(Glucophage)
Generic Name:Metformin (met-formin)
Brand Name:Glucophage, Glucophage XR
Classifications: hormone and synthetic substitute; antidiabetic; biguanide
Pregnancy Category: B
Availability :
500 mg, 850 mg tab-lets; 500 mg sustained release
Actions
Biguanide oral hypoglycemic agent. Unlike sulfonylureas, biguanides do not stimulate
the release of insulin from the beta cells of the pancreas. Mechanism of action is
thought to be due to both increasing the binding of insulin to its receptor and
potentiating insulin action.
Therapeutic effects
Improves tissue sensitivity to insulin, increases glucose transport into skeletal muscles
and fat, and suppresses gluconeogenesis and hepatic production of glucose, thus
lowering blood glucose levels.
Uses:
Treatment of type 2 diabetes mellitus in patients not controlled with diet alone. May be
used with an oral sulfonylurea.
Contraindications
Hypersensitivity to metformin; renal, hepatic, or cardiopulmonary insufficiency;
alcoholism; concurrent infection.
Route & Dosage
Adverse effects
CNS:Headache, dizziness, agitation, fatigue.
Nursing implications
Assessment & Drug Effects
Lab tests: Obtain baseline and periodic kidney and liver function tests; drug
contraindicated in the presence of renal or hepatic insufficiency.
Do not breast feed while taking this drug without consulting physician.