Product info: Diabetes
Generic Glucophage (METFORMIN) is used to treat a type of diabetes mellitus (sugar diabetes) called type 2 diabetes. With this type of diabetes, insulin produced by the pancreas is not able to get sugar into the cells of the body where it can work properly.
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Special warnings about Glucophage
Before you start therapy with Glucophage, and at least once a year thereafter, your doctor will do a complete assessment of your kidney function. If you develop kidney problems while on Glucophage, your doctor will discontinue Glucophage. If you are an older person, you will need to have your kidney function monitored more frequently, and your doctor may want to start you at a lower dosage.
You should not take Glucophage for 2 days before and after having an X-ray procedure (such as an angiogram) that uses an injectable dye. Also, if you are going to have surgery, except minor surgery, you should stop taking Glucophage. Once you have resumed normal food and fluid intake, your doctor will tell you when you can start drug therapy again.
Avoid drinking too much alcohol while taking Glucophage. Heavy drinking increases the danger of lactic acidosis and can also trigger an attack of low blood sugar.
Because poor liver function could increase the risk of lactic acidosis, your doctor may decide to check your liver function before prescribing Glucophage and periodically thereafter. If you develop liver problems, your doctor may stop treatment with Glucophage.
If you are taking Glucophage, you should check your blood or urine periodically for abnormal sugar (glucose) levels. Your doctor will do annual blood checks to see if Glucophage is causing a vitamin B12 deficiency or any other blood problem.
Glucophage does not usually cause hypoglycemia (low blood sugar). However, it remains a possibility, especially in older, weak, and undernourished people and those with kidney, liver, adrenal, or pituitary gland problems. The risk of low blood sugar increases when Glucophage is combined with other diabetes medications. The risk is also boosted by missed meals, alcohol, and excessive exercise. To avoid low blood sugar, you should closely follow the diet and exercise plan suggested by your doctor.
If your blood sugar becomes unstable due to the stress of a fever, injury, infection, or surgery, your doctor may temporarily take you off Glucophage and ask you to take insulin instead.
You should stop taking Glucophage if you become seriously dehydrated, since this increases the likelihood of developing lactic acidosis. Tell your doctor if you lose a significant amount of fluid due to vomiting, diarrhea, fever, or some other condition.
The effectiveness of any oral antidiabetic, including Glucophage, may decrease with time. This may occur because of either a diminished responsiveness to the medication or a worsening of the diabetes.
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Compare Glucophage with other medications for the treatment of:
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