"metformin/glucophage Hard To Swallow And Causes Diarrhea": Diabetes Community - Support Group
My doctor said never to crush a time release pill. Plus you should not try to swallow large pills which are a tight fit in your throat. He said the pill can lodge and cause small throat ulcers. He told me to buy a pill cutter from the pharmacist and cut the pill in half. Then swallow half at a time. I don't take oral D-meds, I HATE HORSEpills, like fishy oil. I have MS so I have problems with swallowing once in a while, even food. HEAT can cause urine output to drop. MY neph dismissed my low 30s eGFR a couple years ago to just being heat related, ie SWEAT. I never sweat much. If I drink too much water my ankles swell.. another balancing act. With tight BS contol I have improved my kidney function, even hit eGFR of 50! (much better than being near the 29, time to prepare for **********. I DO think it would be a good idea to touch base with your NEPH to be on the safe side. I compared my 500mg Metformin tablet to a regular 325mg aspirin. They are very close to the same size. I don't consider that a "horsepill". As long as you are not taking an extended release form of Metformin, I suppose it would be OK to crush the tablet. Or, you could wrap it in a 1.5" square piece of cheese and eat that. That is what we used to do with our animals when they needed meds. You are probably going to have to put up with the bowel problems for a few weeks or months. It's the "price of poker". In most people, it eventually goes away. We sleep soundly in our beds because rough men stand ready in the night to visit violence on those who would do us harm.- Winston S. Churchill Sarah, I was just wondering if you had trouble swallowing other things, too. I know for me, I have to have my esophagus widened (had it done twice), as I would have trouble getting food down. Just two days ago, a piece o Continue reading >>
How Should I Take Metformin?
You should always follow your doctor’s specific instructions for taking any medication, including metformin. But there are some general rules that will probably apply to you: If you don’t notice a change in your blood glucose right away, don’t stop taking your metformin. It takes about three to four weeks for metformin to reach its full effect. If your symptoms go away or you decide you feel fine now, don’t stop taking metformin. You need this medication to stay well. If you forget to take a dose, take it as soon as you remember. If it’s already time for your next dose, just take the usual amount. Do not double your dose. If you take extended-release metformin (Glucophage XR), be sure to swallow the pill whole. Don’t chew, crush or split the pill. If you don’t follow your meal plan -- you overeat, skip a meal or make a poor food choice -- don’t adjust your metformin dose. If you’re sick, most of the time, you should keep taking metformin as prescribed. However, if you’re throwing up or dehydrated, stop taking your metformin. Call your doctor for additional instructions. If you’re scheduled for a medical procedure, make sure that the doctor and nurses know that you take metformin. You might need to stop taking it for a short time if you have to fast beforehand or if you’re having a surgery or x-ray that uses contrast dye. Ask for instructions. Metformin (prescribed to treat type 2 diabetes) should be taken with meals. If you eat less than usual or start to exercise more, tell your doctor, as this can affect your blood sugar and your dosage may need adjusting. Limit or stop your alcohol intake if you are taking metformin. Certain drugs and supplements may interact with metformin, so make sure your doctor is aware of any other medications you take. Continue reading >>
Help! I Have To Crush The Metformin And Now...
Help! I have to crush the metformin and now... Help! I have to crush the metformin and now... Now I am scared to take it!!! It's causing great anxiety. I was about to put it in a bannana and take it and froze! I'm scared to take it and NOT to take it...I am nauseated Moderator T2 insulin resistant Using Basal/Bolus Therapy I'm sorry but I don't understand your post. You have to crush your dose of metformin - why? Is it the taking of the medication that is causing your anxiety or some other problem? If it is not Metformin ER crushing it should not affect how it works. Most medications can be crushed and given in a spoonful of something easy to swallow like applesauce. Let me clarify Nan, I'm sorry...I have been told/warned and seen quite a few people have bad reactions or ill effects with metformin, so obviously part of the anxiety comes from not wanting to deal with ill effects...crushing it has been the easiest decision thus far...I crush because for me I cannot swallow these horse pills...why a dr doesn't ask if a person can swallow pills ok.I will never know...as not everyone can. [email protected] Cathy...I was in the process of using a mashed bannana and just cant; I am going to have to speak to my dr if I can ever reach him. Doesn't taking Met with food negate some of the GI distress? Bananas are not very friendly to our b.g. , so maybe mixing with some deviled egg would work. Hope you can reach your doctor or maybe the pharmacist. A banana may not be the best thing to take it with. Have you tested your blood glucose after eating one? Bananas send my BG very high. Maybe try having it with tuna or something less carby. It sounds like you need to talk to your doctor a little more about what hes prescribing you and why, including benefits vs side effects, so that you feel more c Continue reading >>
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 >>
Can I Crush My Metformin
Crushing Pills - Drugs.com13 Sep 2005 Hello All, If I crush my wife's Metformin HCL pills, will it be harmful to her in any way? Does anyone do this? I cannot find an answer to this."Do Not Crush, Chew or Cut" - Diabetes in23 Jun 2014 that the patients understand that they should not crush, chew or cut be released all at once, which could cause side effects or serious harm.Can Metformin Be Cut? - Diabetes DailyI have metformin tablets 500mg. I do not believe Can these be cut? My version of met has a cut line already in it, you cant cut the ER ones.Metformin (Oral Route) Proper Use - Mayo ClinicMetformin should be taken with meals to help reduce stomach or bowel side effects that may occur during the first few weeks of Do not crush, break, or chew it.Metformin - University College London Hospitalsrelease metformin. Modified release metformin can be taken once or is meloxicam safe in pregnancy twice a day. You can crush standard metformin tablets using a pill crusher. You can get a.How should I take metformin? - Metformin -Do not crush or chew tablets. You may have to take extra B12 vitamins while taking metformin. Because this drug can cause changes in your blood sugar, you need to be aware of . If I'm going to have surgery, can I keep taking my metformin?Metformin 500mg and 850mg Tablets - Patient Information13 Jul 2012 Metformin 500mg and 850mg Tablets - Patient Information Leaflet (PIL) by Zentiva. This is because metformin can affect the way some other medicines work. Also, some medicines can Do not crush or chew the tablets.Diabetes Update: Metformin vs Metformin ER29 Nov 2006 My doctor assured me it was coming from the metformin, but that didn't make it But if you can't take the regular at all drug because of the side effects, .. The bottle has precautions about b Continue reading >>
Can Metformin Be Crushed
Hi there, and welcome to the Urch forums. You're free to browse around our forum; almost all of our content is available to read, even if you're not a member. However, to download anything, send personal messages, ask a question, etc., you'll need to create an account . Don't worry, it's fast and easy, and we won't spam you. To get started, why not ask a question? Just go to the forum you want to make a post in, and then click on the button that says "Post New Thread". (At our forum and other forums, too, questions, conversations, discussions, etc., are called "threads". Yes, that can be a bit confusing.) Or you might want to read our most popular forums: the admissions results forum , the GMAT forum , the GRE forum and our beloved Economics forum . I have a question. Can Metformin be crused? I have come across with a real case where the patient found Metformin 1000mg XR in the stools with out getting dissolved completely. Is it possible? XR/ER/CR formulations CANNOT be crushed .... period . The whole point of the release technology is lost ,except in special cases like metoprolol succinate where it can be broken along the split line to take half the dose .In the case above, we need to find out how he is administering his medication and what is his other disease states..He should be advised to drink water with the med , to aid in dissolution.Also find out if he suffering from any GI disease, cos the tablet needs gastric secretions for the initial phase of dissolution and normal GI peristalsis for the tablet to be broken down later and excreted in feces as a soft mass. Last edited by sonuritu; 03-26-2010 at 06:29 PM. Universal law.. of breaking & crushing... If drug brand names have XR, CR, SR, DR like suffix (special ends with "R"), then that drug cannot be crushed... Continue reading >>
What Is Metformin Hcl 500 Mg?
Metformin hydrochloride, or HCL, is an oral medication available by prescription. The medication works along with a proper diet and exercise to lower blood glucose levels in diabetic patients and for other purposes determined by a physician. Due to possible complications and side effects, close monitoring of kidney function and blood sugar levels will help determine if the medication is safe for the individual. Video of the Day Patients use metformin HCL to treat type 2 diabetes mellitus. This form of diabetes is non-insulin dependent and the body allows unused sugars to increase in the bloodstream. Metformin works to lower the blood sugar level, but does not affect the production of insulin. Women may also take the medication to treat polycystic ovary syndrome, as it helps stimulate the ovaries to release an egg. Metformin HCL is available in regular and extended-release oral tablets. Physicians prescribe regular 500 mg tablets for administration in divided doses throughout the day, while extended-release medication administration occurs with the evening meal each day, according to RxList.com. A physician may change the dosage amounts depending on blood sugar levels. A typical starting dosage of metformin is 500 mg twice daily, according to MayoClinic.com. To reduce the likelihood of side effects, metformin should be taken with meals. Swallowing the extended-release tablet whole, without crushing or chewing, is important for proper release of the medication in the body. Store the medication at room temperature and away from children. Metformin may cause unwanted side effects. Adverse reactions generally decrease with continued use of a medication. Individuals experiencing any side effects that are bothersome or increase in intensity need to contact a physician. Common Continue reading >>
Metformin Extended-release Tablets
Generic Name: Metformin Extended-Release Tablets (met FOR min) Brand Name: Fortamet, Glucophage XR Warning Rarely, metformin may cause an acid health problem in the blood (lactic acidosis). The risk of lactic acidosis is higher in people with kidney problems and in people who take certain other drugs like topiramate. The risk is also higher in people with liver problems or heart failure, in older people (65 or older), or with alcohol use. If lactic acidosis happens, it can lead to other health problems and can be deadly. Lab tests to check the kidneys may be done while taking this medicine (metformin extended-release tablets). Talk with the doctor. Call your doctor right away if you have signs of too much lactic acid in the blood (lactic acidosis) like fast breathing, fast or slow heartbeat, a heartbeat that does not feel normal, very bad upset stomach or throwing up, feeling very sleepy, shortness of breath, feeling very tired or weak, very bad dizziness, feeling cold, or muscle pain or cramps. Do not take this medicine if you have a very bad infection, low oxygen, or a lot of fluid loss (dehydration). Talk with your doctor before you drink alcohol. If you are having an exam or test with contrast or have had one within the past 48 hours, talk with your doctor. Tell all of your health care providers that you take this medicine (metformin extended-release tablets). This includes your doctors, nurses, pharmacists, and dentists. Uses of Metformin Extended-Release Tablets: It is used to lower blood sugar in patients with high blood sugar (diabetes). What do I need to tell my doctor BEFORE I take Metformin Extended-Release Tablets? If you have an allergy to metformin or any other part of this medicine. If you are allergic to any drugs like this one, any other drugs, foods, o Continue reading >>
NOTICE: This Consumer Medicine Information (CMI) is intended for persons living in Australia. What is in this leaflet This leaflet answers some common questions about metformin. It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist. The information in this leaflet was last updated on the date listed on the last page. More recent information on this medicine may be available. You can also download the most up to date leaflet from www.apotex.com.au. All medicines have risks and benefits. Your doctor has weighed the risks of you taking this medicine against the benefits they expect it will have for you. If you have any concerns about taking this medicine, ask your doctor or pharmacist. What this medicine is used for APO-Metformin XR Tablets is used to control blood glucose (sugar) in people with Type 2 diabetes mellitus, especially in those who are overweight. It is used when diet and exercise are not enough to control high levels of blood glucose. Metformin XR can be used alone, or in combination with other medicines for treating diabetes. Metformin belongs to a group of medicines called biguanides. It lowers high blood glucose levels by: improving your body's sensitivity to insulin and restoring the way it normally uses glucose This medicine is available only with a doctor's prescription. Type 2 Diabetes Mellitus Type 2 diabetes mellitus is also called Non-Insulin Dependent Diabetes Mellitus (NIDDM) or Maturity Onset Diabetes. Insulin is a hormone that enables body tissues to take up glucose from the blood and to use it for energy or fat storage for future use. People with Type 2 diabetes are unable to make enough insulin or their body does not respond properly to the insulin it does make. This causes a buil Continue reading >>
Can I Crush Tablets | Diabetes Forum The Global Diabetes Community
Diabetes Forum The Global Diabetes Community Find support, ask questions and share your experiences. Join the community I was diagnosed with Type 2 diabetes 4 years ago and was put on Glucophage (metformin powder sachets) as I am unable to swallow tablets. They have ceased to be made now and I have been given 850mg tablets which say i should not crush. My chemist says I can but the instructions say not to. I have crushed some and they are very bitter and make me gag.My GP says it is too expensive to prescribe me it in liquid form. I have now stopped taking any and do not feel too good. Any suggestions and are they safe to crush? The fact that they are slow release means that they work over a period of time so crushing them is not a good idea. Glucophage SR tablets are usually taken once or twice a day. These tablets should be swallowed whole with a drink either during or just after a meal. They must not be broken, crushed or chewed. Read more: Have you tried having a drink of water through a straw at hand and use this to help them go down? Continue reading >>
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 >>
Apo-metformin Xr Modified Release Tablets
Brand Information Consumer medicine information (CMI) leaflet Please read this leaflet carefully before you start using APO-Metformin XR Modified release tablets. Download CMI (PDF) Download large text CMI (PDF) What is in this leaflet Read this leaflet carefully before taking your medicine. This leaflet answers some common questions about metformin. It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist. The information in this leaflet was last updated on the date listed on the last page. More recent information on this medicine may be available. Ask your doctor or pharmacist: if there is anything you do not understand in this leaflet, if you are worried about taking your medicine, or to obtain the most up-to-date information. You can also download the most up to date leaflet from www.apotex.com.au. All medicines have risks and benefits. Your doctor has weighed the risks of you taking this medicine against the benefits they expect it will have for you. If you have any concerns about taking this medicine, ask your doctor or pharmacist. Keep this leaflet with the medicine. You may need to read it again. What this medicine is used for APO-Metformin XR Tablets is used to control blood glucose (sugar) in people with Type 2 diabetes mellitus, especially in those who are overweight. It is used when diet and exercise are not enough to control high levels of blood glucose. Metformin XR can be used alone, or in combination with other medicines for treating diabetes. Metformin belongs to a group of medicines called biguanides. It lowers high blood glucose levels by: improving your body's sensitivity to insulin and restoring the way it normally uses glucose reducing the amount of glucose your liver makes delaying the a Continue reading >>
Once-a-day Kombiglyze Xr Must Be Taken As Prescribed.
KOMBIGLYZE XR is generally taken once a day with your evening meal to help lessen an upset stomach side effect. Swallow the tablets whole—don’t crush, cut, or chew them, and don’t change your dose without speaking with your healthcare provider. When taking KOMBIGLYZE XR, be sure to contact your healthcare provider right away if you have a fever, trauma, infection, or surgery, as this may change your medication needs. Stay on your prescribed diet and exercise program while taking KOMBIGLYZE XR. Do not take KOMBIGLYZE XR if you have kidney problems. Your healthcare provider should do blood tests to check how well your kidneys are working before and during your treatment with KOMBIGLYZE XR. Additional considerations about dosing for KOMBIGLYZE XR If you take KOMBIGLYZE XR with another medicine that can cause low blood sugar, such as sulfonylureas or insulin, you have a higher risk of having low blood sugar. Symptoms of low blood sugar include shaking, sweating, rapid heartbeat, change in vision, hunger, headache, and change in mood. Follow your doctor's instructions for treating low blood sugar. You may sometimes pass the inactive ingredients of KOMBIGLYZE XR as a soft mass in your bowel movements, which may look like the original tablet. This is not unusual. Stay on your prescribed diet and exercise program while taking KOMBIGLYZE XR. If you take too much KOMBIGLYZE XR Call your doctor, local Poison Control Center, or go to the nearest hospital emergency room right away When taking KOMBIGLYZE XR, be sure to contact your doctor right away if you have a fever, trauma (such as a car accident), infection, or surgery, as this may change your medication needs. What should I tell my healthcare provider before taking KOMBIGLYZE XR? Before you take KOMBIGLYZE XR, tell your h Continue reading >>
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 >>
JANUMET tablets contain 2 prescription medicines: sitagliptin (JANUVIA®) and metformin. Once-daily prescription JANUMET XR tablets contain sitagliptin (the medicine in JANUVIA®) and extended-release metformin. JANUMET or JANUMET XR can be used along with diet and exercise to lower blood sugar in adults with type 2 diabetes. JANUMET or JANUMET XR should not be used in patients with type 1 diabetes or with diabetic ketoacidosis (increased ketones in the blood or urine). If you have had pancreatitis (inflammation of the pancreas), it is not known if you have a higher chance of getting it while taking JANUMET or JANUMET XR. Metformin, one of the medicines in JANUMET and JANUMET XR, can cause a rare but serious side effect called lactic acidosis (a buildup of lactic acid in the blood), which can cause death. Lactic acidosis is a medical emergency that must be treated in a hospital. Call your doctor right away if you get any of the following symptoms, which could be signs of lactic acidosis: feel cold in your hands or feet; feel dizzy or lightheaded; have a slow or irregular heartbeat; feel very weak or tired; have unusual (not normal) muscle pain; have trouble breathing; feel sleepy or drowsy; have stomach pains, nausea, or vomiting. Most people who have had lactic acidosis with metformin have other things that, combined with the metformin, led to the lactic acidosis. Tell your doctor if you have any of the following, because you have a higher chance of getting lactic acidosis with JANUMET or JANUMET XR if you: have 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 short-term “binge” drinking; get dehydrated (lose large amounts of body fluids, w Continue reading >>