Metformin (Glucophage) Side Effects
While most people tolerate metformin well, it's important to be aware of potential side effects. Beyond the common gastrointestinal issues I mentioned earlier, here are some additional side effects that may occur:
Hypoglycemia: While metformin itself doesn't usually cause low blood sugar (hypoglycemia), taking it in combination with other diabetes medications or if your diet isn't consistent can lead to low blood sugar levels. Symptoms may include shakiness, dizziness, sweating, and confusion.
Vitamin B12 deficiency: Long-term use of metformin has been associated with a decrease in vitamin B12 absorption. This deficiency can lead to anemia, neuropathy, and other complications. Regular monitoring of B12 levels and supplementation may be recommended.
Metallic taste: Some people report a metallic taste in their mouth as a side effect of metformin.
Decreased appetite: While not as common, some individuals may experience a decrease in appetite when taking metformin.
Skin reactions: Rarely, metformin can cause skin reactions like rash or itching.
It's important to note that individual responses to medications vary, and not everyone will experience these side effects. If you're concerned about any side effects or experiencing symptoms that bother you, don't hesitate to reach out to your healthcare provider. They can provide personalized advice based on your health history and current condition.
How does metformin work to lower blood sugar levels?
A: Metformin improves the body's response to insulin, reducing the amount of glucose produced by the liver and increasing the uptake of glucose by cells.
Q: What are the common side effects of metformin?
A: Common side effects include gastrointestinal issues such as nausea, diarrhea, and stomach upset. These often subside as the body adjusts to the medication.
Q: Can metformin cause low blood sugar (hypoglycemia)?
A: While metformin itself doesn't usually cause hypoglycemia, it may contribute to low blood sugar when combined with other diabetes medications or if dietary habits are inconsistent.
Q: Is vitamin B12 deficiency a concern with long-term metformin use?
A: Yes, long-term use of metformin has been associated with a decrease in vitamin B12 absorption. Regular monitoring of B12 levels and supplementation may be recommended.
Q: What should I do if I experience unusual symptoms while taking metformin?
A: If you experience symptoms like severe stomach pain, difficulty breathing, or signs of lactic acidosis, seek medical attention immediately. For other concerns, it's best to consult with your healthcare provider for personalized advice.
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