Your provider will likely ask you to get blood tests every year to make sure this isn’t a problem. Metformin can lead to lower levels of vitamin B12 in the body, which in turn can cause anemia. If you experience significant stomach problems with metformin IR, talk to your provider about the possibility of switching to the ER version. Taking metformin with food can help prevent upset stomach. Stomach upset can be seen with higher doses with either form, which is why initial dosing for metformin starts out low. Most people who take metformin IR experience some stomach discomfort, but it only occurs in around 10% of people who take metformin ER. Metformin can cause significant stomach discomfort, including: Two of the most common are stomach problems and vitamin B12 deficiency. Metformin is a relatively safe medication, though there are some side effects you should be aware of. What are the most common side effects of metformin and metformin ER? The ADA recommends that patients take no more than 2,000 mg of metformin ER each day. Generally, dosing for metformin ER starts at 500 mg per day, and after a week, it’s increased slowly to 1,000 mg per day.
On the other hand, high daily doses of metformin ER can be taken in a one-time dose. High daily doses of metformin IR have to be split up throughout the day. The ADA doesn’t recommend more than 2,550 mg per day of metformin IR. For that reason, your provider may start you at a low dose and then increase it slowly over time.ĭosing for metformin IR usually starts at 500 mg per day and is then increased to 500 mg twice per day, then to 1,000 mg in the morning and 500 mg at night, and finally, to 1,000 mg in the morning and 1,000 mg at night. One of the most common side effects of metformin is upset stomach and diarrhea. Metformin ER is slowly released as it passes through your stomach and breaks apart in your intestines.ĭosing for metformin tends to be adjusted over time based on how you respond. You may notice metformin ER in your stools as a soft white mass after going to the bathroom. Do not crush or chew metformin ER swallow it whole. You can take metformin if you also take other medications. However, I often advise patients to take it with food to prevent stomach aches.
Read the Patient Information Leaflet and Instructions for Use if available from your.
#Metformin er 500 mg how to
Metformin should be taken by mouth and can be taken with or without food. How to use Metformin ER 500 Mg/5 Ml Oral Suspension,Extended Release. How are metformin and metformin ER taken?
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