Metformin sandoz 500mg

Folic acid is available in a supplement, such as Kirkland Signature B Complex s. Are there any other precautions or warnings for this medication? Before you begin taking a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health.

These factors may affect how you should take this medication. Anyone taking metformin should avoid excessive alcohol intake. If you have fever, trauma, infection, or surgery, you may have a temporary loss of blood sugar control.

At such times, your doctor may think it is necessary to stop metformin and temporarily inject insulin. Metformin may be started again after the problem is resolved.

Monitor your blood sugar regularly at intervals as discussed with your doctor or diabetes educator. The use of metformin or any other medication used for diabetes will not prevent the development of complications particular to diabetes mellitus e.

Metformin is a treatment to be taken in combination with a proper diet. Metformin is not a substitute for proper diet. Dye or contrast agents: If you are going to have an X-ray procedure that uses dye or a contrast agent, you may need to stop taking this medication for a short time. Contact your doctor for instructions. If you have kidney problems, your doctor should closely monitor your condition while you are taking metformin, as it may affect kidney function.

Lactic acidosis is a rare but serious problem that occurs due to metformin accumulation i. If you have severe kidney disease you are at higher risk of developing lactic acidosis. Since alcohol may increase the risk of lactic acidosis, do not drink a lot of alcohol over the short- or long-term while taking this medication. The maximum daily dose is mg given in three divided doses.

If extended tablets are used, the starting dose is mg or mg daily with the evening meal. The dose can be increased by mg weekly up to a maximum dose of mg except for Fortamet mg of Fortamet, once daily or in two divided doses. Glumetza tablets mg formulations are given once daily either to mg. Fortamet and Glumetza are modified release formulations of metformin.

Metformin should be taken with meals. For pediatric patients years of age, the starting dose is mg twice a day. The dose can be increased by mg weekly up to a maximum dose of mg in divided doses. Children older than 17 years of age may receive mg of extended release tablets daily up to a maximum dose of mg daily.

Extended release tablets are not approved for children younger than 17 years of age. Metformin-containing drugs may be safely used in patients with mild to moderate renal impairment. Transfer From Other Antidiabetic Therapy PO When transferring patients from standard oral hypoglycemic agents other than chlorpropamide, no transition period generally is needed. When transferring from chlorpropamide, exercise care during the first 2 wk because of the prolonged retention of chlorpropamide in the body, leading to overlapping drug effects and possible hypoglycemia.

Patients can also be titrated from mg twice daily to mg twice daily after 2 wk. Doses more than 2, mg may be better tolerated given 3 times daily with meals. Fortamet Metformin ER Adults PO 1, mg once daily with a full glass of water with evening meal, increase by mg weekly max, 2, mg once daily. If glycemic control is not achieved on Glucophage XR 2, mg once daily, consider a trial of Glucophage XR 1, mg twice daily.

If higher doses of metformin are required, administer at total daily dose up to 2, mg in divided daily doses as previously described. The dose may be increased in increments of mg weekly max, 2, mg once daily with evening meal.

If glycemic control is not achieved with 2, mg once daily, consider a trial of 1, mg twice daily. General Advice Fortamet tablets, Glucophage XR tablets, and Glumetza tablets must be swallowed whole and never broken, crushed, or chewed.

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