Metfor 500 tablets

Metformin 500 tablets Active ingredient: Metformin What is Metformin used for? It is a blood sugar regulator used alone or with other medications to treat type 2 diabetes. For more: Acute and chronic diabetes complications What are the contraindications for Metformin? The contraindications for the blood sugar regulator Metformin include the following conditions: Allergy to Metformin. Chronic heart failure. Metabolic acidosis. Diabetic ketoacidosis. Severe kidney disease. Abnormal creatinine clearance due to shock, blood poisoning, or myocardial infarction. What are the side effects of Metformin? The most important side effects include: Severe fatigue. Weakness. Feeling unwell. Nausea. Vomiting. Stomach pain. Loss of appetite. Shortness of breath. Dizziness. Irregular heartbeat. Skin redness. Muscle pain. Feeling cold. What are the precautions for using Metformin? The following precautions should be taken when using this medication: Metformin can rarely cause a serious condition called lactic acidosis, so the doctor should be informed if the patient has kidney diseases. The doctor should be informed if the patient has a history of heart attack, stroke, or diabetic ketoacidosis. The patient should inform the doctor if they are going to undergo surgery. The doctor should be informed if the patient plans any X-ray procedures involving contrast dye, especially if the patient has liver disease or heart failure, as they may need to stop taking Metformin before the procedure and wait 48 hours before restarting. The patient should inform the doctor if they have recently had a serious infection, severe diarrhea, vomiting, fever, or if they have been drinking less fluids than usual for any reason, as they may need to stop Metformin until recovery. The patient should stop taking Metformin and contact the doctor immediately if symptoms appear, such as: Severe fatigue or weakness. Severe nausea. Severe vomiting. Stomach pain. Loss of appetite or shortness of breath. Skin redness. Muscle pain. Feeling cold, especially in the hands or feet. What are the drug interactions of Metformin? The patient should inform the doctor of all medications they are taking, whether prescription, over-the-counter, herbal, or dietary supplements. Some medications increase the risk of lactic acidosis when taken with Metformin; therefore, the patient should inform the doctor if they are taking the following: Acetazolamide. Dichlorophenamide. Metazolamide. Topiramate. Zonisamide. What are the doses of Metformin and methods of use? When should Metformin be taken? The medication is used as follows: Oral solution: Usually taken with meals once or twice daily. Immediate-release tablets: Taken with meals two or three times a day. Extended-release tablets: Usually taken once daily with the evening meal. The doctor typically starts the patient on the lowest effective dose of Metformin and gradually increases the dose once every week or two at most. The patient needs to monitor blood sugar levels continuously so the doctor can evaluate the effectiveness of Metformin. Metformin can be given to prevent type 2 diabetes at a dose of 850 mg orally per day, which can be increased to 850 mg every 12 hours. Adult doses: Immediate-release tablets or oral solution: Start with 500 mg every 12 hours, or 850 mg once daily with meals. The dose can be increased every two weeks to reach the maintenance dose, which is 1500 to 2550 mg per day, taken orally divided every 8 to 12 hours with meals. The maximum dose should not exceed 2550 mg per day. Extended-release tablets: The initial dose is 500 to 1000 mg once in the evening, and the dose can be increased by 500 mg per day each week, not exceeding 2000 mg per day. Doses for children aged 10 to 16 years with type 2 diabetes: Immediate-release tablets or oral solution: Start with 500 mg every 12 hours, increasing by 500 mg weekly, not exceeding 2000 mg per day divided. Extended-release tablets: Due to limited information on the efficacy and safety of extended-release Metformin in children under 17, it should not be used. Adjusting the dose of Metformin: First: In case of liver impairment: Avoid using Metformin due to the risk of lactic acidosis. Second: In case of kidney impairment: Measure Glomerular Filtration Rate (GFR) before starting Metformin: If GFR is less than 30 ml/min/1.73 m2, Metformin is contraindicated. If GFR is 30-45 ml/min/1.73 m2, starting Metformin is not recommended. If the patient is at risk of renal failure, GFR should be checked annually or less frequently. If GFR drops below 45 ml/min/1.73 m2 during treatment, evaluate the benefit of continuing versus stopping. If GFR drops below 30 ml/min/1.73 m2, the medication should be discontinued. What are the pharmaceutical forms of Metformin? Tablets: 850 mg, 500 mg Storage: Metformin should be kept in its original container, tightly closed, and kept out of reach of children. Store at room temperature away from light, excessive heat, and humidity.