Glucophage (Metformin) 500 mg
Glucophage (Metformin) 500 mg
Generic Name: metformin (met FOR min)
Brand Names: Fortamet, Glucophage, Glucophage XR, Glumetza. Riomet
What is Glucophage?
Glucophage is used together with diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus.
You should not use Glucophage if you have severe kidney disease, metabolic acidosis, or diabetic ketoacidosis (call your doctor for treatment).
You may develop lactic acidosis, a dangerous build-up of lactic acid in your blood. Call your doctor or get emergency medical help if you have unusual muscle pain, trouble breathing, stomach pain, dizziness, feeling cold, or feeling very weak or tired.
Before taking this medicine
You should not use Glucophage if you are allergic to metformin, or if you have:
- severe kidney disease; or
- metabolic acidosis or diabetic ketoacidosis (call your doctor for treatment).
If you need to have surgery or any type of x-ray or CT scan using a dye that is injected into your veins, you will need to temporarily stop taking Glucophage. Be sure your caregivers know ahead of time that you are using this medication.
Tell your doctor if you have ever had:
- kidney disease (your kidney function may need to be checked before you take this medicine);
- high ketone levels in your blood or urine;
- heart disease, congestive heart failure;
- liver disease; or
- if you also use insulin, or other oral diabetes medications.
You may develop lactic acidosis, a dangerous build-up of lactic acid in your blood. This may be more likely if you have other medical conditions, a severe infection, chronic alcoholism, or if you are 65 or older. Ask your doctor about your risk.
Follow your doctor’s instructions about using this medicine if you are pregnant. Blood sugar control is very important during pregnancy, and your dose needs may be different during each trimester of pregnancy. Tell your doctor if you become pregnant while taking Glucophage.
Metformin may stimulate ovulation in a premenopausal woman and may increase the risk of unintended pregnancy. Talk to your doctor about your risk.
You should not breast-feed while using this medicine.
Glucophage should not be given to a child younger than 10 years old. Glucophage XR is not approved for use by anyone younger than 18 years old.
How should I take Glucophage?
Take Glucophage exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.
Take Glucophage with a meal, unless your doctor tells you otherwise. Glucophage XR is taken only once daily with the evening meal. Follow your doctor’s instructions.
Do not crush, chew, or break an extended-release tablet. Swallow the tablet whole.
Glucophage XR tablet are made with a shell that is not absorbed or melted in the body. Part of this shell may appear in your stool. This is normal and will not make the medicine less effective.
Low blood sugar (hypoglycemia) can happen to everyone who has diabetes. Symptoms include headache, hunger, sweating, irritability, dizziness, nausea, fast heart rate, and feeling anxious or shaky. To quickly treat low blood sugar, always keep a fast-acting source of sugar with you such as fruit juice, hard candy, crackers, raisins, or non-diet soda.
Your doctor can prescribe a glucagon emergency injection kit to use in case you have severe hypoglycemia and cannot eat or drink. Be sure your family and close friends know how to give you this injection in an emergency.
Blood sugar levels can be affected by stress, illness, surgery, exercise, alcohol use, or skipping meals. Ask your doctor before changing your dose or medication schedule.
Glucophage is only part of a complete treatment program that may also include diet, exercise, weight control, regular blood sugar testing, and special medical care. Follow your doctor’s instructions very closely.
Your doctor may have you take extra vitamin B12 while you are taking metformin. Take only the amount of vitamin B12 that your doctor has prescribed.
Store at room temperature away from moisture, heat, and light.