Medication check drug information
Metformin AL 1000 tablets
Preparation:
Metformin AL 1000 tablets
Pharmaceutical form:
Tablets
Delivery form:
only available on prescription
Payment Exempt pack sizes:
no
Active Ingredients:
Metformin HCl
About auxiliaries, smell, taste, preservatives and dyes please refer to the leaflet or ask your pharmacist.
We make the package inserts for you to understand: information on side effects, dosage and risks
The following information refers to the / to the active ingredient (s). Please note that this information may differ to the active ingredients of the information in the package insert. To partially different application areas declared by the pharmaceutical manufacturers.
1 What is "metformin tablets AL 1000" and what is it used for?
1.1 What properties does the drug?
"Metformin tablets AL 1000" contains the active ingredient metformin, a drug from the group of so-called oral hypoglycemic agents and biguanides.
Metformin has hypoglycemic properties. It does not stimulate insulin secretion and therefore does not produce hypoglycaemia (low blood sugar).
Metformin is usually applied in the form of metformin hydrochloride salt.
Metformin is a prescription and should only be used on medical advice.
1.2 What are the strengths and dosage forms are there?
Metformin are commonly referred to as
_ Tablets or tablets containing 500 mg, 850 mg or 1000 mg of metformin hydrochloride.
- Oral solution containing 100 mg of metformin hydrochloride in 1 ml
Your doctor determines which potency and dosage are appropriate for your treatment.
1.3 Metformin is used
the treatment of diabetes mellitus type 2 (non-insulin-dependent diabetes), particularly in overweight patients in whom no adequate control of blood glucose levels was achieved solely through diet and physical activity:
- In adults, Metformin may be used as a monotherapy or in combination with other oral antidiabetic agents or insulin.
- In children and adolescents from 10 years Metformin may be used as a monotherapy or in combination with insulin.
In obese adult patients with type 2 diabetes mellitus reduced incidence of diabetes-related complications in treatment could be demonstrated with metformin as first-line therapy after diet failure.
2 What you need to "1000 tablets metformin AL" before taking?
2.1 "1000 AL metformin tablets" should not be taken,
- If you are hypersensitive (allergic) to metformin or any of the other ingredients of this medicine.
- If you have kidney or liver problems.
- If your diabetes is derailed, so for example you from severe hyperglycemia (high blood sugar) are suffering with nausea, vomiting, dehydration, rapid weight loss or to an accumulation of ketone bodies occurs (ketoacidosis). Ketoacidosis can lead to a diabetic pre-coma (the preliminary stage of coma). The condition can be expressed by stomach pain, accelerated and deepened breathing, sleepiness or unusual, fruity smell on the breath.
- If you have lost too much body water (dehydration), for example, by prolonged or severe diarrhea, or if you have repeatedly vomited. This fluid loss can lead to kidney problems, so you are at risk for developing acidosis with lactic acid (lactic acidosis).
- If you have a severe infection, such as an infection of the lungs, bronchi, or kidney. Severe infections can lead to kidney problems, so you are at risk for developing acidosis with lactic acid (lactic acidosis).
- If you are being treated for heart failure or have had a recent heart attack, severe circulatory problems (such as a shock) or have difficulties with breathing. This could lead to a lack of oxygen in the tissue, so you are at risk for developing acidosis with lactic acid (lactic acidosis).
- If you drink a lot of alcohol.
If any of the above criteria apply to you, talk to your doctor before taking this medicine.
Be sure to ask your doctor for advice
- If you have to undergo an X-ray or other imaging study in which you an iodine-containing contrast medium is injected.
- If you have to undergo a major surgery.
Before you stop taking "Metformin tablets AL 1000" over a certain period and to settle the investigation or operation. Your doctor will decide if you need a different treatment during this time. It is important that you follow your doctor's instructions exactly.
2.2 Particular caution when taking "Metformin tablets AL 1000" is required
Risk of lactic acidosis:
"1000 AL metformin tablets" can, especially in patients with impaired renal function, cause a very rare but serious complication that is characterized by a known acidification of the blood with lactic acid and lactic acidosis as. The risk of lactic acidosis such is elevated in poorly controlled diabetes, prolonged fasting or drinking alcohol. Lactic acidosis can lead to coma. It manifests itself by vomiting, abdominal pain, muscle cramps, reduced general condition with severe fatigue and difficulty breathing.
In acute diseases, especially if these with a dehydration (fluid loss) or gastrointestinal discomfort associated, "AL 1000 metformin tablets" is not initially take and your doctor should be informed. If, during treatment with metformin resulted in deterioration of general condition or symptoms such as nausea, abdominal pain, "heart palpitations", low blood pressure, respiratory rate or excessive confusion, you may require immediate inpatient treatment. Take "1000 AL metformin tablets" is not a further and contact a doctor immediately or contact the nearest hospital emergency department.
Hypoglycemia:
"1000 AL metformin tablets" alone does not cause blood sugar (hypoglycaemia). However, if you are taking "Metformin tablets AL 1000" together with other medicines to treat your diabetes, can cause hypoglycemia (such as sulfonylureas, insulin, SUs), there is a risk of low blood sugar levels. If signs of hypoglycemia occur, such as weakness, dizziness, increased sweating, increased heart rate, blurred vision and difficulty concentrating, it usually helps if you eat or drink something containing sugar.
Regular checks:
As metformin is excreted by the kidney, creatinine should before starting treatment and then determined at regular intervals:
- In patients with normal kidney function at least once a year.
- In patients whose creatinine levels at the upper limit of normal and in elderly patients at least two to four times a year.
In elderly patients is frequent and impaired renal function, without this showing symptoms. Particular caution should be exercised in situations where renal function may become impaired, such as at initiation of treatment for high blood pressure or diuretic therapy or treatment with non-steroidal anti-inflammatory drugs.
Note to other components: oral medicines may contain different types of sugar. Please take this so only after consultation with your doctor if you are aware that you have an intolerance to some sugars.
2.2.a children
Before treatment in children and adolescents with metformin, the doctor must diagnose the diabetes (diabetes mellitus type 2 secured). During a one-year controlled clinical trials, no effect on Wachsum through puberty and metformin was observed, but there are no long-term results at present.
Because few children of the age group were trapped between 10 to 12 years in the clinical studies, caution should be exercised when children in this age group are treated with metformin.
2.2.b Elderly
Due to the often limited in the elderly renal function metformin dosage should be adjusted according to renal function. Let regularly for this reason, measurements of renal function to perform the doctor.
2.2.c pregnancy
During pregnancy, your diabetes must be treated with insulin. Tell your doctor if you are pregnant your doctor if you think they might be pregnant or planning a pregnancy so that your treatment can be changed.
2.2.d lactation
This medicine is not recommended if you are breastfeeding or plan to do so.
2.2.e ability to drive and use machines
"1000 AL metformin tablets" itself does not lead to hypoglycemia (low blood sugar). This means that your ability to drive or operate machinery when taking "Metformin tablets AL 1000" is not affected.
Particular caution is advisable, however, if you are taking "Metformin tablets AL 1000" together with other anti-diabetic medicines, can cause hypoglycemia (such as sulfonylureas, insulin, SUs). The signs of hypoglycemia include weakness, dizziness, increased sweating, increased heart rate, blurred vision and difficulty concentrating. Do not put yourself behind the wheel of a vehicle or operate any machinery if you notice the first signs of such complaints.
2.3 What are the drug interactions must be considered?
Please tell your doctor or pharmacist if you are taking any other medicines / or have recently taken / used, even if it is not prescribed.
If you an iodine-containing contrast agent to be injected into the bloodstream, for example in the context of X-ray or other imaging study, so before taking "Metformin AL 1000 tablets" over time and settle after the examination.
Please tell your doctor if you are taking at the same time with "1000 AL metformin tablets" of the following medicines. Maybe your blood sugar should be measured more frequently, or your doctor adjusts the dose "metformin tablets AL 1000" to:
- Diuretics (water tablets)
- Beta-2 agonists such as salbutamol or terbutaline (used to treat asthma)
- Corticosteroids (to treat a variety of diseases such as severe skin inflammation or asthma)
- Other medicines to treat your diabetes.
Tell your doctor if you are taking or pharmacist ACE inhibitors, certain medicines used to treat high blood pressure, and alcohol-containing medications.
2.4 What is in taking "Metformin tablets AL 1000" together with food, beverages and tobacco and beverages think?
You must not drink alcohol while you are taking this medicine. Alcohol consumption may increase the risk of acidification of the blood with lactic acid, especially if you have liver problems or are malnourished. This also applies to medicinal products containing alcohol.
3 What is "metformin tablets AL 1000" take?
Take "1000 AL metformin tablets" exactly as your doctor has told you. Please check with your doctor or pharmacist if you are unsure.
3.1 Posology and method of application
Take pills / tablets whole with sufficient liquid (eg a glass of water).
Take pills / tablets or solution with or after a meal. To avoid side effects that impair your digestion.
- You take a dose in the morning (for breakfast) if you are taking your daily dose at once.
- Take a respective doses in the morning (for breakfast) and evening (for dinner), if you split your dose to two-day revenue.
- Take each dose one morning (for breakfast), noon (lunch) and evening (for dinner), if you split your dose on day three revenue.
"1000 AL metformin tablets" can not replace the benefits of a healthy lifestyle. Continue to follow all the dietary advice of your doctor and make sure that regular physical exercise.
Your doctor may perform regular blood sugar checks for you and fits your "1000 AL metformin tablets" dose of your blood glucose levels. Ensure that you discuss with your doctor regularly. This is especially important for children and young people, or if you are older. Your doctor also checks your kidney function at least once a year. If you are older or have decreased renal function, more frequent testing may be necessary.
Please talk to your doctor or pharmacist if you have the impression that the effect of too strong or too weak "AL 1000 metformin tablets."
Over the duration of the application of the doctor decides.
3.2 If the doctor prescribed otherwise, the usual dose is
3.2.a children and adolescents from 10 years
usually start with 500 mg or 850 mg of metformin hydrochloride 1 times daily (equivalent to 500 or 850 mg of metformin hydrochloride / day).
After 10 to 15 days the dose should be adjusted according to measured blood glucose values. By a gradual increase of dose may improve gastrointestinal tolerability can be improved.
The maximum dose is 2000 mg per day divided into 2 or 3 intakes.
Treatment of children aged 10 to 12 years is recommended only at the express advice of the doctor out because the experience is limited in this age group.
3.2.b Adults
usually start with 500 mg or 850 mg of metformin hydrochloride 2 - or 3 times a day (corresponding to 1000-1500 mg of metformin / day).
After 10 to 15 days the dose should be adjusted according to measured blood glucose values. By a gradual increase of dose may improve gastrointestinal tolerability can be improved.
The maximum dose is 3000 mg per day, divided into 3 revenue.
Also, if you use insulin, you learn from your doctor how you should start taking "Metformin tablets AL 1000".
3.3 If you have taken more "AL 1000 metformin tablets" than you should
If you take a larger amount of "AL 1000 metformin tablets" than you should, it can lead to acidification of the blood with lactic acid. This is manifested by vomiting, stomach pain and muscle spasms, a general feeling of being unwell with increased fatigue and difficulty breathing. If you get these symptoms, you may need immediate inpatient treatment because lactic acidosis can lead to coma. Please contact a doctor immediately or contact the nearest hospital emergency department.
3.4 If you forget to take "1000 AL metformin tablets" forgotten
Do not take a double dose to make up for a forgotten dose. Take the next dose at the scheduled time.
3.5 Effects when treatment is stopped with "1000 AL metformin tablets"
Discontinue treatment with "1000 AL metformin tablets" without medical prescription from, you have to expect that the blood sugar level rises uncontrollably and long-term consequences of diabetes such as Eye, kidney or vascular damage can occur.
If you want to stop the treatment, so please discuss this with your doctor first.
4 What are the side effects?
Like all medicines, "AL 1000 metformin tablets" have side effects, although not everybody gets them.
In the evaluation of side effects following frequencies are defined as:
- Very common: affects more than 1 user in 10
- Common: less than 1 in 10 but more than 1 in 100 patients
- Uncommon: less than 1 in 100 but more than 1 in 1000 patients treated
- Rare: affects less than 1 in 1000, but more than 1 in 10 000 patients
- Very rare: affects less than 1 in 10 000 patients, including isolated reports
- Frequency not known: frequency can not be calculated from the available data
4.1 What are the side effects can occur in detail?
Very often 4.1.a
Digestive problems such as nausea, vomiting, diarrhea, abdominal pain and loss of appetite. These side effects usually occur at the beginning of treatment with "1000 AL metformin tablets" on.
Help a division of the Daily Dose on multiple distributed over the day and the revenue intake with or immediately after a meal to prevent these problems. If symptoms persist, take "metformin tablets AL 1000" not one and talk to your doctor.
Frequently 4.1.b
Changes in taste.
4.1.c Very rare
Acidification of the blood with lactic acid (lactic acidosis). This is a very rare but serious complication, especially in patients with impaired renal function. Lactic acidosis is manifested by vomiting, abdominal pain, muscle cramps, reduced general condition with severe fatigue and difficulty breathing. If you get these symptoms, you may need immediate inpatient treatment because lactic acidosis can lead to coma. Take "1000 AL metformin tablets" is not a further and contact a doctor immediately or contact the nearest hospital emergency department.
Abnormal liver function tests, hepatitis (liver inflammation, which may fatigue, loss of appetite and weight loss with or without yellowing of the skin and whites of the eyes cause). If you get these symptoms, take '1000 AL metformin tablets "is not a further and talk to your doctor immediately.
Skin reactions such as redness (erythema), itching or itchy rash (hives), low concentration of vitamin B12 in the blood.
4.1.d side effects in children and adolescents
Showed limited data in children and adolescents, the side effects in type and severity to those adjusted, as reported for adults.
4.2 What counter-measures to be taken upon the occurrence of side effects?
Tell your doctor if you suffer from side effects. He will decide on any action.
If you experience any side effect occurs suddenly or developed strongly, tell a doctor immediately, as certain drug side effects (eg, excessive hypotension, hypersensitivity reactions) can have serious consequences under certain circumstances. Do not take in such cases the drug without medical advice further.
Let us know if you notice any side effects to your doctor or pharmacist that are neither here nor listed in the package insert.
5 What is "metformin tablets AL 1000" store
Store "1000 AL metformin tablets" at normal room temperature and store the medicine in the original container protected from light and moisture.
Drugs should generally be kept out of reach of children.
Do not use after the expiry date stated on the pack.
Medicines should not waste water and should not be disposed of with household waste. Ask yourself if you no longer need your pharmacist how to dispose of medicines it. These measures will help to protect the environment.
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