Glucophage Instructions - Simple
Glucophage Instructions (500 mg) Metformin Hydrochloride*
Common Gastrointestinal (GI) side effects include some bloating, diarrhea, upset stomach, nausea and/or gas. These symptoms usually improve over one to three weeks. If other abnormal symptoms arise, such as a rash or severe GI problems, stop Glucophage and call our office for instruction.
Step 1: Take one tablet daily during or right after the main meal for one to three weeks. When your GI symptoms become tolerable, go to step 2.
Step 2: Take one tablet two times daily with meals for one to three weeks. When your GI symptoms become tolerable, go to step 3.
Step 3: Take one tablet three times daily with meals for one to three weeks. When your GI symptoms become tolerable, go to step 4.
Step 4: Take two tablets two times a day with meals.
If after three weeks at any level your GI symptoms do not become tolerable, or if you simply cannot tolerate them earlier, go back to a lower dose level and stay there.
Metformin and B-12: When taking Metformin for an extended period of time, you may develop B-12 deficiency. It is important that you take an over-the-counter multi-vitamin/mineral with 100%of the DRI for B-12 daily. Researchers also found that if you take 1200 mg of calcium carbonate daily the effects of the Metformin on B-12 were lessened. It is also important that you are checked yearly for Vitamin B-12 deficiency as some of the symptoms are similar to diabetic peripheral neuropathy. B-12 deficiency can be easily corrected if identified early.
Call Dr. Ulbrecht’s office with any problems or concerns: 814.234.8800.
* Also available in 1,000 mg tablets