Metformin STADA
Metformin Stada is a medicine used to treat type 2 diabetes, especially in overweight patients, when diet and exercise alone are not enough to control blood sugar.
How to Use
Dosage
The usual starting dose is 500 mg once a day.
Method
Take tablets whole with a glass of water, usually once a day with your evening meal. Do not chew or crush them. Your doctor may sometimes advise you to take them twice a day.
The maximum daily dose is 2000 mg.
Possible Side Effects
- •Nausea, vomiting, diarrhea, stomach pain, and loss of appetite.
- •Taste disturbance.
- •Low vitamin B12 levels in the blood (can cause extreme tiredness, sore red tongue, tingling, or pale/yellow skin).
- •Lactic acidosis (a very serious condition): vomiting, stomach pain, muscle cramps, general feeling of being unwell and severe tiredness, difficulty breathing, decreased body temperature and slow heartbeat. Seek immediate medical help.
- •Liver problems: abnormal liver function tests or liver inflammation (symptoms include tiredness, loss of appetite, weight loss, or yellow skin/eyes). Seek immediate medical help.
- •Skin reactions such as redness, itching, or hives.
Important Warnings
- Do not take if you are allergic to metformin or any other ingredients in this medicine.
- Do not take if you have severe liver or kidney problems.
- Do not take if your diabetes is not well controlled, especially with very high blood sugar, nausea, vomiting, diarrhea, rapid weight loss, or conditions like lactic acidosis or ketoacidosis.
- Do not take if you are severely dehydrated (e.g., due to severe or prolonged diarrhea, repeated vomiting, fever, heat exposure, or drinking less fluid than normal).
- Do not take if you have a severe infection (e.g., in your lungs, airways, or kidneys).
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- Do not take if you have heart failure, recently had a heart attack, or have severe circulation problems (e.g., shock) or breathing difficulties.
- Avoid excessive alcohol intake while using this medicine.
- You must stop taking this medicine before or during an X-ray or other imaging test that uses an iodine-containing contrast agent, and before major surgery. Your doctor will tell you when to stop and restart.
- Metformin Stada alone does not cause low blood sugar, but if you take it with other diabetes medicines that can cause low blood sugar (like sulfonylureas or insulin), you are at risk.
- This medicine is not recommended if you are breastfeeding or planning to breastfeed.
Use in Elderly Patients
Suitable for older adults, with specific precautions. Reduce the dose already in mild renal impairment. Do not use in severe renal impairment or tissue hypoxia. May reduce the absorption of vitamin B12. Consider risk of lactic acidosis. The drug should be paused during fever, gastroenteritis or dehydration, and before surgery or imaging with a contrast agent. (updated 20.5.2024)