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Risk factors for metformin-associated lactic acidosis include renal impairmentconcomitant use of certain drugsegcarbonic anhydrase inhibitors such as topiramateage 65 years old or greaterhaving a radiological study with contrastsurgery and other procedureshypoxic statese.gacute congestive heart failureexcessive alcohol intakeand hepatic impairmentif metformin-associated lactic acidosis is suspectedimmediately discontinue.
Hypoglycemialow blood glucoseis less likely to occur when Glucophage is taken aloneHypoglycemia may occur when Glucophage is taken in combination with insulinsulfonylurea agentsPrandinor StarlixSulfonylurea agentsPrandin and Starlix are other types of diabetes pills
CommentsMetforminif not contraindicatedis the preferred initial pharmacologic agent for treatment of type 2 diabetes mellitusImmediate-releaseTake in divided doses 2 to 3 dosage prednisone in humans, dosage prednisone in humans, dosage prednisone in humans, dosage prednisone in humans, dosage prednisone in humans, dosage prednisone in humans. times a day with mealstitrate slowly to minimize gastrointestinal side effectsIn generalsignificant responses are not observed with doses less than 1500 mg/dayExtended-releaseTake with the evening mealif glycemic control is not achieved with 2000 mg once a daymay consider 1000 mg of extended-release product twice a dayif glycemic control is still not achievemay switch to immediate-release product.
UseTo improve glycemic control in adults with type 2 diabetes mellitus as an adjunct to diet and exercise.
UseTo improve glycemic control in adults with type 2 diabetes mellitus as an adjunct there shortage alli. to diet and exercise.
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likewise if patient is experiencing diabetic ketoacidosis glucophage must not be taken.