Metformin. 850 mg. 30 tablets

WHAT METFORMIN  AND WHAT IT IS USED
The name of your medicine is Metformin  and their active ingredient is metformin
hydrochloride. Each film-coated tablet contains 850 mg of metformin hydrochloride.
Metformin  belongs to a class of oral antidiabetic agents .
Used to lower blood sugar in adults with diabetes ( type 2 diabetes mellitus
in adults) , especially overweight. Diabetes most often occurs as a result of
resistance to the action of insulin and its secretion is reduced . metformin helps
Recovery of its operation.
2 . BEFORE YOU TAKE METFORMIN 
Do not take Metformin 
- If you are allergic to metformin hydrochloride or any of the other ingredients of
Metformin  .
Take special care with Metformin 
- If you have heart disorders .
- If you have kidney failure or kidney problems.
- If you have liver disease or have had liver disease.
- If you have an acute infectious disease.
Your doctor will decide whether you should take this medication , and whether you need to change the dose .
Taking other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other
medicines, including medicines obtained without a prescription , such as:
• medicines for heart or high blood pressure, such as calcium antagonists ( verapamil,
adenosine , etc.). , digoxin , antiarrhythmic drugs ( verapamil , quinidine , etc.).
• antiadiabetichni other means ( Manninen , glimepiride, insulin , etc.).
• medicines for gastric ulcer disease ( herbazol , cimetidine, atsidrin etc.).
• diuretics such as furosemide, amiloride and triamterene, or vancomycin
The use of these drugs , together with metformin may result in higher levels of metformin
blood, which may increase the incidence of adverse reactions. Some medications such as thiazide
diuretics (e.g., hydrochlorothiazide ) , corticosteroids (such as prednisolone , hydrocortisone and the like . )
tireoaktivni (medicines for thyroid ) , oral contraceptives (birth control
tablets) can increase blood sugar levels , which in turn may reduce the
Effectiveness of metformin.
Use of Metformin  with food and drink
Regular use of alcohol may lower blood sugar levels .
Metformin  should be taken with meals to reduce unwanted
effects such as nausea, vomiting, stomach pain, diarrhea and anorexia.
Pregnancy and lactation
Ask your doctor or pharmacist before taking any medicine .
During pregnancy, the use of metformin - Chaikapharma prohibits ! Instead, Your
doctor could monitor your blood sugar through diet or through a combination of diet and
insulin.
During breast-feeding should not be taking medication unless your doctor
deems necessary.
 
Driving and using machines
Metformin  itself does not affect the ability to drive , but if with
Metformin  taking other medicines that lower blood sugar , it is possible
their combined effect may cause dizziness , fainting or weakness.
Do not drive or use any tools or machines if it appears these sensations
until they recover .
Important information about some of the ingredients of Metformin - Tchaikapharma
The composition of Metformin tablets as an excipient contained
Propylene glycol.
3 . HOW TO TAKE METFORMIN 
Always take Metformin  tablets exactly as your told
doctor. If you are not sure, ask your doctor or pharmacist. The usual starting dose is
once a day, taken with meals . The dose is increased by 850 mg every two weeks
divided doses . The maximum daily dose of metformin - coated Tchaikapharma
tablets 3 g. Doses above 2 g is better tolerated if premiums three times daily with meals .
The film-coated tablets are swallowed whole. Never crush or chew !
If you feel that the medicine is too strong , ie causes more side
effects or is too weak , ie does not affect the amount of blood sugar , contact your
doctor or pharmacist.
If you take more than the dose of metformin - Tchaikapharma
If you take more than you should and show abnormal symptoms,
Tell your doctor or pharmacist.

If you forget to take Metformin 
Take the missed tablet as soon as you remember. If it's time for the next
dose / next dose , skip the missed dose, just take the next one at the usual time and
continue treatment.
If you stop taking Metformin 
Do not stop treatment unless prescribed by your doctor. stopping
the drug may cause an increase in blood sugar levels .
If you have any further questions on the use of this product, ask
Your doctor or pharmacist.
4 . POSSIBLE SIDE EFFECTS
As with all medications , Metformin  can cause side effects, although
not everybody gets them .
The most common side effects are nausea, vomiting, stomach pain, diarrhea, loss of appetite and
metallic taste in the mouth. These symptoms are usually short-lived , appearing most often in the early
treatment and resolved spontaneously. Taking the drug with meals helps
suppression of side effects.
In rare cases, metformin can cause a serious side effect called
lactic acidosis, which is characterized by the accumulation of lactic acid in the blood and may
lead to serious damage. When you take Metformin  - coated tablets
important for your liver to function normally , as it is responsible for the removal of
lactic acid from your blood. Symptoms are weakness, fatigue or discomfort , unusual
muscle pain, difficulty breathing, unusual or unexpected stomach discomfort , feeling
cold, dizziness , dizziness and palpitations . If you have symptoms of lactic acidosis immediately
tell your doctor. Lactic acidosis is a medical emergency requiring hospitalization .
If any of the side effects gets serious , or you notice other effects not listed in
this leaflet , please tell your doctor or pharmacist.
5 . HOW TO STORE METFORMIN 
Keep out of reach of children.
Do not store above 25 ° C.
Do not use Metformin  after the expiry date stated on < outer
package expiry date refers to the last day of that month.
Medicines should not be disposed of via wastewater or household waste.
Ask your pharmacist how to dispose of medicines no longer required . These measures will help
for environmental protection .
6 . ADDITIONAL INFORMATION
What does Metformin 
- The active ingredient metformin hydrochloride
- Film-coated tablets contain excipients involved in building
Tablet : sodium starch glycolate ( type A), povidone (PVP K- 30) , corn starch ,
magnesium stearate, silica colloidal anhydrous ( Aerosil 200 ), hypromellose (E- 15)
Macrogol (PEG-6000) , talc , titanium dioxide, propylene glycol.
Looks like Metformin - Tchaikapharma and contents of the pack
In each carton - Tchaikapharma Metformin 850 mg film-coated tablets containing 3
strips with 10 white to off-white , oval , rounded , biconvex film-coated
tablets.