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Can You Split Metformin?

Timing Your Metformin Dose

Timing Your Metformin Dose

The biggest problem many people have with Metformin is that it causes such misery when it hits their stomachs that they can't keep taking it even though they know it is the safest and most effective of all the oral diabetes drugs. In many cases all that is needed is some patience. After a rocky first few days many people's bodies calm down and metformin becomes quite tolerable. If you are taking the regular form of Metformin with meals and still having serious stomach issues after a week of taking metformin, ask your doctor to prescribe the extended release form--metformin ER or Glucophage XR. The extended release form is much gentler in its action. If that still doesn't solve your problem, there is one last strategy that quite a few of us have found helpful. It is to take your metformin later in the day, after you have eaten a meal or two. My experience with metformin--and this has been confirmed by other people--is that it can irritate an empty stomach, but if you take it when the stomach contains food it will behave. There are some drugs where it matters greatly what time of day you take the drug. Metformin in its extended release form is not one of them. As the name suggests, the ER version of the pill slowly releases the drug into your body over a period that, from my observations, appears to last 8 to 12 hours. Though it is supposed to release over a full 24 hours, this does not appear to be the case, at least not with the generic forms my insurer will pay for. Because there seems to be a span of hours when these extended release forms of metformin release the most drug into your blood stream, when you take your dose may affect how much impact the drug has on your blood sugars after meals or when you wake up. For example, the version I take, made by Teva, releases Continue reading >>

Tag : Can You Split Metformin Xr Get Generic Cheap Glucophage (metformin) Without A Prescription Online.

Tag : Can You Split Metformin Xr Get Generic Cheap Glucophage (metformin) Without A Prescription Online.

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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 >>

Order Prescription Medications Metformin 500mg Tablet Price

Order Prescription Medications Metformin 500mg Tablet Price

Pills-only one or more blister packs containing 10 pills each. All teams under 60 pills are shipped in 1 package. Large orders can be split into two packs and come in 2 separate envelopes. Metformin can be used to gain control the level of blood glucose in people with type II diabetes. It is sometimes used in combination with insulin or other medications, but this Medicine is Not for treating type 1 diabetes type. over the counter metformin alternatives, metformin otc alternative, glimepiride 1mg metformin 500mg price, metformin drug prices, order metformin online, buy metformin without doctor, metformin hydrochloride for sale, where to buy metformin 1000mg, how to get metformin for weight loss, non prescription metformin You should also have in mind some possible delays in customs we are not responsible for. Thus why some parcels may arrive a bit later or earlier than expected. Delivery time can also depend on the country of destination. National and religious holidays may delay the arrival of a parcel. Your order will soon be completed discreetly for your privacy and security. Read this information carefully before you start taking this medicine and each time you refill your prescription. There may be new information. This advice can not replace doctor's recommendations. Ask your doctor or pharmacist if You do not know the number of this advice, or you would like to learn more about this medicine. Cells are more able to eliminate sugar in the blood. Viagra Metformin also slows the absorption of Sugars from the intestines. Metformin reduces blood sugar levels after eating. Our customers health and the speedy delivery is our Priority. Therefore, we keep the strictest standards of security and confidentiality to keep Your personal information, as well as the only e-Comm Continue reading >>

When It's Safe To Split Pills

When It's Safe To Split Pills

It sounds simple enough: Cut your pills in half to cut your prescription costs in half. The do-it-yourself practice of pill splitting is one that many doctors and health plans support. It’s a way to counter rising drug prices and encourage people to take their medications if they’re likely to skip doses and refills because of high costs. And those who have trouble swallowing medicine might find a smaller pill easier to manage. How It Works Your doctor will prescribe a higher dose of medication, often double. (Sometimes the higher dose is the same price as the lower dose.) 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 aren’t guaranteed, so first ask your pharmacist what you’ll save, advises Barbara Young, Pharm.D., editor of consumer-medication information for the American Society of Health System Pharmacists in Bethesda, Md. Note that the Food and Drug Administration has called pill splitting a “risky practice” and doesn’t encourage it unless a drug’s package insert specifically says it has been approved for splitting. But our medical advisers say it’s safe if you follow the guidelines below. Four Smart Steps 1. Get your doctor (or pharmacist) to OK it first. According to an April 2015 poll by Consumer Reports Best Buy Drugs, 8 percent of consumers trying to save money on medications admitted to cutting their pills in half without a doctor’s or pharmacist’s approval. Many drugs—notably most cholesterol-lowering statins, and those to treat high blood pressure and depression—can be split without losing effectiveness or causing a negative health impact, but it can be dangerous for you to divide others. Your doctor may have other reasons to warn you about splitting p Continue reading >>

Diabetes - Metformin Off Market Mbaudc.es

Diabetes - Metformin Off Market Mbaudc.es

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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 >>

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 >>

Janumet Xr

Janumet Xr

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 >>

What Is Metformin?

What Is Metformin?

MORE Metformin is a prescription drug used primarily in the treatment of Type II diabetes. It can be used on its own or combined with other medications. In the United States, it is sold under the brand names Fortamet, Glucophage, Glumetza and Riomet. "Metformin is very often prescribed as the first step in a diabetic's regime," said Ken Sternfeld, a New York-based pharmacist. How it works "When you're diabetic you lose the ability to use the insulin you need to offset the food," Sternfeld explained. "If you eat a carb or sugar that can't be metabolized or offset by the insulin you produce, your sugar levels will be higher. Metformin and drugs in that category will help your body better metabolize that food so that insulin levels will be able to stay more in line." Metformin aims to decrease glucose production in the liver, consequently lowering the levels of glucose in the bloodstream. It also changes the way that your blood cells react to insulin. "It makes them more sensitive to insulin," said Dr. Stephen Neabore, a primary care doctor at the Barnard Medical Center in Washington, D.C. "It makes the same amount of insulin work better. It transports the insulin to the cells in a more effective way." Metformin may have a preventive health role, as well. New research presented at the American Diabetes Association 2017 Scientific Sessions showed that long-term use of metformin is particularly useful in preventing the onset of type II diabetes in women who have suffered from gestational diabetes. Because metformin changes the way the body uses insulin, it is not used to treat Type I diabetes, a condition in which the body does not produce insulin at all. Metformin & PCOS Metformin is sometimes prescribed to treat polycystic ovarian syndrome (PCOS), according to Neabore. "I 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 >>

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 >>

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 >>

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 >>

Metformin Overview

Metformin Overview

Metformin is a prescription medication used to treat type 2 diabetes. Metformin belongs to a group of drugs called biguanides, which work by helping your body respond better to the insulin it makes naturally, decreasing the amount of sugar your liver makes, and decreasing the amount of sugar your intestines absorb. This medication comes in tablet, extended-release tablet, and liquid forms. It is taken up to 3 times daily, depending on which form you are taking. Swallow extended-release tablets whole. Common side effects of metformin include diarrhea, nausea, and upset stomach. Metformin is a prescription medication used to treat type 2 diabetes. This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information. Metformin may be found in some form under the following brand names: Serious side effects have been reported including: Lactic Acidosis. In rare cases, metformin can cause a serious side effect called lactic acidosis. This is caused by a buildup of lactic acid in your blood. This build-up can cause serious damage. Lactic acidosis caused by metformin is rare and has occurred mostly in people whose kidneys were not working normally. Lactic acidosis has been reported in about one in 33,000 patients taking metformin over the course of a year. Although rare, if lactic acidosis does occur, it can be fatal in up to half the people who develop it. It is also important for your liver to be working normally when you take metformin. Your liver helps remove lactic acid from your blood. Make sure you tell your doctor before you use metformin if you have kidney or liver problems. You should also stop using metformin and call your doctor right away if you have signs of lactic acidosis. Lactic acidosis is a medical emergency that must be treate Continue reading >>

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