Metwil xr

Metformin is an oral anti-diabetic medication from the Biguanide class. It helps control Type 2 Diabetes Mellitus when diet and exercise alone are insufficient. Metformin improves the body’s sensitivity to insulin, reduces glucose production by the liver, and slows intestinal absorption of glucose — helping maintain balanced blood sugar levels.

Primary Uses

• Type 2 Diabetes Mellitus

• Adjunct therapy in insulin-dependent diabetes (especially in obese patients)

How To Use

• Take orally with a glass of water, preferably with food to reduce stomach upset.

• Swallow whole — do not crush or chew.

• Take at the same time daily for consistency.

• Follow the dosage instructions provided by your healthcare provider.

Expert Advice

• Stay hydrated while using this medicine.

• Do not skip or alter the dose.

• Do not discontinue use without consulting your doctor.

• Inform your doctor immediately if any unusual symptoms occur.

Side Effects

Common side effects include:

• Gastrointestinal discomfort (nausea, diarrhea)

• Taste disturbance

• Abnormal liver function tests

• Reduced Vitamin B12 absorption

• Rarely, lactic acidosis (a serious metabolic condition)

Warnings & Precautions

• Pregnancy / Lactation: Use only under medical supervision.

• Kidney / Liver: Dose adjustment may be necessary in impaired function.

• Alcohol: Avoid excessive consumption; it may increase lactic acidosis risk.

• Discontinue 48 hours before and after surgery or imaging with contrast dye.

• Regular monitoring of renal function is advised.

Contraindications

Do not use if you have:

• Diabetic ketoacidosis or precoma

• Severe kidney or liver impairment

• Cardiac or respiratory failure

• Recent myocardial infarction

• Chronic alcoholism

• Iodinated contrast administration

Drug Interactions

May interact with:

• Thyroid medications or steroids (dose adjustment may be needed)

• Other anti-diabetic drugs (risk of low blood sugar)

• Iodinated contrast agents (pause before procedures)

Doctor Review

Dr. Ayesha Malik, MBBS, FCPS (Endocrinology):
“Metformin plays a vital role in improving glucose regulation and insulin sensitivity in adults with Type 2 Diabetes. It is well studied, generally well tolerated, and remains widely used for its metabolic benefits when paired with proper diet and lifestyle control.”

Storage

Store at room temperature, away from heat, moisture, and direct light. Keep out of reach of children.

Quick Tips

• Take with meals to reduce stomach upset.

• Avoid skipping meals or doses.

• Limit alcohol intake.

• Maintain regular blood sugar monitoring.

Disclaimer

This information is provided for educational purposes only and is not a substitute for professional medical advice or prescription. Always consult a qualified healthcare provider regarding any questions or concerns about your medication.