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Metformin Hydrochloride 125 mg/mL Oral Suspension

Metformin Hydrochloride 125 mg/mL Oral Suspension is a liquid dosage form where the active ingredient, Metformin Hydrochloride, is uniformly dispersed in a liquid medium, ensuring a homogeneous mixture for easy administration. This formulation is primarily used to manage and treat type 2 diabetes mellitus by improving blood sugar control in adults and children. It is an effective option for patients who require an alternative to solid dosage forms, providing flexibility in dosing and ease of swallowing.

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Metformin Hydrochloride
Suspension
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Formula Information

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Metformin Hydrochloride 125 mg/mL Oral Suspension is a compounded liquid formulation designed to provide an alternative dosing option for patients requiring metformin therapy who may have difficulty swallowing traditional tablets or require precise dosing adjustments. Metformin is a biguanide class medication primarily used in the management of type 2 diabetes mellitus to improve glycemic control.

This oral suspension offers a uniform dispersion of Metformin Hydrochloride throughout the liquid medium, ensuring consistent dosing with each administration. The compounded formulation allows for flexibility in dosing, which can be particularly beneficial for pediatric patients, geriatric patients, or those with swallowing difficulties (dysphagia).

Metformin works by decreasing hepatic glucose production, decreasing intestinal absorption of glucose, and improving insulin sensitivity by increasing peripheral glucose uptake and utilization. It does not cause insulin release from the pancreas and does not usually cause hypoglycemia when used alone. This makes it a cornerstone in the management of type 2 diabetes mellitus, especially in overweight patients.

For prescribers, this formulation allows for individualized dosing regimens tailored to the patient's specific needs. It may also be useful in patients with gastroparesis or other gastrointestinal conditions where tablets may not be adequately dissolved or absorbed. The liquid form ensures rapid and uniform availability of the active drug.

Patients using this formulation should be aware of the potential side effects of metformin, which may include gastrointestinal disturbances such as diarrhea, nausea, vomiting, and abdominal discomfort. These side effects are often transient and may decrease over time. Starting with a lower dose and gradually increasing as tolerated may help minimize these effects.

It is important to monitor renal function before initiating therapy and periodically thereafter, as metformin is contraindicated in patients with severe renal impairment due to the risk of lactic acidosis, a rare but serious complication. Patients should also inform their healthcare provider of any history of liver disease, alcohol abuse, or other conditions that may increase the risk of lactic acidosis.

Administration of the oral suspension should be done with care to ensure accurate dosing. Patients or caregivers should use an appropriate measuring device (such as an oral syringe or dosing cup) to measure each dose accurately. Shaking the bottle well before each use ensures the medication is evenly dispersed.

As with all medications, adherence to prescribed dosing schedules is crucial for optimal therapeutic outcomes. Patients should maintain regular follow-up appointments with their healthcare provider to monitor blood glucose levels and adjust dosing as necessary.

If you have any questions or require further information about Metformin Hydrochloride 125 mg/mL Oral Suspension, please do not hesitate to reach out to us.

Drug Interactions

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Metformin Hydrochloride 125 mg/mL Oral Suspension is a liquid dosage form designed to provide a homogeneous mixture for administration, ensuring consistent dosing and ease of use, particularly for patients who may have difficulty swallowing tablets. This formulation is primarily used in the management of type 2 diabetes mellitus, where it helps to control blood glucose levels by decreasing hepatic glucose production, decreasing intestinal absorption of glucose, and improving insulin sensitivity by increasing peripheral glucose uptake and utilization.

When considering the use of Metformin Hydrochloride Oral Suspension, it is crucial to be aware of potential drug interactions that may affect its efficacy or increase the risk of adverse effects. One significant interaction is with cationic drugs that are eliminated by renal tubular secretion, such as amiloride, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamterene, trimethoprim, and vancomycin. These drugs may compete for common renal tubular transport systems, potentially leading to increased plasma concentrations of metformin and an elevated risk of lactic acidosis.

Concomitant use of metformin with other antidiabetic medications, such as insulin or sulfonylureas, may enhance the glucose-lowering effect, increasing the risk of hypoglycemia. Patients should be monitored closely for signs of low blood sugar, and dosage adjustments may be necessary to maintain optimal glycemic control while minimizing the risk of hypoglycemia.

Alcohol consumption can potentiate the effect of metformin on lactate metabolism, increasing the risk of lactic acidosis. Patients should be advised to limit alcohol intake while using this medication. Additionally, iodinated contrast agents used in radiologic studies can lead to acute alteration of renal function, increasing the risk of metformin accumulation and lactic acidosis. It is recommended to discontinue metformin prior to or at the time of the imaging procedure and to withhold it for 48 hours after the procedure, resuming only once renal function has been re-evaluated and found to be normal.

Other medications that may interact with metformin include beta-blockers, which can mask the symptoms of hypoglycemia, and diuretics, which can affect renal function and potentially alter metformin clearance. Patients and prescribers should be vigilant in monitoring for any signs of adverse interactions and adjust treatment regimens accordingly.

For any questions or concerns regarding the use of Metformin Hydrochloride 125 mg/mL Oral Suspension and its potential interactions, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you in ensuring safe and effective use of this medication.

How Does it Work

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Metformin Hydrochloride 125 mg/mL Oral Suspension is a liquid dosage form designed to provide a uniform dispersion of metformin hydrochloride, an active pharmaceutical ingredient, throughout a liquid medium. This formulation ensures a homogeneous mixture, allowing for precise dosing and ease of administration, particularly beneficial for patients who may have difficulty swallowing tablets or require tailored dosing adjustments. The liquid suspension is carefully compounded to maintain stability and efficacy, ensuring that each milliliter contains an accurate concentration of the active ingredient.

Metformin is a biguanide class medication primarily used to manage type 2 diabetes mellitus. It works by decreasing hepatic glucose production, reducing intestinal absorption of glucose, and enhancing insulin sensitivity by increasing peripheral glucose uptake and utilization. This multifaceted mechanism of action helps to lower blood glucose levels, thereby improving glycemic control in patients with type 2 diabetes. By improving insulin sensitivity, metformin also aids in reducing insulin resistance, a common issue in type 2 diabetes, which can help in managing associated metabolic conditions.

The oral suspension form of metformin hydrochloride is particularly advantageous for pediatric patients, elderly patients, or those with dysphagia, as it allows for easier swallowing and the ability to adjust doses more precisely than with solid dosage forms. This flexibility can be crucial in achieving optimal therapeutic outcomes, as it enables healthcare providers to tailor the dosage to the individual needs of the patient, taking into account factors such as age, weight, renal function, and response to therapy.

For prescribers, the metformin hydrochloride oral suspension offers a versatile option for managing type 2 diabetes, especially in patients who require a non-standard dose or have specific administration challenges. It is important to monitor patients regularly to assess the effectiveness of the treatment and make any necessary adjustments to the dosage. Additionally, prescribers should educate patients on the importance of adhering to their prescribed regimen and maintaining a balanced diet and regular exercise to enhance the therapeutic effects of metformin.

Patients using this formulation should be aware of potential side effects, such as gastrointestinal disturbances, which are common with metformin therapy. These can often be minimized by starting with a lower dose and gradually increasing it as tolerated. Patients should also be informed about the signs of lactic acidosis, a rare but serious side effect, and advised to seek medical attention if they experience symptoms such as unusual muscle pain, difficulty breathing, or severe fatigue.

If you have any questions or require further information about Metformin Hydrochloride 125 mg/mL Oral Suspension, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation or its use in managing type 2 diabetes.

Other Uses

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Metformin Hydrochloride 125 mg/mL Oral Suspension is primarily known for its use in managing type 2 diabetes mellitus by improving glycemic control. However, this formulation may have other potential uses that could be beneficial for both patients and prescribers to consider. One such use is in the management of polycystic ovary syndrome (PCOS), a condition characterized by hormonal imbalance and metabolic issues. Metformin has been shown to help regulate menstrual cycles, improve insulin sensitivity, and reduce androgen levels in women with PCOS, thereby addressing some of the underlying symptoms of the condition.

Additionally, Metformin is being explored for its potential benefits in weight management and obesity treatment. It may aid in weight loss by improving insulin sensitivity and reducing appetite, making it a valuable adjunct therapy for individuals struggling with obesity, especially those with insulin resistance. Furthermore, emerging research suggests that Metformin may have a role in cancer prevention and treatment, particularly in reducing the risk of certain types of cancers such as breast, colorectal, and pancreatic cancer. This is thought to be due to its ability to lower insulin levels and exert anti-inflammatory effects.

Metformin is also being investigated for its potential anti-aging properties. Some studies suggest that it may extend lifespan and improve healthspan by mimicking the effects of caloric restriction, enhancing mitochondrial function, and reducing oxidative stress. While these uses are still under investigation and not yet approved, they highlight the versatility of Metformin beyond its traditional role in diabetes management.

For patients who have difficulty swallowing tablets or require precise dosing adjustments, the liquid suspension form of Metformin Hydrochloride offers a convenient and flexible alternative. This formulation ensures uniform dispersion of the active ingredient, providing consistent therapeutic effects with each dose. As with any medication, it is important for patients and prescribers to discuss potential benefits and risks, considering individual health needs and conditions. If you have any questions or require further information about this formulation, please reach out to us at Bayview Pharmacy.

Frequently Asked Questions

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What is Metformin Hydrochloride 125 mg/mL Oral Suspension?

Metformin Hydrochloride 125 mg/mL Oral Suspension is a liquid dosage form of the medication metformin, where the active ingredient is uniformly dispersed throughout a liquid medium, providing a homogeneous mixture for easy administration.

What is the purpose of Metformin Hydrochloride Oral Suspension?

This oral suspension is used to manage blood sugar levels in individuals with type 2 diabetes, helping to improve glycemic control as part of a comprehensive treatment plan that includes diet and exercise.

How should I store Metformin Hydrochloride Oral Suspension?

Store the suspension at room temperature, away from direct sunlight and moisture. Ensure the bottle is tightly closed when not in use, and keep it out of reach of children.

How do I take Metformin Hydrochloride Oral Suspension?

Shake the bottle well before each use to ensure the medication is evenly distributed. Measure the prescribed dose using a proper measuring device or spoon, and take it as directed by your healthcare provider.

Can I take Metformin Hydrochloride Oral Suspension with food?

Yes, it is generally recommended to take metformin with meals to reduce the risk of gastrointestinal side effects such as nausea and diarrhea.

What should I do if I miss a dose of Metformin Hydrochloride Oral Suspension?

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Metformin Hydrochloride Oral Suspension?

Common side effects may include gastrointestinal symptoms such as nausea, vomiting, diarrhea, and abdominal discomfort. If you experience severe side effects or signs of lactic acidosis, seek medical attention immediately.

Can Metformin Hydrochloride Oral Suspension be used in children?

The use of metformin in children should be determined by a healthcare provider. It is important to follow the prescribed dosage and administration guidelines provided by the healthcare professional.

Is Metformin Hydrochloride Oral Suspension suitable for individuals with kidney problems?

Metformin should be used with caution in individuals with kidney problems. Your healthcare provider will assess your kidney function before prescribing this medication and may adjust the dosage accordingly.

Can I drink alcohol while taking Metformin Hydrochloride Oral Suspension?

It is advisable to limit alcohol consumption while taking metformin, as alcohol can increase the risk of lactic acidosis and affect blood sugar control. Consult your healthcare provider for specific recommendations.

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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.