diabetestalk.net

Can Metformin Be Split In Half?

Proper Use

Proper Use

Drug information provided by: Micromedex This medicine usually comes with a patient information insert. Read the information carefully and make sure you understand it before taking this medicine. If you have any questions, ask your doctor. Carefully follow the special meal plan your doctor gave you. This is a very important part of controlling your condition, and is necessary if the medicine is to work properly. Also, exercise regularly and test for sugar in your blood or urine as directed. Metformin should be taken with meals to help reduce stomach or bowel side effects that may occur during the first few weeks of treatment. Swallow the extended-release tablet whole with a full glass of water. Do not crush, break, or chew it. While taking the extended-release tablet, part of the tablet may pass into your stool after your body has absorbed the medicine. This is normal and nothing to worry about. Measure the oral liquid with a marked measuring spoon, oral syringe, or medicine cup. The average household teaspoon may not hold the right amount of liquid. Use only the brand of this medicine that your doctor prescribed. Different brands may not work the same way. You may notice improvement in your blood glucose control in 1 to 2 weeks, but the full effect of blood glucose control may take up to 2 to 3 months. Ask your doctor if you have any questions about this. Dosing The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the Continue reading >>

Splitting Tablets May Affect Dosage

Splitting Tablets May Affect Dosage

Splitting pills could lead to patients taking the wrong doses, according to the Daily Express. The newspaper said that research into the practice showed it could be risky for drugs where the difference between a recommended and toxic dose is small. The small study looked at typical drugs prescribed for diseases such as Parkinsons disease, congestive heart failure, thrombosis and arthritis. Five academic volunteers split tablets into halves or quarters using three routinely used, accepted methods. The researchers found that the dose potentially given to patients when tablets were split could deviate from the recommended dose by at least 15%, and sometimes by more than 25%. The researchers call for action to change the practice in nursing homes, where splitting drugs is routinely used. They also want drug firms to produce a range of options, including smaller or bigger dose tablets, so that splitting becomes unnecessary. Patients currently sometimes require a dose of medication that can only be provided through splitting a tablet. Increasing choice in tablet size sounds like a sensible proposal, and this research highlights the importance of taking pills according to the instructions. The study was carried out by researchers from the faculty of pharmaceutical sciences at Ghent University in Belgium. The study did not receive specific grants from any funding source. It was published in the peer-reviewed Journal of Advanced Nursing. The BBC and Daily Express reported this research fairly. In this comparative study, the researchers aimed to report deviations from the expected weight of tablets following usual methods of splitting them into smaller pieces. They looked at whether the overall weight of the split tablet decreased compared to the unsplit weight. In other words, Continue reading >>

Some Advice On Metformin Dose

Some Advice On Metformin Dose

Diabetes Forum The Global Diabetes Community Find support, ask questions and share your experiences. Join the community Could someone give me advice. I am three months in from diagnosis. I started at fasting 12 and was spiking to 18 after some meals I am now after a medium low carb diet 80-90 carbs and 1 500mg metformin each evening with dinner down to 6s and 7s at night before bed and 7s and 8s in the morning fasting although I can spike up to 10 after lunch. Obviously this is getting better but not quite there. My question is I have my annual check (after three months!) with the doc in a couple of weeks. Obviously I want to talk about how to get my readings down another point really. I find I cannot each much breakfast and lunch as I spike but OK to eat dinner and then I take my metformin tablet with dinner in the evening that obviously must make some difference as I do not spike then. I know that they will probably want to up my dose of metformin to 2 x 500mg to bring the spikes down and hopefully my food tolerance in the first half of the day. My question is (because I am sure the dr will not know - they are not particularly expert it seems at my surgery) Do you take the metformin one on the morning and one in the evening to even out the long term slow release bit of the tablet. I am hoping the answer will be yes so that the first half of the day becomes slightly easier for me. I cannot eat anything but a slice of apple or 1 rich tea biscuit until about midday this has actually the same effect as if I had ate nothing, I stay about whatever the fasting number is in the morning even if I eat nothing. If i try to eat anything else I will go to 10 and above and cereal, porridge, fruit, toast whatever sends me high. By lunchtime I can eat something with about 15-20 carb Continue reading >>

Can Glucophage Xr Be Cut In Half - 249228 - Foodinfo.tv

Can Glucophage Xr Be Cut In Half - 249228 - Foodinfo.tv

Glucophage XR Uses, Side Effects amp; Warnings Glucophage XR used together with diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus. This medicine is sometimes used together with insulin or other medications, but this medicine is not for treating type 1 diabetes. Glucophage XR may also be used for purposes not listed in this medication guide.Can you cut in half Metformin ER? PCOS Message BoardYour siggy says you are on 1000 mg. Are you taking 1000 mg tablets or 500 mg tablets? If you are on 1000 mg tablets, you might ask the dr for 500 mg tablets so that you don 39;t have to break the pill. If you are on 500 mg tablets, they do not need to be cut in half.Can Metformin Be Cut? Diabetes DailyCan Metformin Be Cut I would like to split one in half to take half at lunch and half at dinner times. Can these be cut Metformin vs. Metformin XR.can I cut Metformin 500mg ER in half to take? Yahoo AnswersIt 39;s in their design. Unfortunately, Metformin ER tablets are NOT in that group. You can 39;t chew, crush, cut or break in half. You have to take this tablet whole. If you are not on any other diabetes medications it is very, very, very unlikely that Metformin alone can cause hypoglycemia. Metformin can cause gastritis( unset stomach).Can glucophage be cut in half Metformin (Glucophage, Glucophage XR, Glumetza, Fortamet, Riomet) is a prescription drug used for treating type II diabetes in adults and children.Cutting a 500 mg Metformin pill in 1/2 Type 2 Diabetes Cutting a 500 mg Metformin pill in 1/2. as long as its not the XR metformin, I can 39;t imagine it causing a problem. We cut the 500 in half.Kaufen Glucophage Xr Online Besten Preis ApothekeGlucophage Xr kaufen paypal bezahlen. Xr 1000 mg can a metformin pill be cut in half metformin Continue reading >>

Can Metformin Be Cut?

Can Metformin Be Cut?

I have seen a variety of opposite answers for this on a google search. I have metformin tablets 500mg. I do not believe that they are extended release as the doctor did not write the prescription that way. I would like to split one in half to take half at lunch and half at dinner times. Can these be cut? I think you can cut them if they are not the extended version. The extended version should say EX on the prescription bottle. Why do you want to cut them? If taking it once a day doesn't seem to work you may want to ask doctor to increase your dose. It took me 3 changes before it gave me the numbers I wanted. I now take it 3 times a day. I have seen a variety of opposite answers for this on a google search. I have metformin tablets 500mg. I do not believe that they are extended release as the doctor did not write the prescription that way. I would like to split one in half to take half at lunch and half at dinner times. Can these be cut? There's nothing to stop you from cutting them in half, however Metformins action is such that taking one 500mg pill per day has the same effect as cutting it in half and taking both halfs in the same day. Metformin takes some time to build up in the body to have an effect and depending on your specific needs the doctor may be increasing the dosage in the future. I do ask tho, why the desire to split the dose? 500 mg did nothing for me. I now take 2550 mg. My doctor told me the same thing that it is the total amount you take a day. I asked to be switched to the ER version because I heard the delivery may be better but he said the max for the extended would be 2000 and I take 2550 so it would be a reduction in dose. So I didn't switch. The extended release version CANNOT be cut. MEDS... 1000 mg ER met, 2000IU vitamin D3, multi vitamins, Continue reading >>

Cutting A Pill In Half

Cutting A Pill In Half

Diabetes Forum The Global Diabetes Community Find support, ask questions and share your experiences. Join the community My gliclazide pill is 80mg (tiny). I have been taking it with Metformin (850mg 3x per- day ) the last one before going to sleep -and other drugs for 5 years. The bottle says take one gliclazide per day, but I think that is not as good as halving it -- one half for lunch and one half before supper. That way I avoid hypoglycemia-- 3.8 and lower, , which in my experience is the worst complication making me very sick in comparison to hyperglycemia rarely of say 11 at most. My average numbers have been very good (6-7) and my doctors is very pleased. I have not looked up the half-life of gliclazide in case that makes any difference. You think Gliclazide 80mg is small, I used to half Gliclazide 40mg tabs. 40 mg does exist, called Zircron if you want to ask GP to give you that! My gliclazide pill is 80mg (tiny). I have been taking it with Metformin (850mg 3x per- day ) the last one before going to sleep -and other drugs for 5 years. The bottle says take one gliclazide per day, but I think that is not as good as halving it -- one half for lunch and one half before supper. That way I avoid hypoglycemia-- 3.8 and lower, , which in my experience is the worst complication making me very sick in comparison to hyperglycemia rarely of say 11 at most. My average numbers have been very good (6-7) and my doctors is very pleased. I have not looked up the half-life of gliclazide in case that makes any difference. Perhaps have a word with your GP to see if the tablet comes in 40mg tablets, this would solve the problem. If not then you can get a pill cutter which will do the job for you. Fergus, thank you very much for the information about the gliclazide dose. It is possib Continue reading >>

Metformin Vs Metformin Er

Metformin Vs Metformin Er

I'm seeing quite a few posts on BBSes from people who are having problems with metformin because of side effects that could be eliminated if they were taking the extended release form of this drug. For some reason, many family doctors don't seem to be aware that there is a ER version of this drug that has such benefits. This is probably because metformin is a cheap generic and isn't promoted by herds of beautiful ex-cheerleaders turned drug company salespushers who "educate" doctors about far more expensive--and less effective--newer drugs. Here are the facts: Metformin (also sold under the brand name Glucophage) comes in a regular version which is taken at meal time, three times a day, and an extended release form (marketed as ER or XR) which is taken once a day. Almost always, when people report diarrhea or intense heartburn with metformin, they are taking regular version. I experienced the heartburn on the regular drug. It was very disturbing because the pain was localized over my heart and felt just like the description of a heart attack you read in articles. My doctor assured me it was coming from the metformin, but that didn't make it any easier to live with because I kept wondering how, if I were having a real heart attack, I'd know it wasn't a pain from the drug? The ER version releases the drug more slowly and this usually eliminates the gastrointestinal problems. The trade off with taking the ER form is that the amount of blood sugar lowering you see might be a bit less than with the regular form as the drug acts in a slower smoother fashion rather than hitting all at once. But if you can't take the regular at all drug because of the side effects, the slight weakening in effect is a reasonable trade off. Plus, you only have to remember to take one dose rather Continue reading >>

Can Metformin Xr Be Cut In Half 153507

Can Metformin Xr Be Cut In Half 153507

Can You Cut Or Split Metformin ER In Half? PharmacistAnswers Due to this release mechanism, Glucophage XR can not be cut or split. . Glumetza ER uses a mechanism known as gastro-retentive technology (also known as 39;Modified Release 39;). The tablets are designed to remain in the stomach and deliver metformin to the upper GI tract over an extended period nbsp; Can Metformin Be Cut? Diabetes Daily I have seen a variety of opposite answers for this on a google search. I have metformin tablets 500mg. I do not believe that they are extended release as the doctor did not write the prescription that way. I would like to split one in half to take half at lunch and half at dinner times. Can these be cut? Quote nbsp; Glucophage XR Uses, Side Effects amp; Warnings affect Glucophage XR? Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective. Other drugs may interact with metformin, including prescription and nbsp; Metformin Extended Release Tablets FDA prescribing information not produce hypoglycemia in either patients with type 2 diabetes or normal subjects (except in special circumstances, see In patients with decreased renal function, the plasma and blood half-life of metformin is prolonged and the renal clearance is decreased (see Table 1; also see nbsp; Diabetes Update: Metformin vs Metformin ER The problem with breaking Metformin ER in half is this: The Extended Release feature of the drug is caused by it being encapsulated in some kind of matrix that digests slowly as it passes though your digestive tract. If you cut it, it will digest faster, so you no longer get the slower, longer action. If it is working nbsp; quot;Do No Continue reading >>

Can You Cut Oxycodone In Half

Can You Cut Oxycodone In Half

When It 39;s Safe to Split Pills - Consumer Reports This practice can save money, but make sure you choose the right ones At home, you cut the pills in half and take one half each day, ending up with two doses for the price of one. But deep discounts For example, the pain medicine oxycodone (OxyContin) is released over time in the body. If you split it, nbsp; Tablet Splitting Only If You Half To - NCBI - NIH . Initially, the patient had been taking a 20-mg tablet twice daily. When the physician lowered the dose to 10 mg twice daily, the new prescription was filled. The patient then cut the leftover 20-mg tablets in half and put them in the same nbsp; Can you cut a 30mg blue oxycodone in half? - - Answer: If it is not the extended release oxycodone (oxycontin), then yes, you can Splitting Pills May Have Risks - WebMD Pill splitting, a common practice among many people who are looking to cut medication costs or dosages, is risky business, according to a study. Some pills can 39;t be split 50-50 and there can be a narrow margin between a dose that can help you and one that can hurt you, the researchers report. Pill splitting: which ones are safe to divide? Heart Sisters You can ask your pharmacist to cut pills in half for you. If your doctor has prescribed half tablets, your pharmacy may split the pills for you. ezetemibe/simvastatin (Vytorin), ; irbesartan/hydrochlorothiazide (Avalide); oxycodone/acetaminophen (Percocet, and others); sitagliptin/metformin (Janumet). Can you cut OxyContin in half? Analgesics (Pain Killers , pain reliever. The funny thing is, doctor told me to cut it in half? Can you cut nbsp; (opioids) Oxy OP 30 Question? - Bluelight OP 30 and I have never taken one before. Though I For a non-tolerant user, I 39;d say cut in half and take half (15mg time Continue reading >>

Cutting A 500 Mg Metformin Pill In 1/2

Cutting A 500 Mg Metformin Pill In 1/2

Registration is fast, simple and absolutely free so please,join our community todayto contribute and support the site. This topic is now archived and is closed to further replies. As some of you know my mom was having problems taking 500 mg tablets of Metformin. She is taking reg Met, not the extended version. At one point, about the a week ago, we decided to cut the pill in 1/2 and give her the first half with dinner and the second 1/2 one hour later. At night she woke up and told my sister that she was getting itchy all over. Usually, when you get itchy you are having an alergic reaction, usually a mild one. I didn't ask my sister but, I don't think mom was getting any blisters/pimples. I'm allergic to penicilen so I know the symtoms of an allergic reaction. I don't think my mom was having an allergic reaction(she has been on Met for 1 1/2 yrs), but the itching did concern me and it still puzzles me. This was a week ago and I remember my sister calling me about 1am in the morning, my sister said mom was getting some itching comming up from her legs and on her arms. I told her to give her some water and keep on eye on her breathing. If she couldn't breath call 911. .... 911 was not necessary. As you all know, or most who having been following my mom's story we got her handle the 500 mg pills whole by taking water with her meals. We don't dare break the pill in half anymore. Is it safe to cut a Reg. (not the extended version) Metformin pill in half and split the dosage in 1-2 hour intervals with meals? What do you guys attribute the itching to? What do you guys attribute the itching to? When DX, my doctor put me on 250MG's twice a day. We cut the 500 in half. I usally take it with meals in the morning and at night. The dosage worked very well for me getting my reading Continue reading >>

Can Metformin Hcl 1000mg Be Cut Half

Can Metformin Hcl 1000mg Be Cut Half

why do people post such important and subject themselves to a potential medical situation- why not just pick up the phone and call YOUR DR. or GO THE PHARMACY AND ASK THEM! Really people!- ## @romine, Well I can't speak for everyone, but I do know that some questions of this nature don't necessarily need to be answered by a doctor specifically. For example, if there is a score line on your pill then it's usually safe to be cut in half, since that's what it's intended for. In the case that there's no dividing line, then it certainly would be a good idea to contact your doctor or pharmacy first and foremost (especially if they are time-released tablets). And even then, not all medical professionals know how a drug is going to end up effecting you until you start ta... ... I think the metformin HCL 1000 mg ER is too much for me. It made me sick to the point i couldnt function. So i started taking half the dosage. 500 mg per day. I cut the pill in 2 and take a half per day. Will this hurt me? ## Hello, Sally! How are you? This is a time released medication, so it should not be cut, that could cause you to get too much of the medication at once. If you have issues taking the higher dose, your doctor can prescribe a 500mg dosage for you to try. What are you current blood sugar readings? The FDA lists the typical side effects of this medication as possibly including nausea, dizziness, headache, flatulence, abdominal pain and diarrhea. ## Are you on any other medications? If your doctor doesn't want to prescribe a lower dose of this one, there are also sev... ... If A Tablet Is Scored Can You Cut It In Half For The Dose I have some Metformin Hcl 1000mg tablets. My dose has been reduced to 500 mg. Is it safe to cut the 1000mg ones in half? ## It is safe, as long as you weren't Continue reading >>

Pill Splitting: When Is It Ok?

Pill Splitting: When Is It Ok?

Dr. Orrange is an Associate Professor of Clinical Medicine in the Division of Geriatric, Hospitalist and General Internal Medicine at the Keck School of Medicine of USC. If you take prescription drugs to treat a chronic illness, its possible to save more than 50% off cost of your medication by simply splitting your pills. Sadly, its not all that easy to know when pill splitting is all right. Not all pills can be split. However, many doctors and insurance companies are advising this strategy with an increasing number of medicines. (Its also worth noting that the American Medical Association, the American Pharmacists Association, and most pharmaceutical companies oppose pill-splitting.) Drugs that should usually not be split include capsules, chemotherapy drugs, birth control pills, seizure-related medications, and any pill that has a coating or other controlled- or extended-release feature. Be sure to check with your doctor prior to splitting any medication. Is it scored?Tablets that are scored can be easily split and have been evaluated by the FDA for safety. Invest in a pill splitter. Pill splitters are very inexpensive and carried by most pharmacies. If youre going to split a pill, spend the $5. Only split once. It is only recommended that you split pills in half, not any smaller. The dose per piece is too likely to be uneven and pills may shatter or crumble. Unequal halves. Even scored tablets can be difficult to split into two perfect halves, and medicine is sometimes distributed unevenly within a single tablet. Buy a pill splitter to help and dont split with a knife. Crumbs. Tablets that are round or too small may crumble easily or unevenly when split and that will affect the dose you are actually getting. Dont forget!Patients who are given a higher dose pill and Continue reading >>

Metformin, Oral Tablet

Metformin, Oral Tablet

Metformin oral tablet is available as both a generic and brand-name drug. Brand names: Glucophage, Glucophage XR, Fortamet, and Glumetza. Metformin is also available as an oral solution but only in the brand-name drug Riomet. Metformin is used to treat high blood sugar levels caused by type 2 diabetes. FDA warning: Lactic acidosis warning This drug has a Black Box Warning. This is the most serious warning from the Food and Drug Administration (FDA). A black box warning alerts doctors and patients to potentially dangerous effects. Lactic acidosis is a rare but serious side effect of this drug. In this condition, lactic acid builds up in your blood. This is a medical emergency that requires treatment in the hospital. Lactic acidosis is fatal in about half of people who develop it. You should stop taking this drug and call your doctor right away or go to the emergency room if you have signs of lactic acidosis. Symptoms include tiredness, weakness, unusual muscle pain, trouble breathing, unusual sleepiness, stomach pains, nausea (or vomiting), dizziness (or lightheadedness), and slow or irregular heart rate. Alcohol use warning: You shouldn’t drink alcohol while taking this drug. Alcohol can affect your blood sugar levels unpredictably and increase your risk of lactic acidosis. Kidney problems warning: If you have moderate to severe kidney problems, you have a higher risk of lactic acidosis. You shouldn’t take this drug. Liver problems warning: Liver disease is a risk factor for lactic acidosis. You shouldn’t take this drug if you have liver problems. Metformin oral tablet is a prescription drug that’s available as the brand name drugs Glucophage, Glucophage XR, Fortamet, and Glumetza. Glucophage is an immediate-release tablet. All of the other brands are extended-r Continue reading >>

Medicine Information - Kaiser Permanente

Medicine Information - Kaiser Permanente

Brand name(s): Fortamet, Glucophage XR, Glumetza Rarely, too much metformin can build up in the body and cause a serious (sometimes fatal) condition called lactic acidosis. Lactic acidosis is more likely if you are an older adult, if you have kidney or liver disease, dehydration, heart failure, heavy alcohol use, if you have surgery, if you have X-ray or scanning procedures that use iodinated contrast, or if you are using certain drugs. For some conditions, your doctor may tell you to stop taking this medication for a short time. Ask your doctor or pharmacist for more details.Stop taking this medication and get medical help right away if you have any symptoms of lactic acidosis, such as unusual tiredness, dizziness, severe drowsiness, chills, blue/cold skin, muscle pain, fast/difficult breathing, slow/irregular heartbeat, or stomach pain with nausea/vomiting/diarrhea. 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. This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional.Metformin may be used with lifest Continue reading >>

Splitting Diabetic Medicine Is It Ok | Diabetic Connect

Splitting Diabetic Medicine Is It Ok | Diabetic Connect

no way a good idea .i take metforin my instructions say not to cut crush orchew these pills.not if you get sick but i say they would'nt work as well. If you google Juvaderm it talks about wrinkles. She may be taking Januvia or Janumet . Janumet has metformin in it. and yes you can split Januvia with no side effects For my self, I had taken Metformin on a Wednesday evening, and by the next morning I was so sick, nauseated, my stomach was having sharp pains, I was feeling dizzy, head-aching, and I couldn't function, so I called my doctor who happen to be out of town, but I wouldn't let the nurse get off the phone till she told me she would call the doctor. By afternoon, the doctor changed my script to Onglyza and I haven't had any problems since. And I have known that I am diabetic for one month now. So I have a lot to learn still. So I can relate with your mom on Metformin. I have been on Metformin 500 for quite a while, have never had any side effects from it. However, when my numbers still needed to come down, my dr. told me to take 2 of them twice a day. (I had been taking one twice a day). That was way too much, my heart was racing and I felt awful til it wore off. When I told him that it dropped my blood sugar too low, he said I would have to adjust it til I found the right dosage that helped my blood sugar levels, but was also not too much at the same time, and if I needed to split one in half, that was ok. But still check with your mom's dr. Since she has Alzheimer's also, she may on other meds that may interfere with her diabetes meds. She is lucky to have you to help care for her, that is a heavy load to carry. God bless you I was put on glipizide this week because I'm allergic to metformin. The first time I took it I took a full pill and it dropped me to fast Continue reading >>

More in diabetic diet