Glucophage (500mg) 50 Tablets

Glucophage (500mg) 50 Tablets

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  • Manufacturer Merck Serono Ltd.
  • Generic Name Metformin

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Product Information

  • Description
  • Ingredients
  • Drug Class
  • Dosage Form
  • Uses
  • Dosage
  • In case of Overdose
  • Missed Dose
  • How To Use
  • When Not to Use
  • Side Effects
  • Precautions & Warnings
  • Drug Interactions
  • Storage/Disposal
  • Description

    Metformin is a widely used medication for treating Type 2 diabetes. It belongs to the biguanide class of drugs and works by reducing glucose production in the liver and increasing glucose uptake and utilization in peripheral tissues. When metformin reaches the liver, it reduces the activity of the hormone glucagon-like peptide-1 (GLP-1), which stimulates glucose production. This reduces the stimulation of glucose production further decreased by metformin increasing the uptake of glucose by liver cells for energy. It also increases insulin sensitivity in peripheral tissues like muscle and fat tissue, making cells more effective at taking up glucose and utilizing it for energy. Overall, metformin's primary effect is to reduce hyperglycemia or elevated blood glucose levels in Type 2 diabetes by working in the liver and peripheral tissues. Additionally, it has been studied for its potential effects on body weight and obesity, including activating mitochondria, inhibiting digestive enzymes, and modulating the gut microbiome. However, it's essential to use metformin alongside lifestyle interventions like diet and exercise for better glycemic control in managing Type 2 diabetes.

  • Ingredients

    Metformin
  • Drug Class

    Biguanide

  • Dosage Form

    Tablet
  • Uses

    Unveiling its multifaceted uses and transformative applications as follows:

    • Metformin 500mg is used to improve glucose (sugar) tolerance in patients with type 2 diabetes mellitus.
    • It is also used in the treatment of polycystic ovary syndrome (PCOS) in women who do not respond to the usual treatment.
    • It works by reducing glucose absorption from the intestine, reducing glucose production in the liver, and increasing the body's sensitivity to insulin in the periphery.
    • Common side effects are nausea, vomiting, abdominal pain, reduced appetite, and weight loss.
    • Metformin is also a good complement to many dietary supplements and weight-loss regimens.
    • In addition to its use in diabetes, Metformin has been studied in other conditions, such as dementia and cardiovascular disease, where it may have potential benefits.
    • It is also sometimes used as an off-label medication for weight loss in overweight and obese individuals, as it can reduce appetite and lower body weight.
  • Dosage

    Tailoring Treatment for Optimal Health, Prescribed Medication Dosage is:

    • For type 2 diabetes-

    • Starting dose is 500-850mg once or twice per day with meals.

    • For gestational diabetes-

    • Starting dose is 500mg-1,000mg per day with meals.

    • For polycystic ovary syndrome (PCOS)-

    • Starting dose is 500mg-1,500mg per day with meals.

    • For weight loss-

    • Typical dose is 500mg-2,000mg per day with meals.

  • In case of Overdose

    Metformin is a drug that assists in treating type 2 diabetes by lowering blood sugar levels. An overdose of this drug can be very dangerous and can potentially be fatal. In the case of an overdose, the victim's blood sugar levels may drop to a dangerous low, resulting in symptoms like confusion, seizures, hypothermia, and even coma. It is imperative to seek immediate medical attention to treat these effects and prevent long-term damage or even death.Treatment for Metformin overdose may include intravenous (IV) fluids to normalize the blood glucose levels, as well as medications like glucose or sodium bicarbonate. In more severe cases, hospital admission for close monitoring and additional treatment may be required until symptoms improve. The victim will also be treated for any symptoms resulting from the low blood sugar, such as seizures or hypothermia.

  • Missed Dose

    It is important to adhere to your prescribed medication schedule for Metformin, but if you miss a dose, there are certain steps you can take to address the situation. Firstly, it is advisable to contact your doctor or pharmacist for immediate guidance. They may suggest that you take the missed dose as soon as possible, unless it is almost time for your subsequent scheduled dose. In this case, it is best to skip the missed dose and continue with your regular dosage schedule. It is critical to avoid doubling up on doses to make up for the missed one, as this can result in dangerously high levels of the drug in your system. It is also important to monitor your blood sugar levels and notify your healthcare provider of any symptoms that may arise. Note, this advice is generic in nature, and it is vital to consult with medical professionals for personalized guidance suited to your specific medical history and condition.

  • How To Use

    Before taking Metformin 500mg, you must read the medication guide provided by your pharmacist. Swallow the tablet whole with water and take it with a meal or right after a meal to reduce the risk of an upset stomach. Consuming this medication with food is essential to reduce the risk of side effects. If you miss a dose, take it as soon as possible. If it is close to the next dose, skip the missed dose and return to your regular schedule. While taking Metformin, diabetics should check their blood sugar levels regularly and keep a record of the results to share with the doctor. Notify your doctor if you experience any side effects. You may need to gradually reduce the medication over time and not abruptly stop it. If you are pregnant or plan to become pregnant or are breastfeeding, talk to your doctor before taking Metformin.

  • When Not to Use

    Discerning instances where this medication may not be appropriate:

    • Hypoglycemia (low blood sugar)
    • Ketoacidosis
    • Acute kidney injury or decreased kidney function
    • Liver disease or disease of the pancreas
    • Excessive alcohol consumption
    • Pregnancy or breastfeeding
    • As always, it's essential to consult a licensed physician for specific advice regarding metformin usage.
  • Side Effects

    Unraveling the side effects lurking behind this medications are as follows:

    • Blood sugar imbalances
    • Nausea, vomiting, and diarrhea
    • Stomach discomfort and indigestion
    • Metallic taste in the mouth
    • Weight loss
    • Increased risk of lactic acidosis
    • Kidney problems
    • Disorientation and reduced alertness due to low blood sugar
    • Eye problems
  • Precautions & Warnings

    Here are some essential warnings and precautions to consider:

    • Patients with risk factors for lactic acidosis, stable chronic heart failure, or prerenal azotaemia should use the medication with caution, as these conditions may exacerbate potential risks.
    • Those with mild to moderate renal impairment need to be monitored closely while using this medication.
    • It is important to be cautious with children and elderly patients. The medication should be avoided during pregnancy and lactation unless advised by a healthcare provider.
    • This medication is not indicated for use in patients with type 1 diabetes mellitus or diabetic ketoacidosis.
    • Special care should be taken for patients undergoing surgical procedures, and it may need to be discontinued or adjusted as per the surgical requirements.
  • Drug Interactions

    Drug interactions with metformin include:

    • Insulin and other antidiabetic agents (e.g., sulfonylureas) (may increase risk of hypoglycemia)
    • Diuretics (e.g., furosemide) (may increase risk of lactic acidosis)
    • Renal impairment (may require dose adjustments)
    • NSAIDs (e.g., ibuprofen) (may increase risk of renal impairment)
    • Contrast agents (e.g., iodine-based contrast media) (may increase risk of lactic acidosis)
    • Alcohol (may enhance effects on blood glucose levels and increase risk of lactic acidosis)
    • Certain antihypertensives (e.g., ACE inhibitors) (may affect blood glucose levels)
  • Storage/Disposal

    Metformin is a drug that helps alleviate symptoms of type 2 diabetes by reducing blood sugar levels and increasing the body's sensitivity to insulin. It is a biguanide-class drug and is typically ingested in the form of a tablet or extended-release capsule, usually with meals. To ensure the medication remains effective, you should follow storage instructions carefully, as different formulations may have specific requirements. In general, Metformin should be kept in a cool, dry place, away from heat, moisture, and humidity. It is best to store the medication at room temperature, between 59 degrees Fahrenheit and 86 degrees Fahrenheit (15 degrees Celsius and 30 degrees Celsius). Metformin should be kept out of reach of children and pets and not be frozen or kept in the bathroom due to high humidity levels. It is also important to periodically check the expiration date on the medication and discard it if it has expired. Finally, to protect it from direct sunlight, keep the medication in a cupboard, drawer, or shelf away from direct sunlight.

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