** Side effects of concentrated metformin mainly on the digestive tract. And include loss of appetite for eating, vomiting, nausea, and upset stomach, and diarrhea. These symptoms occur in about 20% of patients in a dose-dependent and treatment and often temporary disappear with long-lasting in the use of the medication. Metformin dealt with eating helps minimize those side effects. The treatment is stopped in 3-5% of patients because of diarrhea.
** The patient's sense of a metallic taste in the mouth because of the taste of metformin.
** Use of metformin may cause long hampered the absorption of vitamin B12 from the intestine, resulting in a lack of this vitamin.
Therefore, the manufacturer of this drug recommends periodic test work to determine the rate of vitamin B12 in the blood and giving injections of this vitamin when needed.
** Of the serious side effects of metformin a milky poisoning
(Lactic acidosis ) As a result of the accumulation of lactic acid in the blood. This situation is almost very rare, where he spoke in person and one out of every 30,000 patients and cause death in 50% of cases.Symptoms include the accumulation of lactic acid: general weakness, and respiratory problems, and disorder in heart Nbzat, and abnormal pain in the muscles, and stomach pain, headache, and feeling cold.In this case, it must enter the patient to the hospital and give doses of sodium Beckernont intravenously.
The patients most at risk of lactic poisoning include those who suffer from a deficiency in kidney function or liver, and those who suffer from congestive heart failure Congestive heart failure , Serious and acute diseases, and drought.
* Metformin should not be given to pregnant women, and patients who suffer from an allergy to this type of medication, and alcoholics, and patients who have the keto poisoning. As should not use this medication if the patient suffers from imagines in heart function, kidney, and liver due to increased risk of lactic acid resulting from the accumulation of metformin because those members are very sensitive to lack of oxygen.
