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    Metformin (brand names Glucophage, Glucophage XR, Fortamet, Riomet, Glumetza, and others) is a popular and highly effective oral diabetes drug used to help manage Type 2 diabetes. This drug works by lowering the amount of glucose made by the liver and by making the body’s cells more sensitive to insulin. Metformin also has some other beneficial effects in that it may help lower blood lipid, or fat, levels (cholesterol and triglycerides) and can, in some people, promote a small amount of weight loss. Metformin can be used with other diabetes pills and with insulin. Side effects of taking metformin are relatively rare, the most common being bloating, nausea, and diarrhea, all of which are temporary. Some people shouldn’t take metformin, including people with kidney disease, liver disease, or congestive heart failure, for example, because of an increased risk of a potentially fatal condition called lactic acidosis. In recent years, there’s been some concern over the risk of vitamin B12 deficiency in people who take metformin. Therefore metformin 500 mg overnight delivery, assessments made before Ear abnormalities and deafness other medical problems are addressed are often more pes- simistic than later exams cheap 500mg metformin with mastercard. Most children with CHARGE syndrome are examinations are recommended for children diagnosed classified as mentally retarded metformin 500mg with visa. About There are serious delays in motor development of 80% of children with CHARGE syndrome have colobo- children with CHARGE syndrome as well purchase 500mg metformin otc. At least 90% of patients with CHARGE syndrome have either external ear anomalies or hearing loss buy 500mg metformin visa. The Urogenital abnormalities most common external ear anomalies include low-set ears, asymmetric ears, or small or absent ear lobes. The Most obvious in males, underdevelopment of the degree of hearing loss varies from mild to severe. It is genitals occurs in at least half of the male patients diag- important for all patients to have regular hearing exams nosed with CHARGE syndrome and in some females as over time so that changes in sound perception can be well.

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    PAGE 1: FRONT FACE (INSIDE OF REEL) Metformin hydrochloride PACKAGE LEAFLET: INFORMATION FOR THE USER (Main) Pharma code 242 Read all of this leaflet carefully before you start taking this medicine. Metformin helps to lower your blood glucose to as normal a level as possible. • If you have any further questions, ask your doctor or pharmacist. • If any of the side effects become troublesome, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist. This leads to a high level of glucose in your blood. It may harm them, even if their symptoms are the same as yours. If you have diabetes, your pancreas does not make enough insulin or your body is not able to use properly the insulin it produces. Your body uses glucose to produce energy or stores it for future use. Insulin is a hormone produced by the pancreas that makes your body take in glucose (sugar) from the blood. It belongs to a group of medicines called biguanides. Further information 1 WHAT METFORMIN IS AND WHAT IT IS USED FOR What Metformin is Metformin contains metformin, a medicine to treat diabetes. Metformin is an oral diabetes medicine that helps control blood sugar levels. Metformin is used together with diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus. Metformin is sometimes used together with insulin or other medications, but it is not for treating type 1 diabetes. You should not use metformin if you have severe kidney disease, metabolic acidosis, or diabetic ketoacidosis (call your doctor for treatment). If you need to have any type of x-ray or CT scan using a dye that is injected into your veins, you will need to temporarily stop taking metformin. Though extremely rare, you may develop lactic acidosis, a dangerous build-up of lactic acid in your blood. Call your doctor or get emergency medical help if you have unusual muscle pain, trouble breathing, stomach pain, dizziness, feeling cold, or feeling very weak or tired.

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