Does metformin cause hair thinning? I have been taking it for four years and my hair has gotten much thinner. There are no documented reports of hair loss with the use of metformin. Here is some more information about metformin: Can you take metformin just when your blood sugar is high?
I control my diabetes with diet and exercise. When I cheat by having a piece of cake, I try to work it off exercising. According to drug information sources, metformin is dosed every day, not as needed.
When your physician decides to start you on a medication for diabetes, there are several factors that go into this. The first is what your daily blood sugar levels are. Physicians often also look at your hemoglobin A1C levels. The hemoglobin A1C levels reflect the average of your sugar levels over a prolonged time period. Another thing that must be taken into consideration is what other health conditions you have.
If you have other medical conditions, your doctor may treat your blood sugar levels more aggressively. Never change your dose of your medications without talking to your healthcare provider first. Occasionally, patients are able to decrease their diabetes medications or stop their medications after improving their blood sugar levels through diet and losing excess weight.
This should only be done under the supervision of your physician. As always, talk with your healthcare provider regarding questions you have about your medications and medical conditions.
For additional information regarding diabetes: Does metformin damage your kidneys? And is it good for people with diabetes? Glucophage metformin is used to treat type 2 diabetes. Common side effects of Glucophage include diarrhea, nausea and upset stomach. I have been taking metformin mg twice a day for the past 2 years. I understand that long-term use of this drug causes kidney problem.
Can you please explain? Upon looking at research articles and drug references, there is mention of metformin Glucophage causing lactic acidosis. Because metformin Glucophage is excreted by the kidneys, patients whose renal function kidney function is below the normal range for their age group, should not take metformin Glucophage.
The medication also should not be used in patients who are dehydrated or have pre-renal azotemia. Please keep in mind that diabetes itself can cause damage the kidneys. As always, consult your health care provider regarding your specific concerns about your medications. Below are links that provide additional information about diabetes and metformin: My doctor upped my dose of metformin from mg twice daily to mg twice daily.
Now I have diarrhea and nausea, also leg cramps. Glucophage generic name is metformin works by affecting the production of glucose that comes from digestion.
Side effects of metformin can include diarrhea, headache, nausea, and stomach gas. These side effects usually occur when the medication is first started or whenever a dose is increased. If a side effect becomes too bothersome, contact the physician. Never stop a medication without a physician's approval. Since I have started taking two mg metformin tablets, I am having breathing problems. Should I stop taking it? Studies have shown that some people have developed a life-threatening condition called lactic acidosis while taking metformin.
You may be more likely to develop lactic acidosis if you have congestive heart failure. Older adults may also have a higher risk of developing lactic acidosis. Talk with your doctor about your individual risk. The following link will provide additional information about treating diabetes. I take mg metformin, twice a day,once in the morning and again before retiring. My blood sugar readings have been high, in the 20s and down to only about 15, for quite awhile.
What do I do to get this under control? I must add that I take lots of other drugs for a heart condition. Metformin Glucophage is a common oral medication used to treat type 2 diabetes. Metformin Glucophage is usually started at a lower dose of mg twice a day and can be increased weekly by the prescribing provider. Talk to your doctor about increasing your Metformin glucophage dose if your blood sugars are elevated.
Insulin doses can also be slowly increased as needed by your doctor until blood sugars are under control. Blood sugars in the 20's or lower are very low and a patient would probably be unconscious with readings this low. Talk to your doctor about what your goal blood sugars are. There are many things that can affect blood sugar levels in patients with diabetes. One variable is the time of day that you test, especially in relation to when you last ate.
In general, it is best to test before eating or 2 hours after eating rather than immediately following a meal. The amount and type of food you eat can also have an effect.
Check food labels for the amount of carbohydrates in the foods you are eating. In genera,l the more carbohydrates a food has the higher it will raise your blood sugar. It can help to have some protein with your meals and snacks to keep your blood sugar from going as high.
For example, for a snack you could have five whole grain crackers with 1 oz of cheese or 1 tablespoon of peanut butter instead of having 10 crackers alone. Exercise and illness are two other contributors to blood sugar levels. Exercise can help lower your blood sugar lower while many illnesses can raise your blood sugar.
If you miss a dose of your diabetes medication or take more or less than prescribed, you will also notice a change in your blood sugar. It is best to keep a log of your blood sugars and note the date and time as well as when and what you last ate and if you exercised before the reading. Take this log with you to your doctor's appointments, it will help your doctor determine if any changes need to be made with your medications. Please see the following Everyday Health link for more information on diabetes and how you can control blood sugar levels.
My nails, which have always been strong and healthy, are splitting, chipping and in general a mess! Can I take something to combat this? A friend suggested biotin mg. Common side effects of Glucophage include diarrhea, nausea, and upset stomach. Other side effects reported with Glucophage use include nail disorder.
These are not all the side effects of Glucophage. For a complete list, ask your doctor or pharmacist. If you have questions or concerns, talk with your doctor or other health care provider. Does metformin cause loose stool and undigested stool? If so what can we do? The most common side effects of metformin Brands: Fortamet, Glucophage, Glucophage XR, Glumetza, Riomet are stomach-related problems such as diarrhea, mild nausea, vomiting, gas, and stomach pain.
These side effects usually only occur during the first few weeks of taking Metformin and typically improve over time.
Work with your doctor to determine the dosage and timing of Metformin that is right for you in order to minimize these side effects. These side effects are shown to be much reduced when Metformin is started at the lowest dose, usually mg a day, and then slowly increased to the recommended dosage.
An extended release version of Metformin, Glucophage XR, may also help reduce gastrointestinal problems through a slow release process. Also, diarrhea, nausea and upset stomach are greatly reduced when Metformin is taken with a meal. Lastly, it is important to reduce the amount of fats and sugars ingested while taking Metformin.
In fact, consuming a diet high in fat or carbohydrates while taking Metformin can make stomach upset or diarrhea worse. People who take Metformin with a low-carbohydrate diet find that stomach upset is minimal. If stomach upset and diarrhea persist, such symptoms can be treated with over the counter anti-diarrhea medications such as Imodium and Gas-X.
If these side effects last longer than a few weeks and do not resolve with a modified diet, consult with your doctor. I'm currently taking metformin. Why does it have a fishy smell? Can I switch to something that doesn't smell?
It has been reported in the news that some formulations of metformin have what is described as a "fishy odor" or a "locker room odor. The smell is primarily associated with the immediate-release form.
Some patients have found that holding their nose while taking the drug may help. However, others are so bothered by the smell that they cannot take the medication. If you find that the smell is bothersome to you, consult your healthcare provider. Other forms of metformin are available that have little or no smell at all, including the extended-release formulation. Your health care provider can help determine whether switching products is appropriate for you.
I feel very tired. I take metformin, mg two tablets a day. I also take vitamins and iron. My TSH is a borderline of 4. What should I do feel energetic? According to the package insert, metformin can cause a feeling of weakness. A feeling of tiredness or fatigue has many potential causes, including hypothyroidism, lack of exercise, too much stress, and trouble sleeping or poor quality of sleep. If it is the regular-release metformin, I'm thinking about asking my doctor to switch me to an appropriate dose of Januvia and the timed-release metformin Glucophage XR extended-release tablets.
Are there any problems or cautions in switching? There should not be any issue in converting to Januvia sitagliptin and Glucophage XR metformin extended release if dosed appropriately according to your physician. Any time that medications are changed from standard release to extended release, the dosing needs to be adjusted to accommodate the longer-acting nature of the extended release.
I have diabetes and take mg of metformin twice a day, but my sugar levels are creeping upward. I live in Mexico during the winter, and there is no doctor here that specializes in diabetes. If your blood sugar levels continue to increase, you should consult a physician to see if a dose adjustment or other form of metformin Glucophage, Glumetza might be warranted. Hopefully you could at least have a phone discussion with the prescribing physician if there is no local physician.
Always remember that diet, proper nutrition, and exercise are also important in controlling diabetes. I had to discontinue my metformin because of side effects and am now just taking Januvia. If my AIC levels come back within range, do I need to go back to taking metformin? I understand that it is the "first" line of defense.
My side effects were from metformin HCL. My doctor had accidentally written my RX with that instead of metformin XR. I did not seem to have bad side effects with the metformin XR. I will be back to see her within 3 months. Metformin is the first line treatment for your condition, but in cases where metformin is not tolerated, Januvia is a good second choice. In the prescribing information for Januvia, a study done with participants on weeks of initial therapy, Januvia lowered A1C levels, which were sustained over 2 years Q: How can I stop taking metformin?
Metformin is a very effective medication. I am not allowed to discuss discontinuation of therapy without your prescriber specifically instructing you to stop your medication.
However, I cannot overestimate the importance of this medication. Visit us here for more information: Does the diabetic drug metformin help with weight loss? There is information that metformin may cause weight loss but not in large amounts. It is important to note that in most studies of metformin, people did not usually gain weight. Many other diabetes medications are known to cause weight gain.
If you have an abnormal change in your weight, contact your health care provider and let them know. Is there any way to conteract the diarrhea caused by metformin? I've been on it since late January and even when I take it after eating, I have diarrhea. Oh, and I'm not eating simple carbs. Metformin may have this characteristic from stimulating too much serotonin in the gut. Try eating a Fibertab, or at least a half of one a couple of times a day.
However, as wonderful a medication metformin is, if it is affecting your quality of life, you may have to ask your provider to lower your dose. In addition, you should consider that your digestive system may be more sensitive than you had previously thought, as your physician may have mentioned, the diarrhea should have cleared up by now and it may be preventing you from absorbing certain vitamins and minerals. You may find this article useful as well: Is it true that once you get on metformin, you can never get off it?
This is a difficult question to answer because there are many variables to consider when discussing if you will stay on a medication for the rest of your life. For example, you may be changed to another medication to treat your diabetes.
However, if a patient with high sugar levels has been unable to control their sugar with diet and exercise alone, then they likely will be on some type of medication to treat the diabetes for their lifetime. Attached is a link to additional information provided by Everyday Health regarding diabetes.
How soon after one takes metformin does it act on one's blood sugar? Metformin brand name is Glucophage works within days to exert its effects on blood sugar. The maximum effect may take up to 2 weeks.
In another study, Glucophage was reported to start lowering blood sugar within 24 to 48 hours. I have included a couple of links you may find helpful. I am taking metformin to help in weight loss. Is loose stools a common side effect? Metformin Glucophage, Glumetza is an oral diabetes medication that helps control blood sugar.
Diarrhea is listed as a common reaction when taking this medication. However, side effects are patient specific. The following websites will provide additional information about taking metformin: This site is provided for informational and educational purposes only.
You may not rely on this site for professional medical advice, diagnosis or treatment, pharmacist advice or any professional service requiring licensure, registration or certification in any state.
Follow the instructions of your health care provider and read carefully all product packaging associated with any medication that is provided to you.
Medication information offered on this site is for informational purposes only and is neither independently verified nor endorsed by Everyday Health, Inc. We cannot offer any assurances that any product is safe, effective or appropriate for you.
If you are in need of medical attention, contact your physician or other health care provider or dial if you believe that you are experiencing a medical emergency. Is there a good way to counteract the laxative effect of metformin? I take mg twice a day and after over a year , I still have unpleasant side effects. According to the package insert for metformin, nausea and upset stomach are side effects of metformin that generally go away after being on the medication for some time.
Consult with your health care provider if these symptoms are not going away, appearing later in therapy or affecting your daily life. You may need to lower your dose, or stop the medication for a short period of time, or for good.
It is important to consult with your health care provider before making any changes to your medication. In recent medical literature, it has been shown that patients who were switched from metformin to extended release metformin, had fewer stomach side effects. Do Pravachol, Tenex, and Paxil interfere with my diabetes medicine? Studies suggest that there are no significant interactions between these medications. It is best to take metformin with food. Pravachol is best taken at bedtime since body makes cholesterol at night.
Beena Thomas, PharmD Q: I'm a newly diagnosed diabetic, and I've been talking metformin, 1, mg a day. When will the diarrhea stop? My doctor told me that it might take up to three months. Side effects or common reactions to individual medications such as metformin Glucophage are very patient specific. Therefore, it is not possible to determine how long your diarrhea may last. Oftentimes, it takes a few weeks for a person.
If I'm taking the slow-release version of Glumetza metformin for PCOS, can I also take calcium two hours later, or will it interfere with the absorption and effectiveness? It should be fine for you to take the calcium 2 hours after the Glumetza. The absorption and effectiveness should not be affected. Of course, it is always good to speak with your doctor before you take any over-the-counter products just to be sure that the product is right for you based on your personal medical history.
Megan Uehara, PharmD Q: What can you drink with metformin? There are no restrictions to taking metformin with any non-alcoholic beverages. Excessive consumption of alcohol may cause liver damage. Liver damage is one of the contraindications for taking metformin because it may lead to lactic acidosis.
The risk of lactic acidosis, caused by accumulation of metformin, is higher in patients with liver problems. Lactic acidosis is a rare but fatal condition in which the body produces excess lactic acid.
Symptoms of lactic acidosis are muscle pain, difficulty breathing, sleepiness, abdominal pain. If you notice these symptoms, contact your pharmacist or the prescriber immediately. Why doesn't metformin dissolve in my system? Take metformin with a meal, unless your doctor tells you otherwise. Some forms of metformin are taken only once daily with the evening meal.
Follow your doctor's instructions. It is important to use this medicine regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely. Do not crush, chew, or break an extended-release tablet Glucophage XR. Swallow the pill whole. It is specially made to release medicine slowly in the body.
Breaking the pill would cause too much of the drug to be released at one time. To be sure this medication is helping your condition, your blood will need to be tested on a regular basis.
Your kidney function may also need to be tested. It is important that you not miss any scheduled appointments. Lowell Sterler, RPh Q: Can metformin be taken with cola? According to the American Diabetes Association, diabetics should avoid or reduce sugary drinks such as sodas and drink water instead.
Drinks like cola, even diet sodas, can increase your blood sugar levels which in the long run increase your A1c levels. These drinks should be avoided or at a minimum consumed in moderation by diabetics.
Are there any issues with sunlight and taking metformin? A review of the package insert and medical literature did not show reports of sensitivity to sunlight in patients taking metformin. Another type of medication used for type 2 diabetes, called sulfonylureas drug names: There are several prescription drug products that combine metformin with a sulfonylurea, including Glucovance and Metaglip. You are encouraged to report any negative side effects of prescription drugs to your health care practitioner and the Food and Drug Administration FDA by visiting www.
For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Is it safe for a diabetic taking metformin to have an occasional alcoholic drink? Clinical studies have shown the use of alcohol with certain medications such as metformin may increase the risk of lactic acidosis. For further information, please refer to the following links.
Can I take cough medicine if I am taking metformin? Most cough medications are fine and do not interact with metformin Glucophage. The caution is to watch the sugar content of elixirs, syrups and suspensions. Also, cough medications come in a variety of active ingredients and combinations.
I have also included a link about metformin Glucophage with some information about drug interactions: When is it best to take metformin, before or after meals? As always, talk with your health care provider regarding questions you have about your prescription medications.
Jen Marsico RPh Q: Does metformin cause hives or urticaria-like symptoms after some time of usage? A rash is listed as a common reaction to or side effect from taking metformin Glucophage.
Check with your physician to see if an over-the-counter low-strength steroid cream such as hydrocortisone might help alleviate some of the rash or if you need to change drugs. Click on the following link for additional information: Is Glumetza a form of metformin? I couldn't tolerate metformin in the past. Is this medication like that? Yes, Glumetza is a brand name for metformin. There are a number of oral medications available to treat type 2 diabetes, and each class of drugs works in a different way.
Please contact your health care provider for an appropriate alternative for you. Would a high dose of metformin cause blurry vision? Blurry vision is not listed in the adverse effects section for metformin in Lexi-Comp.
This does not mean that it is not a possibility, but it is not a common adverse side effect. Keep in mind that diabetes itself can affect the eyes. Another thing to consider is if this could be a symptom of changes in blood-sugar levels. Make sure that you are checking your blood-sugar levels. Talk to your health care provider regarding your blurry vision. The following link provides information from Everyday Health regarding diabetes. Is it okay to take my entire daily dosage of metformin at same time instead of spreading it out throughout the day?
Whether you can take the entire 2, mg dose of metformin at one time depends on the dosage form you are prescribed. Generally, the immediate-release formulation is meant to be spread out during the day, in 2 or 3 doses with meals. The sustained-release or XR formulation is designed to be taken once daily with the evening meal. Consult your health care provider for specific recommendations.
I am on metformin. My AIC is 6. I don't feel like taking these anymore -- what are the consequences? I have been a diabetic for almost two years.
Can I do it with diet and exercise? It's easy to become overwhelmed by the demands of a daily diabetes management plan. Often the stress can lead to burnout, when you feel that caring for your type 2 diabetes is more than you can or want to handle. Although it's normal to have these feelings from time to time, don't let them derail your health. You can learn about ways to combat burnout at the following link: Exercise is beneficial for everyone, but it's especially important for people with type 2 diabetes.
In fact, incorporating regular exercise into your daily routine can help you get to or maintain a healthy weight, reduce blood sugar levels, and reduce stress levels.
It may even lessen your need for diabetes medications. You can find helpful information about exercise and diabetes at: Your health care provider or diabetes educator is best able to help you with your treatment choices and in developing a plan to meet your needs and goals. Do not stop or change the amount of medication you take without talking to your health care provider first. Does metformin build up in your system? How long does a dose last? Metformin has a half-life of around seven hours for a single tablet.
What this means is that one half of the medication will be metabolized and excreted after seven hours, but the entire one tablet dose will be out of your system in about 35 hours. This does not mean that you can change how you take the medication because most of the active medication is contained in the first 7 to 14 hours; what gets out of your system after that is usually the metabolites or inactive ingredients of that tablet.
For example, the dosing is usually twice a day for the non-extended release form of metformin. By taking the medication every 12 hours you keep a steady level of active medication in your system.
For more information on metformin, follow this link: Why do doctors give metformin with insulin? Taking insulin and metformin together works better at controlling blood sugar for people with type 2 diabetes than just taking insulin on its own. If you have type 2 diabetes, your pancreas doesn't make enough insulin, and the insulin your pancreas makes doesn't work properly. This means you get too much glucose in your blood. Insulin is a hormone that your body uses to keep the amount of glucose sugar in your blood steady.
Insulin is made by your pancreas, a gland that sits just behind your stomach. It's used for people who have type 2 diabetes that isn't controlled by drugs. Taking insulin and metformin together aims to combine the benefits of both treatments. Together they give you better control of your blood sugar levels. The metformin may also mean you don't need to take as much insulin.
Or is metformin usage for life in terms of controlling blood sugar? A healthy lifestyle including a healthy diet, daily activity, and exercise can help control diabetes and perhaps lessen the need for medications. Your health care provider or diabetes educator is best able to guide your treatment decisions based on your specific circumstances. Consult them about developing a plan for lifestyle changes that can help you. Can I eat grapefruit every morning? Major clinical trials have not indicated any effects between grapefruit and metformin, even though grapefruit interact with a whole host of other medications.
But there are some animal studies that have shown that the combination can lead to complications such as lactic acidosis. 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 The typical starting dosage for Fortamet is —1, mg taken once per day with your evening meal. Your doctor will increase your dose by mg every week. If glucose control is not achieved with once-daily dosing, your doctor may divide your total daily dose and have you take it twice daily.
The maximum dose of Fortamet is 2, mg per day. Child dosage ages 10—17 years Immediate-release tablets Typical starting dosage: Your doctor will increase your dosage by mg every week in divided doses. People at these ages have a higher risk of lactic acidosis. Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages.
This information is not a substitute for medical advice. Always speak with your doctor or pharmacist about dosages that are right for you. Lactic acidosis warning This drug has a black box warning. A black box warning alerts doctors and patients about drug effects that may be dangerous. Lactic acidosis is a rare but serious side effect of this drug. In this condition, lactic acid builds up in your blood. This is a medical emergency that requires treatment in the hospital.
Lactic acidosis is fatal in about half of people who develop it. You should stop taking this drug and call your doctor right away or go to the emergency room if you have symptoms of lactic acidosis. Symptoms include weakness, unusual muscle pain, trouble breathing, unusual sleepiness, and stomach pains.
They also include nausea or vomiting, dizziness or lightheadedness, and slow or irregular heart rate. Tell your doctor about the reaction right away. Low blood sugar is more likely if you drink large amounts of alcohol, do unusually heavy exercise , or do not consume enough calories from food. To help prevent low blood sugar, eat meals on a regular schedule, and do not skip meals. Check with your doctor or pharmacist to find out what you should do if you miss a meal.
Symptoms of high blood sugar hyperglycemia include thirst, increased urination, confusion, drowsiness, flushing, rapid breathing, and fruity breath odor. If these symptoms occur, tell your doctor right away. Your doctor may need to adjust your diabetes medication s.
Stop taking this medication and tell your doctor right away if this very serious side effect occurs: A very serious allergic reaction to this drug is rare.
Concerns are often raised about the quality of what drugs because they are often substantially less expensive than the brand name drugs. The hemoglobin A1C levels reflect the average of your sugar levels over a prolonged time period. This allows your pharmacist to keep a complete record of all your prescription drugs and to advise you about drug interactions and side effects. Glumetza metformin has been recalled and there is no guarantee it will 1000 available in September. This is a medical emergency that requires treatment in the hospital. I have heard you should tab break metformin tablets, but recently I was given ActoPLUSMet and was told that I can metformin it into smaller pieces with no problem. My doctor told me that it might take up to three months. My doctor had accidentally written my RX with that hcl of metformin XR. How do I take it?
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