Less likely to increase body weight (in fact body weight may decrease while on metformin), in contrast to many other medications used for diabetes, including sulfonylureas and insulin. Metformin is famous for causing stomach upset, diarrhea, nausea and bloating.  Symptoms of lactic acidosis appear suddenly and include muscle pain and cramping, fast and shallow breathing, stomach pain, and unusual sleepiness. Â. Metformin is a prescription drug that successfully treats type 2 diabetes. Still, the weight loss method thats most recommended by doctors is a combination of a healthy diet and exercise. Metformin may be used to treat Type 2 diabetes. Â. While some degree of metformin’s side effects can’t be helped, Marcey Robinson, MS, RD, CSSD, CDE, BC-ADM, co-founder of Achieve Health & Performance, says there are actually several things doctors can do when prescribing metformin to ensure patient adherence.However, she says, many physicians simply don’t.The first issue, Robinson told Healthline, is that there are two types of metformin to choose from: regular and ext… Metformin is the preferred therapy for people with Type 2 diabetes without any contraindications. Diarrhea, nausea, flatulence, indigestion, headache, lack of energy, and taste disturbance are the most commonly reported side effects. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. These side effects can be miserable and will make you hate metformin. Dosages may vary between individuals. There are a few brand-name only versions of metformin (Glumetza, Fortamet, Riomet, etc.) Other brands: Glucophage, Glumetza, Fortamet, Glucophage XR, ... +2 more, Trulicity, Victoza, Lantus, Tresiba, Levemir, Basaglar. The road to weight loss varies from person to person. Common medications that may interact with metformin include: Note that this list is not all-inclusive and includes only common medications that may interact with metformin. It lowers the amount of sugar your body makes or absorbs, and allows you to use your body's natural insulin better. It also decreases the amount of glucose made by the liver and decreases the absorption of glucose from the intestine. There is no problem using metformin in an empty stomach. Want some quick and easy diabetes-friendly snacks? Metformin may need to be temporarily discontinued in people with restricted food or fluid intake because continued use may increase the likelihood of dehydration, low blood pressure, and kidney damage.  Remember that extended-release medications should not be split or crushed.  The generic metformin that is found on many $4 lists at pharmacies is considered “immediate release.”  There is another formulation called Metformin ER (also around $4) which works more slowly throughout the day than regular metformin. Lactic acidosis: This is the result of a metabolic complication from the accumulation of metformin. Data sources include IBM Watson Micromedex (updated 7 Dec 2020), Cerner Multum™ (updated 4 Dec 2020), ASHP (updated 3 Dec 2020) and others. available which have even less GI related problems, but they are quite a bit more expensive and will likely have a higher insurance co-pay.  It is widely accepted by healthcare professionals across the globe as the best drug to use first when treating type 2 diabetes. Just like with most medications, there are good and bad side effects in using metformin. Treatment is combined with diet and exercise.  The most common starting dose is 500 mg/day. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use metformin only for the indication prescribed.  Metfomin then comes in to tell the liver to chill out and stop making so much glucose. Metformin will not be recommended if your kidney function has declined to a certain level. 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