February 1, 2023

This video look at the anti-diabetic drug Metformin and discusses metformin side effects and looks at how to reduce the side effects of Metformin.4 tips to avoid Metformin side effects are looked at.

Are you in metformin and are you struggling with its side effects tips and advice on how to avoid these side effects coming up what is metformin metformin is a prescription drug to treat diabetes metformin is available under different brand names you might see yours listed right here a common brand name here in the u.s is glucophage metformin also plays a role in

The treatment of polycystic ovarian syndrome the mainstay of treatment and management of diabetes is diet exercise coupled with lifestyle changes such as weight loss there are many anti-diabetic drugs in the market but metformin continues to remain a first-line treatment to manage your diabetes it does have some side effects and i’ll touch upon them shortly if you

Want to go into some detail about how metformin works click right here there’s a playlist looking at metformin dosages of metformin mainly there are two forms of metformin and an extended release form and an immediate release form the doses for the immediate release form are 500 milligrams 850 milligrams 1 000 milligrams the doses for the extended release form of 500

Milligrams 750 milligrams 1 000 milligrams there’s also a form that comes in a solution 500 milligrams per 5 ml metformin should be taken with your meals to reduce bowel and stomach side effects the main difference between the two forms is that the extended release form will not have to be taken that often as it lasts longer the extended release form is given once

A day and because of that patients have a better compliance with the extended release form the added advantage would be as it has fewer side effects than the immediate release form what are the most common side effects of metformin there are several and the most common ones are gi side effects such as nausea and vomiting stomach pain diarrhea heartburn forming

Gas gi side effects can be as high or even higher than 10 percent like i mentioned earlier in this video it is more commonly seen with the immediate release form of metformin rather than the extended release form another common side effect which you can see up to 10 of cases is low blood sugar also referred to as hyperglycemia as a diabetic you might be aware of

Some of the symptoms of low blood sugar such as palpitations feeling faint light-headed sweats shakiness confusion anxious or feelings of nervousness some patients report chest pain yes chest pain or constellation of symptoms which are related to your upper body such as palpitations or flushing now the difficulty when reporting the symptoms is whether this is

Related to the medication itself or indeed to a cardiac symptom diabetes is a risk factor for cardiovascular disease and your physician or your healthcare provider might want to rule out a cardiac cause for your reported symptoms they might want to work you up with testing such as blood work an ekg or even if need be a stress test headache and dizziness are other

Symptoms reported this can be seen as high as six percent now there is a side effect you might have read about or your doctor mentioned called lactic acidosis this was seen especially post-marketing the risk of lactic acidosis is rare however you should be aware of the term what does it mean it means your body is increasing with acidity which obviously is not a

Good thing for your circulation and for your organs who is at risk and who’s at increased risk for lactic acidosis if you have kidney problems especially if your gfr is less than 30 if you have heart failure and that heart failure is not well controlled if you’re undergoing a study which requires iv contrast or iv contrast dye before or after surgical procedures

And especially older adults above the age of 65 especially with those with compromised kidney function doesn’t mean you can’t take the drug no your healthcare provider is familiar with these situations and will consider changing you to another anti-diabetic drug if the situation calls for a change if you’re interested in when the drug metformin should be stopped

Click on this video here another side effect with long-term use of metformin is b12 deficiency low levels of b12 have been seen as early as three to four months after starting metformin and in other cases they have been seen after five to ten years of treatment in a cross-sectional study looking up at this up to one-thirds of pair of patients on metformin were

B12 deficient between deficiency is associated with anemia and neuropathy symptoms of anemia are shortness of breath and fatigue symptoms of neuropathy are numbness and tingling of your hands and feet you might even have trouble walking your mood might be affected presenting as irritability or depression another side effect associated with this drug is fatigue and

Has been reported up to nine percent of patients now this is quite difficult to associate with the drug as being tired or fatigue is a very vague symptom if there is a correlation between starting the drug and having symptoms causality can be perhaps established the only way one would know is by stopping the drug in consultation with your healthcare provider and

Seeing if these symptoms go away however as this can be hard to do as feeling tight is also a symptom of so many comorbidities and diseases including diabetes when do i have to call my doctor right away if you’re having an allergic reaction to the medication you’ll have a feeling of difficulty breathing shortness of breath wheezing or rash or possibly hives you

Might have bad stomach pains with repeated episodes of vomiting or diarrhea or even have unusual muscle pain these could be all signs of a bad side effect as i mentioned earlier lactic acidosis when there’s too much acid in your blood you might even have signs of low blood sugar and i’ll repeat again you might you’ll be feeling weak shaky dizzy you might start

Sweating feeling confused with a rapid heartbeat if you’re finding value in this video don’t forget to like comment and subscribe how can you avoid side effects well four tips number one start at the lowest dose and titrate slowly so what does it mean you’ll be advised to take the dose of 500 milligrams with your dinner this is done not only to minimize side

Effects but also to help you reduce your high blood sugar readings in the morning number two your doctor will advise you to take this for about one to two weeks if you’re tolerating this medication then another dose of metformin can be added in the morning with your breakfast this can be taken for another one to two weeks number three a third dose can be usually

Added at lunch time but i usually recommend against it and the reason is pretty easy to understand you want to keep things pretty simple and i’ve seen if there are too many medications or the frequency of the medication is changed or too often then this reduces the compliance of patients please have a discussion with your healthcare provider regarding this and

Number four your healthcare provider might want to switch you to an extended release medication if you’re experiencing side effects this also simplifies how many pills you need to take metformin is not the only anti-diabetic drug and in the future i can look at a video looking at metformin alternatives i’ll leave a link up here this video here looks at metformin

And b12 deficiency and this video here looks at metformin and dementia thank you help and have a good day oh i was ho i was i did i was holding this cough the whole time tickling tickling tickling tickling away and now it just came out erupted erupted like a volcano and if you were wondering why i have a bruise underneath my head i was trying to do something good

You know i usually go jogging or walking in the morning i must have fallen

Transcribed from video
Metformin side effects : 4 tips to avoid them! By Think Your Health