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Later, your doctor may want you to take or mg two to three times a day with meals. At first, mg a day. Your doctor may increase your dose by mg every week if needed until your blood sugar is controlled.
Children 10 to 16 years of age—At first, mg two times a day taken with the morning and evening meals. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses. Keep out of the reach of children. Do not keep outdated medicine or medicine no longer needed. Ask your healthcare professional how you should dispose of any medicine you do not use.
Before Using TOP In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered: Allergies TOP Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies , such as to foods, dyes, preservatives, or animals.
For non-prescription products, read the label or package ingredients carefully. 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. Please check with your physician before making any new changes in your diet.
For more information on metformin, please see: I am on metformin and my doctor is a holistic devotee so he has me take vitamins and supplements. Do you have any advice about this? The effectiveness of vitamin and mineral supplements are very patient-specific.
Why does my metformin have an odor? I never noticed this before. Only recently within the last month or so, have I noticed this. Metformin is used to help control blood sugar levels in patients with type 2 diabetes.
A recent report in a medical journal indicates that the pills have an odor to them. Pharmacists and other people who take the drug have reported that metformin smells like dead fish, tires, or smelly sweat socks.
If you have concerns about the smell or it effects your ability to take the medication, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action.
I take mg of metformin twice a day, and there is this horrible fishy smell from the medication, which makes me wonder what's wrong with it? The article suggests that manufacturers could add a coating to the pill to prevent the odor. If you have concerns about the smell or it affects your ability to take the medication, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action.
Why does my metformin have a fishy smell? Is it still good? Why does my metformin medication smell? I take 1, mg metformin ER morning and at night. I have noticed an odor. Is it ok to take It? I only smell it if I put my nose to the bottle. Why does metformin smell bad?
Does metformin have a fishy smell, or is it a sign that it's bad and should be thrown out? The metformin I take sometimes when I get it refilled, it smells like fish. Is it still safe to take and effective? A recent report in a medical journal 1 indicates that the pills have an odor to them. Why does metformin smell like fish? Researchers have recently discovered that the popular Type 2 diabetes drug metformin brand names Glumetza, Riomet, Glucophage, Fortamet, and others has a distinctive scent that, for some people, is enough to cause them to stop taking it.
But as the most widely prescribed diabetes drug in the United States, metformin plays an important role in helping people with Type 2 diabetes control their blood glucose levels. Why does metformin smell? But as the most widely prescribed diabetes drug in the United States, metformin plays an important role in helping people with Type 2 diabetes control their blood glucose levels, and experts have suggested several solutions for dealing with the medicine.
Regarding metformin, is it a problem if it smells like fish? Why does metformin have a bad, fishy odor? Is it safe to continue to take? I have had no problems with the drug besides a slight stomach upset at first. Why does metformin have a bad, fishy odor But as the most widely prescribed diabetes drug in the United States, metformin plays an important role in helping people with Type 2 diabetes control their blood glucose levels, and experts have suggested several solutions for dealing with the medicine Q: Does metformin have a suitable relacement that doesn't smell and is as cheap?
Some reports indicate that some metformin pills have more odor than others. There are a number of different medications used to treat type 2 diabetes. It works by decreasing the amount of sugar your liver releases and by helping your body to use its own available insulin more efficiently. Other options include the following: This can lead to low blood sugar levels and weight gain.
These drugs can cause upset stomach, gas, and diarrhea. And are other, less odorous options available? Many patients and pharmacists have noticed that metformin glucophage has a fishy odor.
An article in a medical journal states that there appears to be no correlation with the odor of fish associated with metformin and the effectiveness of the medication. It also appears that the fishy odor is seen with the immediate release metformin and not the extended release formulation.
If the smell is extremely offensive to you, talk with your physician to see if the extended release tablets would be an appropriate option. Always store your medications as specified by the storage requirements and do not take expired medications. Click here for additional information provided by Everyday Health regarding diabetes. Why does metformin smell so bad? Does Glucophage smell better? Glucophage is used to help control blood sugar levels in patients with type 2 diabetes. Researchers say the odor varies between generic versions of metformin and seems to be more apparent with the immediate-release form of the drug.
A film-coated, extended-release formulation of metformin may be a good alternative. If you have concerns about the smell or if the odor affects your ability to take the medication, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. My doctor has prescribed another medicine to go with it and it has helped a lot, although I am still craving food in the What is another drug that takes the place of metformin and does not make me crave food or sweets?
It does not usually cause blood sugar levels to go low called hypoglycemia , but if you take other medications for diabetes, drink large amounts of alcohol, exercise heavily, or do not eat enough calories, hypoglycemia may occur.
To raise your blood sugar, eat a quick source of sugar, such as glucose tablets, table sugar, honey, candy, or fruit juice. To help prevent low blood sugar, eat meals on a regular schedule, and do not skip meals. The reverse effect, high blood sugar levels or hyperglycemia, can also occur with metformin and can have the symptom of frequent urination.
It may mean that your dose needs to be adjusted. There are a number of different types of medication used to treat type 2 diabetes.
Depending on your blood sugar levels, your doctor may prescribe one or more medications to help control your blood sugar.
Can you please tell me which brand of generic metformin performs the best? I'm sure there is a big difference in absorbability and performance, and I'm sure there is some kind of rating system.
It is available by several manufacturers as a generic drug. All generic drugs have the same dosage, intended use, effects, side effects, route of administration, and strength as the brand name drug. Food and Drug Administration requires that generic drugs be as safe and effective as brand name drugs. Generic versions of a drug often look different from the original brand medication.
This is because trademark laws in the United States do not allow the generic drugs to look exactly like the brand name product. Importantly, the active ingredients are the same in both preparations to ensure that the effect on the body is the same.
Concerns are often raised about the quality of generic drugs because they are often substantially less expensive than the brand name drugs. Generic drugs are less expensive because the generic manufacturers do not have to spend substantial money on research, development, and marketing of the drug.
My metformin smells like fish. What does this mean? The metformin drug, why does it smell like fish. It didn't smell like that before. Also like everything you put in your body that's strong is going to come through your body, right! Any alternatives for metformin available? Metformin Glucophage is unique in the way it works. Other alternatives exist for metformin, but will not work the same way. Unfortunately, it is the only one in this class.
The way that metformin works is that it decreases the amount of sugars glucose that the body absorbs from food. Other options to metformin include sulfonylureas examples: All of these medications work in different ways and are more appropriate based on individualized needs, the severity of diabetes, side effects and patient response. Also, various therapies are either less expensive or more expensive than metformin. I have included a few links for more information about diabetes and treatment options.
Why does metformin smell fishy? There have been complaints from patients that take metformin Glucophage about an odor that has been described as fishy. The exact reason for this is unknown but is likely due to the products that are in the tablets.
Some patients feel that the smell is only in the immediate release metformin and not the extended release formulation. An article in a medical journal states that there does not seem to be any correlation with the fish smell and how well the medication works.
If the smell is extremely unpleasant to you, talk with your physician to determine if changing to the extended release formulation would be an appropriate therapy option for you.
Why does the metformin smell so bad? Patients and pharmacists have reported a fishy smell associated with metformin Glucophage. It appears that this is most commonly seen in the immediate release formulation of the medication and not in the extended release tablets. It is stated in a journal article that the fish smell is not related to the effectiveness of the medication.
If the smell is extremely offensive to you, contact your physician to ask if the extended release metformin is an appropriate treatment option for you. Why does Glucophage have such an odor? It has not been determined what is the exact cause of the odor of Glucophage metformin. Some generic products do not have the smell as much as others do. It all depends on the different binders that the company decides to use. Binders are found in every tablet and are used to hold the tablet together.
While the amount of the medication must remain constant regardless of manufacturer, the binders can vary. If the odor is causing you to not take your medication, you may want to consider trying a different pharmacy to see if they carry a manufacturer with tablets that do not have an odor. Thank you for submitting your question to Everyday Health. Metformin Glucophage is often described as having an unpleasant, fishy odor but does that mean its spoiled or unsafe?
This odor does not affect the effectiveness of the product. Does metformin urine smell? Metformin Glucophage is used to help control blood sugar levels in patients with type 2 diabetes. There are also reports of smelly urine in patients who take metformin. My mom's metformin has a fishy foul odor.
The pharmacist and doctor says it's okay. My mom said it never smelled until months ago. Her doctor said to take one instead of two pills.
The pills are mg. Metformin Glucophage has been reported to have a fishy smell by both patients and pharmacists. According to a clinical journal article, there are no correlations between the smell of the medication and how well the medication works. It has also been reported that the smell seems to be most commonly seen with the immediate release metformin and not the extended release metformin tablets. Your mom may want to consult with her physician to determine if the extended release formulation would be an appropriate treatment option for her.
Pain in the muscles and dizziness has also been reported in patients. Please have your mom talk to her physician for further guidance regarding the possible side effects she is experiencing.
Dosing of metformin should be done based on her blood sugar levels. Her physician can provide further information about the decision to lower her dosage of the medication. Why does my diabetes drug smell? Is it spoiled or unsafe? One of the diabetes medications that is notorious of having the foul odor is metformin. Metformin is an oral diabetes medicine that helps control blood sugar levels. There can be a smell with some forms of metformin that is often described as a fishy odor or a locker room odor.
This smell is an unpleasant quality of the drug itself and does not affect how it works. The smell varies among generic products, so it may be more noticeable with some generics than others. It seems to be less noticeable with the extended-release formulations.
Most patients are able to tolerate the odor. However, if it is extremely bothersome to you, talk to your doctor or pharmacist. It may simply be a matter of finding a different generic product and your pharmacist can help you with that.
If you find that none of the generics are acceptable to you, consult your doctor to see if an extended-release product may be appropriate for you. Do not stop taking your medication without talking to your doctor first.
Your health care provider is best able to guide your treatment decisions based on your specific circumstances. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications. I'm on metformin mg twice a day but right after I take it, I get so sleepy that my brain shuts down. This is not a normal side effect of this medication, according to the prescribing information.
This is a symptom that you should report to your physician to be sure that there is no underlying health condition that is causing the issue. This could be a sign of blood sugar level issues, or a rare side effect known as lactic acidosis. Symptoms of lactic acidosis include: Feeling extremely tired or weak; Muscle pain; Trouble breathing; Abdominal pain or stomach pain ; Feeling cold cold or blue hands and feet ; Dizziness or lightheadedness; A slow or irregular heartbeat; Persistent nausea, vomiting, and abdominal pain; Shortness of breath.
If you are experiencing any of these side effects it should be reported to your physician as soon as possible. I have been told I am a type 2 diabetic and have been taking metformin mg three time a day. Is the medication helping to increase or lower my blood sugar levels?
If you have diabetes, your body has problems producing or utilizing insulin. Insulin is a hormone that is produced by your pancreas. Your body breaks down the food you eat into a form of sugar known as glucose.
Insulin is required to convert this glucose into the energy your body needs to grow and perform the activities of daily life. Diabetes is diagnosed with a simple blood test that measures the level of glucose in your blood, either while you are fasting using the fasting plasma glucose test, or FPG or two hours after drinking a sugary drink using the oral glucose tolerance test, or OGTT. Type 2 diabetes accounts for 90 to 95 percent of all diabetes cases. In type 2 diabetes, the body uses insulin ineffectively, which is called insulin resistance.
Over time, insulin resistance causes a decrease in insulin production, which leads to a build-up of glucose in the blood. When is the best time to take mg of metformin ER, morning or evening?
Metformin ER is a prescription medication used to treat type 2 diabetes. It works by decreasing the amount of sugar the liver makes, as well as decreasing the amount of sugar absorbed by the body from the food you eat.
However, as long as the medication is taken at the same time everyday, you can usually choose when you would like that to be based on when you will remember to take it and where it fits into your daily schedule. For more information on metformin ER glucophage XL , click on this link: When should metformin be stopped during pregnancy?
I'm presently on 3 metformin daily. Adverse events have not been observed in animal studies; therefore, metformin is classified as pregnancy category B. Pharmacokinetic studies suggest that clearance of metformin may be increased during pregnancy and dosing may need adjusted in some women when used during the third trimester. Available information suggests that metformin use during pregnancy may be safe as long as good glycemic control is maintained; however, many studies used metformin during the second or third trimester only.
Maternal hyperglycemia can be associated with adverse effects in the fetus, including macrosomia, neonatal hyperglycemia, and hyperbilirubinemia; the risk of congenital malformations is increased when the Hb A1c is above the normal range. Diabetes can also be associated with adverse effects in the mother. Poorly-treated diabetes may cause end-organ damage that may negatively affect obstetric outcomes. Physiologic glucose levels should be maintained prior to and during pregnancy to decrease the risk of adverse events in the mother and the fetus.
Until additional safety and efficacy data are obtained, the use of oral agents is generally not recommended as routine management of gestational diabetes mellitus GDM or type 2 diabetes mellitus during pregnancy. Insulin is the drug of choice for the control of diabetes mellitus during pregnancy. For more detailed information, consult with your physician or pharmacist for guidance based on your specific condition and current medications, particularly before taking any action.
I was recently diagnosed with type 2 diabetes and I am taking metformin. My right leg has been killing me at night time early morning. What over the counter medications can I use? I thought maybe an iron defficiency could be the problem. What is a good vitamin supplement. My doctor doesn't want to give me anything but narcotics or other prescription medication.
I don't want either. Muscle pain can be a sign of a serious side effect of metformin called lactic acidosis. Muscle pain, while on metformin, should be evaluated by a medical provider. Can I buy metformin over the counter? Sarah Lewis, PharmD Q: What will happen if I drink alcohol when taking metformin?
Alcohol should be avoided when taking metformin because alcohol lowers the blood sugar and may increase the risk of lactic acidosis. Lactic acidosis occurs when there is low pH more acidic in the tissues and blood caused by a buildup of lactic acid.
This is a rare but deadly condition that is known to be caused by metformin. Your doctor should be able to determine if it is okay for you to drink alcohol and in what quantity while on metformin therapy. Does metformin go through the kidney or the liver? Metformin is eliminated from your body primarily through the kidneys.
It should not be used in patients with kidney disease because it can lead to increased levels of metformin in the body and toxicity. However, metformin should also not be used in patients with liver disease because it increases the risk of a serious side effect called lactic acidosis.
What over-the-counter antidiarrhea medication can I take with metformin? Glucophage metformin is an oral diabetes medication commonly used to control blood sugar levels for Type 2 diabetes. Common side effects for Glucophage metformin are headache, muscle pain, weakness, nausea, vomiting, diarrhea, gas, and stomach pain. This is not a complete list of the side effects associated with Glucophage metformin.
If symptoms continue, stop taking Metformin and talk to your doctor. If a child is treated with Metformin, parents and caregivers are advised to oversee how this medicine is used. This medicinal product does not require any special storage conditions. The expiry date refers to the last day of that month. Do not throw away medicines via wastewater or household waste. I got my period in January after a week or so I started discharging brown stuff.
A severe rare allergic reaction can affect the bowel wall and secondarily cause abdominal pain. Have a discussion with your healthcare professional. The material contained on this site is for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
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