How To Take Metformin | How To Start Taking Metformin | How To Reduce Metformin Side Effects (2018)

Metformin I see patients on this on a daily basis

but in today's episode we're going to talk about how to start taking metformin to reduce its possible side effects

now let me know how you're getting on by leaving a comment at the end of the video

first a bit of background about metformin it's prescribed to treat type 2 diabetes

and polycystic ovary syndrome which we call PCOS

metformin lowers your sugar levels by reducing the amount of sugar that your liver releases into your blood

and also improving your body's response to insulin

now it's usually prescribed in type 2 diabetes when diet and exercise alone

hasn't been enough to reduce your blood sugar levels

for women with PCOS metformin stimulates ovulation even if you don't have diabetes

and it does this by lowering blood sugar levels and lowering insulin

background done! I've always found metformin to be a very interesting drug

because not only does it help with PCOS and lower blood sugar levels

but studies have actually shown it to reduce your risk of cancer and help you lose weight

unfortunately metformin can cause side effects in some patients like nausea, wind and diarrhoea

but the chances of developing these can be reduced by taking it after food

and also when you first started on them building up your dose slowly to the prescribed dose

now you've just been started on immediate release metformin

and hopefully your prescriber will explain to you how to slowly build up your dose to the prescribed dose

and this is to help reduce the chances of you developing side effects

and in the world of pharmacy this building up we call it dose of titrating

now in case they haven't or you've just forgotten here's a general guide

on how to build up your dose of immediate-release metformin to the prescribed dose

now please remember this is a general guide and your dose may be different

so I definitely advise everyone to speak their doctor or speak to your pharmacist about this

so in this example let's say the final dose of immediate release metformin for type 2 diabetes

was three times a day with main meals so we have breakfast, lunch and dinner which you'll be taking it with

but we don't want to jump straight into three times a day as you're much more likely to have side effects

which mentioned earlier so build up your dose weekly to the final prescribed dose

so for my example to begin with take 500mg of immediate-release metformin daily

with your biggest meal which is dinner for most people

after a week or two if you're getting on fine with no significant side effects

increase to 500mg twice a day with main meals so for most people that will be breakfast and dinner

and after another week or two if you're getting on fine with no significant side effects

increase to 500mg three times a day with main meals so breakfast,lunch and dinner

please remember this is a general guide and your dose may be different

so always speak to your pharmacist or a doctor about this before you do it

so what we're basically doing is building up the dose of immediate release metformin

by 500mg every one to two weeks until we reach the final dose prescribed by your doctor

and if after a dose increase you start getting side effects which don't go after a week or two

then reduce the dose back down to what you were getting on well with then speak to your doctor

definitely don't stop taking your medicines until you speak to your doctor

now let's say after slowly building up your dose of immediate release metformin

you're still having side effects and it's getting too much well now it's time to speak to your doctor about it

they might change your medicine completely or they might change the type of metformin

and give you the slow-release tablet which usually has less side effects

but remember this that the dose of the slow release tablet is different to the immediate release tablet

so always double check it with your pharmacist or doctor

and that's it you now know how to start taking immediate release metformin properly

if you have any tips which work for you which others might find helpful then please leave a comment below

I'd love to read about it and if you found this video helpful then please hit that like button now

lastly don't forget to always read the information leaflet that comes with your medicines

and if you have any questions don't hesitate to ask your pharmacist

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