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Metformin HCL 100 mg/ml Oral Liquid

Our Metformin HCL 100 mg/ml Oral Liquid is a specially crafted medication designed for oral use, offering a precise and manageable mode of administration. This liquid formulation is particularly beneficial for patients who experience difficulty swallowing pills, such as children and the elderly. Metformin is primarily used to manage type 2 diabetes mellitus by improving blood sugar control. It functions by decreasing glucose production in the liver and increasing the body's sensitivity to insulin. This oral liquid form ensures accurate dosing and provides an alternative for those who require an easier-to-ingest option compared to traditional tablets or capsules.

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Metformin Hydrochloride
Oral Liquid
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Formula Information

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Metformin HCL 100 mg/ml Oral Liquid is a specially compounded medication designed for oral use, providing patients with a precise 100 mg of metformin hydrochloride per milliliter of solution. This formulation is particularly beneficial for individuals who have difficulty swallowing tablets or capsules, such as pediatric and geriatric patients, or those with dysphagia. The liquid form allows for flexible dosing, which can be adjusted according to the specific needs and tolerability of the patient.

Metformin is a biguanide antihyperglycemic agent used primarily in the management of type 2 diabetes mellitus. It works by decreasing hepatic glucose production, reducing intestinal absorption of glucose, and improving insulin sensitivity by increasing peripheral glucose uptake and utilization. Unlike sulfonylureas, metformin does not produce hypoglycemia in either patients with type 2 diabetes or healthy subjects (except in special circumstances) and does not cause hyperinsulinemia. With metformin therapy, insulin secretion remains unchanged while fasting insulin levels and day-long plasma insulin response may decrease.

This oral liquid formulation of metformin HCL is also advantageous for patients requiring titration to minimize gastrointestinal side effects commonly associated with metformin or those with varying blood glucose levels who may need individualized dose adjustments. The liquid dosage form ensures that the medication can be measured and administered accurately, which is crucial for maintaining proper blood glucose levels and achieving optimal therapeutic outcomes.

For prescribers, it is important to note that the efficacy of metformin in lowering blood glucose levels and improving glycemic control is well-documented. It is often used as a first-line therapy due to its low risk of causing hypoglycemia and its beneficial effects on cardiovascular outcomes. When prescribing this liquid formulation, consider the patient's renal function, as metformin is contraindicated in patients with renal impairment. Regular monitoring of renal function is recommended to prevent lactic acidosis, a rare but serious complication of metformin accumulation.

Patients should be counseled on the proper administration of Metformin HCL 100 mg/ml Oral Liquid, including measuring doses with an appropriate device, such as a graduated syringe or dropper. They should also be informed about the potential side effects, such as gastrointestinal disturbances, and the importance of adherence to dietary recommendations and regular blood glucose monitoring. As with any medication, if there are any questions or concerns regarding the use of Metformin HCL 100 mg/ml Oral Liquid, patients and prescribers are encouraged to reach out to us at Bayview Pharmacy for further assistance and guidance.

Drug Interactions

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Metformin HCL (hydrochloride) is an oral antihyperglycemic agent used to treat type 2 diabetes mellitus by improving glucose tolerance and lowering both basal and postprandial plasma glucose. Its mechanism of action includes decreasing hepatic glucose production, decreasing intestinal absorption of glucose, and improving insulin sensitivity by increasing peripheral glucose uptake and utilization. While metformin is generally well-tolerated, it is important to be aware of potential drug interactions when prescribing or taking this medication in its liquid formulation.

One significant interaction is with iodinated contrast media used for certain radiologic procedures, which can lead to acute alteration of renal function and has been associated with lactic acidosis in patients receiving metformin. It is recommended to discontinue metformin prior to or at the time of the imaging procedure and not restart until at least 48 hours after, and only after renal function has been re-evaluated and found to be normal.

Concomitant use of medications that affect renal function can also alter the effects of metformin. Drugs such as NSAIDs, ACE inhibitors, and diuretics can affect kidney function, which is particularly important as metformin is excreted by the kidneys. Careful monitoring of renal function is advised when initiating or adjusting doses of these medications in patients taking metformin.

Alcohol intake can potentiate the effect of metformin on lactate metabolism, increasing the risk of metformin-associated lactic acidosis. Patients should be warned against excessive alcohol intake while taking metformin.

Other drugs can also influence blood glucose levels, which may require dose adjustment of metformin. For example, corticosteroids, thyroid products, oral contraceptives, and phenothiazines can increase blood glucose and may necessitate a higher dose of metformin. Conversely, certain drugs like sulfonylureas, insulin, or meglitinides can increase the risk of hypoglycemia and may require a lower dose of metformin.

Metformin can also interact with drugs that are highly protein-bound, such as cimetidine, due to competition for renal tubular transport systems, potentially leading to an increase in plasma concentration and a risk of metformin-associated adverse effects.

It is also important to monitor vitamin B12 levels in patients on long-term metformin therapy, as metformin may decrease serum levels of this vitamin. Supplementation may be necessary if a deficiency is detected.

Patients and prescribers should be aware that this is not an exhaustive list of all potential drug interactions. It is always important to discuss all medications, including over-the-counter drugs and herbal supplements, with a healthcare provider to ensure safe and effective use of metformin HCL oral liquid. If you have any questions or concerns about drug interactions with metformin HCL oral liquid, please reach out to us at Bayview Pharmacy for further information and guidance.

How Does it Work

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Metformin HCL (hydrochloride) is an antihyperglycemic agent used primarily in the management of type 2 diabetes. It works by decreasing hepatic glucose production, decreasing intestinal absorption of glucose, and improving insulin sensitivity by increasing peripheral glucose uptake and utilization. Unlike some other types of oral diabetes medications, metformin does not cause an increase in insulin secretion and therefore does not lead to hypoglycemia when used alone.

The formulation of Metformin HCL 100 mg/ml Oral Liquid is designed to provide a consistent and precise dose of metformin in a liquid form. This is particularly beneficial for patients who have difficulty swallowing tablets or capsules, such as children, the elderly, or those with dysphagia or other gastrointestinal issues. The liquid formulation allows for flexible dosing, which can be adjusted according to the specific needs of the patient and the progression of their disease state.

When ingested, the metformin in the liquid formulation is absorbed in the intestine and then works systemically to exert its effects. The onset of action for metformin is typically within 48 hours, with maximum effects occurring over a period of several days to weeks. Consistent use of metformin as prescribed is crucial for maintaining blood glucose control and preventing the long-term complications of diabetes, such as neuropathy, retinopathy, and cardiovascular disease.

It is important for both patients and prescribers to understand that while metformin helps control blood glucose levels, it should be used in conjunction with a proper diet, exercise, and possibly other medications as prescribed by a healthcare provider. Regular monitoring of blood glucose levels is essential to ensure the effectiveness of the treatment and to make any necessary adjustments to the dosage.

For any questions regarding the use of Metformin HCL 100 mg/ml Oral Liquid, its mechanism of action, or its role in the treatment of type 2 diabetes, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide the information and support needed to ensure safe and effective use of this medication.

Other Uses

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While Metformin HCL is primarily prescribed for the management of type 2 diabetes mellitus by improving glucose tolerance and lowering both basal and postprandial plasma glucose, it has been observed to have other potential applications beyond its main indication. In the context of a 100 mg/ml oral liquid formulation, there are additional uses that may be of interest to patients and prescribers. One such off-label use of metformin is in the treatment of polycystic ovary syndrome (PCOS), where it has been shown to improve the frequency of ovulation, leading to improved fertility outcomes in some women with this condition. Moreover, the medication’s ability to reduce insulin levels and influence weight management can be beneficial in PCOS management.

Emerging research has also explored the potential of metformin in the field of oncology, where its properties might contribute to a lower risk of cancer development or improved cancer prognosis, although more conclusive evidence is required before it becomes a standard treatment in this domain. Additionally, metformin’s possible cardiovascular benefits could be relevant for reducing the risk of heart disease, particularly in those with type 2 diabetes or metabolic syndrome.

Another research avenue is the exploration of metformin as a potential anti-aging agent. Some studies suggest that metformin could influence longevity by impacting pathways related to age-related diseases, although further research is necessary to validate these findings for clinical recommendations. However, these additional uses are still largely under investigation, and metformin should only be used for non-approved indications within the confines of rigorous clinical trials or after a thorough evaluation of the risks and benefits by a healthcare provider.

It is important to recognize that the therapeutic efficacy and any alternative application of metformin as a 100 mg/ml oral liquid would be contingent on patient-specific factors, and it should only be used under the advice and supervision of a healthcare professional. If you have any questions about the expanded uses of this metformin formulation or require additional information about its various applications, we encourage you to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is available to support both patients and prescribers with expertise and guidance on the safe and effective use of this medication.

Frequently Asked Questions

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What is Metformin HCL 100 mg/ml Oral Liquid used for?

Metformin HCL 100 mg/ml Oral Liquid is a prescription medication commonly used to control high blood sugar in patients with type 2 diabetes. It helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems by controlling blood sugar levels. It may also be used in combination with other medications to manage diabetes effectively.

How should Metformin HCL 100 mg/ml Oral Liquid be taken?

This medication is to be taken by mouth as directed by your healthcare provider, usually once or twice a day with meals. The liquid formulation is especially useful for individuals who have difficulty swallowing pills or tablets. It is important to measure the dose correctly using a dedicated medication measuring device or spoon.

Who can benefit from the liquid form of Metformin?

The liquid form of Metformin is beneficial for patients who have difficulty swallowing solid dosage forms, such as tablets or capsules, including pediatric and geriatric populations. People with conditions such as dysphagia (difficulty swallowing) may also find the liquid formulation more suitable.

Can the dosage of Metformin HCL 100 mg/ml Oral Liquid be adjusted?

Yes, your healthcare provider may adjust the dosage based on your medical condition, blood sugar levels, and response to treatment. It's important not to adjust the dose on your own without consulting your doctor.

What should I do if I miss a dose of Metformin HCL 100 mg/ml Oral Liquid?

If you miss a dose of Metformin HCL 100 mg/ml Oral Liquid, take it as soon as you remember. If it is near the time of your next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Metformin HCL 100 mg/ml Oral Liquid?

As with any medication, side effects are possible. Common side effects of Metformin include stomach upset, diarrhea, nausea, and a metallic taste in the mouth. If any of these effects persist or worsen, or if you experience more serious side effects, such as unusual tiredness, trouble breathing, or signs of low or high blood sugar, contact your healthcare provider immediately.

How should I store Metformin HCL 100 mg/ml Oral Liquid?

Store Metformin HCL 100 mg/ml Oral Liquid in a cool, dry place away from light and moisture. Do not store in the bathroom, and keep the medication out of the reach of children and pets. Consult your pharmacist for specific storage instructions.

Can Metformin HCL 100 mg/ml Oral Liquid be mixed with other liquids or foods?

It is generally recommended to take Metformin HCL 100 mg/ml Oral Liquid on its own as directed by your healthcare provider. However, for those who experience a metallic taste or gastrointestinal discomfort, it can be mixed with a small amount of water or a liquid as advised by your healthcare professional. Do not mix it with other medications or foods without consulting your healthcare provider.

What should I avoid while taking Metformin HCL 100 mg/ml Oral Liquid?

While taking Metformin HCL 100 mg/ml Oral Liquid, avoid excessive alcohol use as it can increase the risk of lactic acidosis and can also affect blood sugar levels. Also, be cautious with other medications that may affect your blood sugar. Always consult your healthcare provider before starting, stopping, or changing any medications.

Do I still need to follow a specific diet and exercise plan while on Metformin HCL 100 mg/ml Oral Liquid?

Yes, it's important to continue following a diet and exercise plan prescribed by your healthcare provider while taking Metformin HCL 100 mg/ml Oral Liquid. Controlling your blood sugar levels involves more than taking medication, and a healthy lifestyle plays a critical role in managing diabetes.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.