Diamet Tablets (Metformin Hydrochloride)

Adult dose

The prescribed dose should be determined based on individual drug efficacy and tolerance, without exceeding the recommended maximum dosage per day. This medication should always be initiated at a low dosage to reduce gastrointestinal adverse effects and to ascertain the minimum effective dose required for appropriate blood sugar control, typically administered 500mg 2-3 times a day with meals. Dosage increases should be made gradually, 500mg weekly, up to 20

Child dose

Can be used in children aged 10 years and older. The usual starting dose is 500mg once a day, administered during or after meals. After one week, blood sugar levels should be measured to adjust the dosage.

This drug may cause severe lactic acidosis or hypoglycemia, so it should not be used in patients with severely impaired heart or kidney function, acute infections, or dehydration. It should also not be administered to patients with acute heart failure, acute myocardial infarction, those undergoing radiographic iodine contrast examinations, or those allergic to this drug or biguanide medications. The use of this drug should be avoided in cases of placental insufficiency or risk of preeclampsia during pregnancy, and patients scheduled for surgery should discontinue this medication 48 hours prior to the procedure. This drug may accumulate depending on kidney function, increasing the risk of lactic acidosis, thus regular monitoring of kidney function should be conducted before and during treatment. Careful use is required when dietary intake is irregular or insufficient, when engaging in intense exercise, or when other medications are taken. While taking this medication, gastrointestinal disturbances, metallic taste, rash, anemia, liver function abnormalities, and hypoglycemia may occur, so consultation with a healthcare provider is advised if symptoms arise. Alcohol consumption may increase the risk of lactic acidosis as a side effect of this drug, so it is important to avoid excessive drinking during treatment. Particularly in elderly patients or those with reduced kidney function, adjustments to the dosage and regular monitoring of kidney function are necessary. This medication crosses the placenta during pregnancy; hence it should be used cautiously based on a physician's judgment during preconception, pregnancy, and after delivery. For breastfeeding individuals, consideration should be given to stopping either breastfeeding or the treatment. When used in conjunction with other drugs that may enhance or decrease blood sugar-lowering effects, blood sugar status should be closely monitored, and in acute crises, treatment should be discontinued, and appropriate care should be sought. Finally, it is crucial to regularly monitor blood sugar and blood tests and kidney function to closely observe the treatment effects and any side effects during the use of this drug.

Serious side effects

Lactic acidosis (weakness, muscle pain, difficulty breathing, fatigue, abdominal pain, lowered body temperature, low blood pressure, resistant bradycardia), severe allergic reactions (hives, severe swelling), severe skin reactions (severe rash with fever, blisters, skin peeling, pain in mucous membranes of mouth/eyes), respiratory issues (shortness of breath or difficulty breathing, asthma attacks, coughing with fever), liver abnormalities (yellowing of the skin or eyes, systemic

Mild side effects

Gastrointestinal symptoms (diarrhea, nausea, vomiting, abdominal distension, loss of appetite, indigestion, constipation, abdominal pain), metallic taste, rash, anemia, decreased white blood cells, decreased platelets, vitamin B12 deficiency, liver function abnormalities, hypoglycemia

This medication may be sensitive to air and moisture, so it must be stored in a tightly closed container. It is also recommended to store it at room temperature between 1 and 30 degrees Celsius. Doing so will help maintain the medication's effectiveness for a longer duration.

Appearance

White, round, film-coated tablet

Package unit

500 tablets/bottle