Metformin - Systemic
Brand Names
Glucophage, Glucophage XR, Apo-Metformin, Gen-Metformin, Glycon, Novo-Metformin, Nu-Metformin
Metformin *** Before Using *** How to Use *** Fore Safe Use *** Side Effects *** Additional Information
Before Using
In deciding to using a medication,
the chance of taking the drug must be weighed against the good it will
do. This is a decision you will make. For metformin, the following
must be considered
Allergic reaction
Tell your family doctor if you have any unusual or
allergy to metformin. Also tell your health care professional if
you are allergic to any other substances, such as foods, preservatives, or
dyes.
Pregnancy care
Metformin has not been shown to cause birth defects
or other problems. However, metformin is not using during pregnancy.
Instead, your family doctor may want to control your blood sugar by diet or by a
combination of diet and insulin. It is especially important for your health
and your baby's health that your blood sugar be closely controlled. Close
control of your blood sugar can reduce the risk of your baby gaining too
much weight, having birth defects, or having high or low blood sugar. Be sure
to tell your family doctor if you plan to become pregnant or if you think you are
pregnant.
Breast-feeding problem
It is not known whether metformin passes into human
breast milk. Although most medication pass into breast milk in small amounts,
many of them may be using safely while breast-feeding. Mothers who are taking
this drug and who wish to breast-feed must discuss this with their family doctor.
Use for Children
Metformin tablets have been tested in child older
than 10 years old and, in effective doses, have not been shown to cause various
side effects or problems than it does in adults.Studies with metformin extended-release tablets
have been done only in adult diseaseds and there is no special info
comparing use of this drug in child with use in other age groups.
Adolescents Metformin tablets have been tested in teenagers
older than 17 years and, in effective doses, have not been shown to cause
various side effects or problems than in adults.
Studies with metformin extended-release tablets
have not been done in diseaseds younger than 17 years old.
Elderly care
Use in older adults is similar to use in adults of
younger age. However, if you have blood vessel disorders or kidney problems,
your health care professional may adjust your dose or tell you to stop taking
this drug, if necessary.
Drug interactions
Although certain medication must not be using
together at all, in other cases two various medication may be using together
even if an interaction might occur. In these cases, your family doctor may want to
change the dose, or other precautions may be necessary
Do not take any other drug unless prescribed or approved by your family doctor
. When you are taking metformin, it is especially important that your
health care professional know if you are taking any of the following:
-
Alcohol Small amounts of alcohol taken with meals do not usually
cause a problem; however, either larger amounts of alcohol taken for a long
time or a large amount of alcohol taken in one sitting without food can increase
the effect of metformin. This can keep the blood sugar low for a longer period
of time than normal
-
Amiloride - Midamor
-
Calcium channel blocking agents - amlodipine " Norvasc ", bepridil
" Bepadin ", diltiazem " Cardizem ", felodipine " Plendil ", flunarizine
" Sibelium ", isradipine " DynaCirc ", nicardipine " Cardene ",
nifedipine " Procardia ", nimodipine " Nimotop ", verapamil "
Calan "
-
Cimetidine - Tagamet
-
Digoxin - heart drug
-
Furosemide - Lasix
-
Morphine - M S Contin
-
Procainamide - Pronestyl
-
Quinidine - Quinidex
-
Quinine - malaria drug
-
Ranitidine - Zantac
-
Triamterene - Dyrenium
-
Trimethoprim - Proloprim
-
Vancomycin - Vancocin Use with metformin may cause high
blood levels of metformin, which may increase the risk of low blood sugar
or side effects
Other Information for using
The presence of other medical
problems may effect the use of metformin. Make sure you tell your family doctor if
you have any other medical problems, especially:
-
Acid in the blood - ketoacidosis or lactic acidosis
-
Burns - severe
-
Dehydration
-
Diarrhea - severe
-
Female hormone changes for some women - during puberty, pregnancy,
or menstruation
-
Fever, high
-
Infection - severe
-
Injury - severe
-
Ketones in the urine
-
Mental stress - severe
-
Overactive adrenal gland - not properly controlled
-
Problems with intestines - severe
-
Slow stomach emptying
-
Surgery - major
-
Vomiting
-
Any other condition that causes problems with eating or absorbing
food
-
Any other condition in which blood sugar changes rapidly Metformin
in many cases will be replaced with insulin by your family doctor, possibly only
for a short time. Use of insulin is best to help control diabetes mellitus
in diseaseds with these conditions that without warning cause quick changes
in the blood sugar.
-
Heart or blood vessel disorders
-
Kidney disease or kidney problems
-
Liver disease - or history of Lactic acidosis can occur in
these conditions and chance of it occurring are even greater with use of
metformin
-
Kidney, heart, or other problems that require medical tests or examinations
that use certain medication called contrast agents, with x-rays Metformin
must be stopped before medical exams or diagnostic tests that might cause
less urine output than usual. Passing unusually low amounts of urine may increase
the risk of a build-up of metformin and unwanted effects. Metformin may
be restarted 48 hours after the exams or tests if kidney function is tested
and found to be normal
-
Overactive thyroid - not properly controlled
-
Underactive thyroid - not properly controlled Until the thyroid
condition is controlled, it may change the amount or type of antidiabetic
drug you need
-
Underactive adrenal gland - not properly controlled
-
Underactive pituitary gland - not properly controlled
-
Undernourished condition
-
Weakened physical condition
-
Any other condition that causes low blood sugar Patients who
have any of these conditions may be more likely to develop low blood sugar,
which can effect the dose of metformin you need and increase the need for
blood sugar testing
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