in patients at increased risk for renal impairment (eg, elderly) If eGFR falls to <4 Continue reading >>

Metformin Hydrochloride Tablets, Usp Rx Only

Metformin Hydrochloride Tablets, Usp Rx Only

Metformin hydrochloride tablets are indicated as an adjunct to diet and exercise to improve glycemic control in adults and children with type 2 diabetes mellitus. Metformin hydrochloride tablets are contraindicated in patients with: Severe renal impairment (eGFR below 30 mL/min/1.73 m2) (see WARNINGS and PRECAUTIONS ). Known hypersensitivity to metformin hydrochloride. Acute or chronic metabolic acidosis, including diabetic ketoacidosis, with or without coma. Diabetic ketoacidosis should be treated with insulin. Postmarketing cases of metformin-associated lactic acidosis have resulted in death, hypothermia, hypotension, and resistant bradyarrhythmias. The onset of metformin-associated lactic acidosis is often subtle, accompanied only by nonspecific symptoms such as malaise, myalgias, respiratory distress, somnolence, and abdominal pain. Metformin-associated lactic acidosis was characterized by elevated blood lactate levels (>5 mmol/Liter), anion gap acidosis (without evidence of ketonuria or ketonemia), an increased lactate/pyruvate ratio; and metformin plasma levels generally >5 mcg/mL (see PRECAUTIONS ). Risk factors for metformin-associated lactic acidosis include renal impairment, concomitant use of certain drugs (e.g. carbonic anhydrase inhibitors such as topiramate), age 65 years old or greater, having a radiological study with contrast, surgery and other procedures, hypoxic states (e.g., acute congestive heart failure), excessive alcohol intake, and hepatic impairment. Steps to reduce the risk of and manage metformin-associated lactic acidosis in these high risk groups are provided (see DOSAGE AND ADMINISTRATION , CONTRAINDICATIONS , and PRECAUTIONS ). If metformin-associated lactic acidosis is suspected, immediately discontinue metformin hydrochloride tablets a Continue reading >>

Buy Metformin Without Rx | Usa | Metformin Pharmacy Europe, Buy Metformin Without Rx

Buy Metformin Without Rx | Usa | Metformin Pharmacy Europe, Buy Metformin Without Rx

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Dailymed - Metformin Hydrochloride- Metformin Hydrochloride Tablet, Extended Release

Dailymed - Metformin Hydrochloride- Metformin Hydrochloride Tablet, Extended Release

Metformin hydrochloride extended-release tablets are oral antihyperglycemic drugs used in the management of type 2 diabetes. Metformin hydrochloride ( N,N-dimethylimidodicarbonimidic diamide hydrochloride) is not chemically or pharmacologically related to any other classes of oral antihyperglycemic agents. The structural formula is as shown: Metformin hydrochloride is a white to off-white crystalline compound with a molecular formula of C 4H 11N 5 HCl and a molecular weight of 165.63. Metformin hydrochloride is freely soluble in water and is practically insoluble in acetone, ether, and chloroform. The pK a of metformin is 12.4. The pH of a 1% aqueous solution of metformin hydrochloride is 6.68. Metformin hydrochloride extended-release tablets, USP contain 500 mg or 750 mg of metformin hydrochloride USP as the active ingredient. Metformin hydrochloride extended-release tablets 500 mg contain the inactive ingredients xanthan gum, hypromellose, sodium carbonate, povidone, talc, colloidal silicon dioxide and magnesium stearate. Metformin hydrochloride extended-release tablets 750 mg contain the inactive ingredients xanthan gum, hypromellose, sodium carbonate, povidone, talc, colloidal silicon dioxide, magnesium stearate and ferric oxide (red). Metformin hydrochloride extended-release tablets meet USP dissolution test 10. System Components and Performance-Metformin hydrochloride extended-release tablets comprises a hydrophilic polymer matrix system. Metformin hydrochloride is combined with a drug release controlling polymers to form a monophasic matrix system. After administration, fluid from the gastrointestinal (GI) tract enters the tablet, causing the polymers to hydrate and swell. Drug is released slowly from the dosage form by a process of diffusion through the gel mat Continue reading >>

Download A Kombiglyze Xr Brochure

Download A Kombiglyze Xr Brochure

AT YOUR PHARMACY If you are a commercially insured patient, you may get KOMBIGLYZE XR for as low as $0 per month* for as long as your doctor prescribes any available dose. No activation is required. Download this card and present it with your prescription to the pharmacist at your retail pharmacy. If you use a mail order pharmacy, call to confirm that they accept the savings card. Once they receive your prescription and process your payment, provide your savings card ID number to receive a check. DOWNLOAD CARD IF YOUR MAIL ORDER PHARMACY DOESN’T ACCEPT THE SAVINGS CARD, YOU CAN STILL SAVE! DOWNLOAD THE REBATE FORM Attach the original mail order receipt to the rebate form and mail it to the address listed on the form Keep a copy of your receipt for your records ELIGIBILITY: You may be eligible for this offer if you are insured by commercial insurance and your insurance does not cover the full cost of your prescription, or you are not insured and are responsible for the cost of your prescriptions. Patients who are enrolled in a state or federally funded prescription insurance program are not eligible for this offer. This includes patients enrolled in Medicare Part D, Medicaid, Medigap, Veterans Affairs (VA), Department of Defense (DOD) programs or TriCare, and patients who are Medicare eligible and enrolled in an employer-sponsored group waiver health plan or government-subsidized prescription drug benefit program for retirees. If you are enrolled in a state or federally funded prescription insurance program, you may not use this savings card even if you elect to be processed as an uninsured (cash-paying) patient. This offer is not insurance, is restricted to residents of the United States and Puerto Rico, and to patients over 18 years of age. TERMS OF USE: Eligible com Continue reading >>

Metformin

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 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 medical treatment); a coma; or heart or liver disease. Taking certain other medications with metformin may increase the risk of lactic acidosis. 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 metformin until you recover. If you are having surgery, including dental surgery, or any major medical procedure, tell the doctor that you are taking 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 metformin before the procedure and wait 48 hours to restart treatment. Your doctor will tell you exactly when you should stop taking metformin and when you should start taking it again. If you experience any of the following symptoms, stop taking 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; dizzi Continue reading >>

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