Treating type 2 diabetes. It is used along with diet and exercise. It may be used alone or with other antidiabetic medicines.
Metformin is a biguanide antidiabetic. It works by decreasing the amount of sugar that the liver produces and the intestines absorb. It also helps to make your body more sensitive to the insulin that you naturally produce.
Do NOT use Metformin if:
you are allergic to any ingredient in Metformin
you have congestive heart failure that is treated by medicine
you have a severe infection, low blood oxygen levels, kidney or liver problems, high blood ketone or acid levels (eg, diabetic ketoacidosis), or severe dehydration
you have had a stroke or a recent heart attack, or you are in shock
you are 80 years old or older and have not had a kidney function test
you will be having surgery or certain lab procedures
Contact your doctor or health care provider right away if any of these apply to you.
Before using Metformin :
Some medical conditions may interact with Metformin. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
if you are pregnant, planning to become pregnant, or are breast-feeding
if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines, foods, or other substances
if you have a history of heart problems (eg, heart failure), lung or breathing problems, thyroid problems, stomach or bowel problems (eg, paralysis, blockage), adrenal or pituitary problems, or lactic acidosis
if you have vomiting, diarrhea, poor health or nutrition, low blood calcium or vitamin B12 levels, or anemia, or if you are dehydrated
if you have an infection, fever, recent injury, or moderate to severe burns
if you drink alcohol or have a history of alcohol abuse
if you will be having surgery or certain lab procedures
if you take a beta-blocker (eg, propranolol)
Some MEDICINES MAY INTERACT with Metformin. Tell your health care provider if you are taking any other medicines, especially any of the following:
Amiloride, cimetidine, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamterene, trimethoprim, or vancomycin because they may increase the risk of Metformin 's side effects
Calcium channel blockers (eg, nifedipine), corticosteroids (eg, prednisone), diuretics (eg, furosemide, hydrochlorothiazide), estrogen, hormonal contraceptives (eg, birth control pills), insulin, isoniazid, nicotinic acid, phenothiazine (eg, chlorpromazine), phenytoin, sulfonylureas (eg,
glipizide), sympathomimetics (eg, albuterol, pseudoephedrine), or thyroid
hormones (eg, levothyroxine) because the risk of high or low blood sugar
may be increased
This may not be a complete list of all interactions that may occur. Ask your health care provider if Metformin may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Metformin :
Use Metformin as directed by your doctor. Check the label on the medicine for exact dosing instructions.
An extra patient leaflet is available with Metformin. Talk to your pharmacist if you have questions about this information.
Take Metformin by mouth with food.
Drinking extra fluids while you are taking Metformin is recommended. Check with your doctor for instructions.
Take Metformin on a regular schedule to get the most benefit from it. Taking Metformin at the same time each day will help you remember to take it.
Continue to take Metformin even if you feel well. Do not miss any doses.
If you miss a dose of Metformin , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Metformin.
Important safety information:
Metformin may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use this medicine with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
Follow the diet and exercise program given to you by your health care provider.
Do not drink large amounts of alcohol while you use Metformin. Talk to your doctor or health care provider before you drink alcohol while you use Metformin.
Tell your doctor or dentist that you take Metformin before you receive any medical or dental care, emergency care, or surgery.
If vomiting or diarrhea occurs, you will need to take care not to become dehydrated. Contact your doctor for instructions.
Carry an ID card at all times that says you have diabetes. Check your blood sugar levels as directed by your doctor. If they are often higher or lower than they should be and you take Metformin exactly as prescribed, tell your doctor.
Metformin does not usually lower your blood sugar levels. Low blood sugar may be more likely to occur if you skip a meal, exercise heavily, or drink alcohol. It may also be more likely if you take Metformin along with certain medicines for diabetes (eg, sulfonylureas, insulin). It is a good
idea to carry a reliable source of glucose (eg, tablets or gel) to treat
low blood sugar. If this is not available, you should eat or drink a quick
source of sugar like table sugar, honey, candy, orange juice, or non-diet
soda. This will raise your blood sugar level quickly. Tell your doctor
right away if this happens. To prevent low blood sugar, eat meals at the
same time each day and do not skip meals.
Fever, infection, injury, or surgery may increase your risk for high or low blood sugar levels. If any of these occur, check your blood sugar closely and tell your doctor right away.
Metformin may commonly cause stomach upset, indigestion, nausea, vomiting, or diarrhea at the beginning of treatment. If you develop unusual or unexpected stomach problems, or if you develop stomach problems later during treatment, contact your doctor at once. This may be a sign of lactic
acidosis.
Lab tests, including kidney function, fasting blood glucose, hemoglobin A1c, and blood counts, may be performed while you use Metformin. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
Use Metformin with caution in the ELDERLY; they may be more sensitive to its effects. Low blood sugar levels may also be more difficult to recognize in the elderly.
Metformin should not be used in CHILDREN younger than 10 years old; safety and effectiveness in these children have not been confirmed.
PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Metformin while you are pregnant. It is not known if Metformin is found in breast milk. Do not breast-feed while taking Metformin.
When used for long periods of time, Metformin may not work as well. If your blood sugar has been under control and then becomes hard to manage, contact your doctor. Do not change the dose of your medicine without checking with your doctor.
Possible side effects of Metformin :
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain or discomfort; dizziness or lightheadedness; fast or difficult breathing; feeling of being unusually cold; fever, chills, or persistent sore throat; general feeling of being unwell; muscle pain or weakness; slow or irregular
heartbeat; unusual drowsiness; unusual or persistent stomach pain or
discomfort; unusual tiredness or weakness.
What is the shelf life of the pills?
The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.
Whats wrong with my brother? is he turning mental? im scared...?
Hes been changing so much so fast! he stays in his room all day, he never talks to any of us, and two days ago he told me to tell my mom to wake him up at 5:30 and i said no just call her and he said no just tell her! and i said no just call her! and he got really mad so i ran in my room and locked the door, then he kicked a HOLE in my door and i was shocked! hes never this mad and i was gonna tell my mom anyways but he got so mad! and then he went upstairs, i didnt see him at all until just 10 minutes ago, and he walked into the kitchen and i was like are you insane? you know were broke right now and now we have to buy a new door! you do realize this isnt our house?! and he was like shut the f*ck up you little bitch and hit me so hard in the back, it hurt and i can feel a bruise coming on my back and im so shocked cause he has never actually hit me he just scares me away, he didnt go to school today and he just stayed in his room for two days after he broke the door so i didnt see him at all, hes 17 turning 18, and i dont think its drugs since hes not really in the popular crew of kids, he doesnt have many friends so where would he get the drugs? he has never even had a girlfriend, hes not bad looking but hes just quiet and unpopular. im so shocked, hes so different, what could it be? some mental thing or what? i cant talk to my parents about it cause they never believe me theyre just like oh relax, hes probably just worried about school. oh and he gets really good grades so why would he risk that for drugs?
ive been crying about this, he just isnt the same old brother i used to have...
he doesnt have any good friends here, he does on iceland but we moved from there 2 years ago
How do you like this rap song I'm writing?
I'm still going to write two more verses to this. Let me know what you honestly think. Thanks
I'm going to be using this instrumental when I record:
http://www.youtube.com/watch?v=WpeXpd6qsCE
Ted was misled as a child
He watched him Mom shoot up and Dad his walk out
Without anyone to talk about how he felt he bowed his head
Wishing for a day where he could fly instead of drown
He’d cry to his Mom to please put the pipe down
She’d reply life’s too stressful and this is my way out
He witnessed fist full of pills make their way into her mouth
One day he tried to take them away but she just hit em and shouted
You little prick! How dare you throw my last fix out
She packed Teds bags n threw him out of the house
Told him a sixteen old boy can find his own joy now
But it was cold in the south of Detroit, his pain numbed from the frost
He wasn’t even employed, he became homeless and lost
He turned thief to fill voids, showing chrome when crossed
Pursuing reefer and pills avoiding the home that he lost
He’d light his blunt up and sing his moms same song
(Chorus)
Ted began to deal anything he got his hands on
Started sniffing yayo so he could remain calm
Living selling Cane stones killing Able pained domes
Feeling hateful through the rain he drained alone
A stain was grown that then changed his love for life
He took drugs every night in spite with thugs despite
The flood raising its height, He started losing his light
Inside his mind he was moving the right way
But that was just addiction taking hold of his plays
His mind became molded like clay not to stay sober
Now instead of getting paid he was just a heavy smoker
All ways ready to dust a boulder,
Thinking about his mom, **** someone must have told her by now
That he was addicted to crack, but now smack was on his mind
So he went out and bought a needle, a lethal injection
Because people told him it’d make him feel peaceful
Being needful he filled it up with heroin
His vessels started narrowin then he heard the devil echoin
(Chorus)
How do you convince your parents to let you buy an inappropriate M game (Saints Row 3)?
Back in November my parents let me sign up for the Game fly free trial for my school's Thank's Giving break. The main thing I wanted from gamefly was Saints Row 3, since I'm in to the more free roam/do what you want games. I started playing and saw it was an incredibly fun game. I love how you can soup up your car and motorcycles. I loved that part and also the jets. It was fun to role play on since they had all the shops. So I beat its story mode and saw that it had a ton of stuff that 13 year olds shouldnt be involved in. Though I also Have 3 older brothers that talk a lot about stuff like whats in the game. My dad was going to get it for me for christmas but then my mom saw what its rated for and made him return it. She tends to be more religious since we are christians and didnt even let me get dead island because it says sexual themes on the back even though thats just cause some zombies are in bikinis. They arent too concerned with cursing in games like COD or BF3. But if this tells you anything my dad bought me read dead redemption for my birthday, knowing it has ACTUAL nudity where as saints row pixelates it. Its not like I would become some drug addict just for playing the game. The only stuff i like doing is souping up cars and skydiving. I even prefer acting like a cop in it. I'm 13 by the way. Please tell me how to convince my mom to let me get it.
To Dr. No, I do respect my parent's decisions, I just want to tweak their decisions a bit. Like I respect them and all its just my mom kinda still treats me like im 5. She doesn't even like me playing games with smoking, and Lord of the Rings, bilbo and gandalf smoke (possibly even drugs) and she loves those movies. Soooo yeah, she just treats me like I'm 5.
OH! And also thanks people for the good answers, and responding so fast too. So far 3 out of the 4 answers have been helpful......Dr. No
How do you like my verse i wrote?
I'm still going to write two more verses to this. Let me know what you honestly think. Thanks
I'm going to be using this instrumental when I record:
http://www.youtube.com/watch?v=WpeXpd6qsCE
Ted was misled as a child
He watched him Mom shoot up and Dad his walk out
Without anyone to talk about how he felt he bowed his head
Wishing for a day where he could fly instead of drown
He’d cry to his Mom to please put the pipe down
She’d reply life’s too stressful and this is my way out
He witnessed fist full of pills make their way into her mouth
One day he tried to take them away but she just hit em and shouted
You little prick! How dare you throw my last fix out
She packed Teds bags n threw him out of the house
Told him a sixteen old boy can find his own joy now
But it was cold in the south of Detroit, his pain numbed from the frost
He wasn’t even employed, he became homeless and lost
He turned thief to fill voids, showing chrome when crossed
Pursuing reefer and pills avoiding the home that he lost
He’d light his blunt up and sing his moms same song
(Chorus)
Ted began to deal anything he got his hands on
Started sniffing yayo so he could remain calm
Living selling Cane stones killing Able pained domes
Feeling hateful through the rain he drained alone
A stain was grown that then changed his love for life
He took drugs every night in spite with thugs despite
The flood raising its height, He started losing his light
Inside his mind he was moving the right way
But that was just addiction taking hold of his plays
His mind became molded like clay not to stay sober
Now instead of getting paid he was just a heavy smoker
All ways ready to dust a boulder,
Thinking about his mom, **** someone must have told her by now
That he was addicted to crack, but now smack was on his mind
So he went out and bought a needle, a lethal injection
Because people told him it’d make him feel peaceful
Being needful he filled it up with heroin
His vessels started narrowin then he heard the devil echoin
(Chorus)
Thanks guys. The last two verses are going to be the most powerful ones. I've got something really great planned for this
I want to live in a different era so badly?
I'm a 14 year old girl, and I want to live in a different era so so badly.
I wish I could grow up as boy in Manhattan in about 1900 as a newsie, when school wasn't mandatory, you played stickball for fun, kids worked, and things were just simple and fun.
Now all I hear is about all the problems in politics and all the kids I know just sit on facebook and talk about what's annoying. Nobody's ever playing outside and schools so hard and I hate it.
Girls are so dramatic and their statuses are always these stupid songs about sex and drugs that don't even make sense. Everybody's the same and when they want to have fun, they just go to the mall and buy stuff and hang out in like parking lots or something. Nobody's innocent.
I feel like growing up in this difficult time, I missed my whole childhood. I played freedom and wiffle ball and stuff, but I always was worried about school and everything. People are so interested in having what's new, and then after that they want more and more and more.
I live in northeast Philadelphia, though I want to move so badly to an area right outside of center city where there's more walkability and people outside.
I'm just so bored with today. There's nothing to do. Everybody's locked inside all the time, worrying about things. Politics, drugs, pregnancies, crimes, whatever. It's really depressing.
This bothers me all the time. I hate living in the time I live in, I think about what I can do non stop, I'm literally obsessed.
People don't understand that people were happier when things were simple, they don't stop and realize that they're contributing to the fact that everybody is depressed and boring.
What can I do?
Why hasn't anyone thought to reverse Regan's Deregulation policy?
Since Regan deregulated the financial institutions, this country has turned completely upside down. It's obvious the rich are obscenely wealthy and the impoverished get kicked (literally) down at every turn. For example, Social Security received an 3.6% cost of living adjustment, not much and completely inadequate. But for those who are eligible for food stamps (I'm not), their food stamp allowance was decreased. That's just one example. Since deregulation, living in a structure (owning or renting) is not affordable. Utilities are not affordable. Transportation is not affordable. I live on $862.00 a month. That is after medicare and some sort of medical plan is taken out. Could you live on that? And believe it or not, I'm not eligible for any type of help from any government agency because I get too much to live on. I am a natural born citizen of the U.S. and have watched our country spiral downhill for 45 years. The people who do the hard work are coming out with nothing. How strong can we be when we encourage present, past and future generations to live on credit? I can't see that as a healthy way to run any country.
Listen, I'm dirt poor (since I am disabled), and, believe me, there is no hope.
Society believes that drugs, Algol and the like are a serious problem. Sorry, they are only a symptom of the problem.
The problem is; we have a society that just does not work. We expect our young adults to begin their journey in huge debt, from their education. Work hard, buy a house; more debt. Continue living in debt till the day they die.
Where is the hope there?
Listen, I don't have hope anymore, but, please, try do do something for the generations coming up. Put regulation back, at least to a point that is livable for the majority, not just for the minority (of the wealthiest). I gotta say; the citizens of this country are dying out here!
