Safely Buy Glucophage XR ( Metformin Hydrochloride ER ) from Canada Prescriptions Plus.

Indications

Glucophage XR is a medication that contains the active ingredient metformin hydrochloride, which is used to treat high blood sugar levels in patients with type 2 diabetes.

Glucophage XR may be used alone or in combination with other diabetes medications, as well as a proper diet and exercise program, to improve blood sugar control.

Use and Dosage

Read the Patient Information Leaflet if available from your pharmacist before you start taking metformin and each time you get a refill. If you have any questions, consult your doctor or pharmacist.

Take this medication by mouth as directed by your doctor, usually once daily with the evening meal. Drink plenty of fluids while taking this medication unless otherwise directed by your doctor.

Do not crush or chew this medication. Doing so can release the entire drug at once, increasing the risk of side effects. Also, do not split the tablets unless they have a score line, and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing.

The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). To reduce your risk of side effects (such as upset stomach), your doctor may direct you to start this medication at a low dose and gradually increase your dose. Follow your doctor’s instructions carefully.

Take this medication regularly to get the most benefit from it. Remember to use it at the same time each day.

If you are already taking a diabetes drug (such as chlorpropamide), follow your doctor’s directions carefully for stopping/continuing the old drug and starting metformin.

Check your blood sugar regularly as directed by your doctor. Keep track of the results and share them with your doctor. Tell your doctor if your blood sugar measurements are too high or too low. Your dosage/treatment may need to be changed.

Side Effects

Get emergency medical help if you have signs of an allergic reaction to metformin: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Some people using this medicine develop lactic acidosis, which can be fatal. Get emergency medical help if you have even mild symptoms such as:

• unusual muscle pain;
• feeling cold;
• trouble breathing;
• feeling dizzy, light-headed, tired, or very weak;
• stomach pain, vomiting; or
• slow or irregular heart rate

Common metformin side effects may include:

• low blood sugar;
• nausea, upset stomach; or
• Diarrhea.

This is not a complete list of side effects and others may occur.

Cautions

Before taking this medication, tell your doctor or pharmacist if you are allergic to metformin; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: severe breathing problems (such as obstructive lung disease, severe asthma), blood problems (such as anemia, vitamin B12 deficiency), kidney disease, and liver disease.

Before having surgery or any X-ray/scanning procedure using iodinated contrast, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). You may need to stop this medication for a short time for the surgery/procedure. Ask your doctor or dentist for instructions before your surgery/procedure.

You may experience blurred vision, dizziness, or drowsiness due to extremely low or high blood sugar. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely.

Limit alcohol while using this medication because it can increase your risk of lactic acidosis and developing low blood sugar.

High fever, “water pills” (diuretics such as hydrochlorothiazide), too much sweating, diarrhea, or vomiting may cause dehydration and increase your risk of lactic acidosis. Stop taking this medication and tell your doctor right away if you have prolonged diarrhea or vomiting. Be sure to drink enough fluids to prevent dehydration unless your doctor directs you otherwise.

It may be harder to control your blood sugar when your body is stressed (such as due to fever, infection, injury, or surgery). Consult your doctor because increased stress may require a change in your treatment plan, medications, or blood sugar testing.

Older adults may be at greater risk for side effects such as low blood sugar or lactic acidosis.

During pregnancy, this medication should be used only when needed. Discuss the risks and benefits with your doctor. Your doctor may direct you to use insulin instead of this product during your pregnancy. Follow your doctor’s instructions carefully.

Metformin can cause changes in the menstrual cycle (promote ovulation) and increase the risk of becoming pregnant. Consult your doctor or pharmacist about the use of reliable birth control while using this medication.

Metformin passes into breast milk in small amounts. Consult your doctor before breastfeeding.

Form and Strengths

Glucophage XR is available in the following form and strengths:

• Glucophage XR ER Tablet:
  • 500 mg
  • 750 mg
  • 1000 mg
• Metformin Hydrochloride ER Tablet:
  • 500 mg
  • 750 mg
  • 1000 mg

FAQ

What happens if I miss a dose?

Take the medicine as soon as you can but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.

What happens if I overdose?

Seek emergency medical attention. An overdose can cause severe hypoglycemia or lactic acidosis.

What to avoid?

Avoid drinking alcohol. It lowers blood sugar and may increase your risk of lactic acidosis.

Resources:

1. https://www.drugs.com/metformin.html#side-effects
2. https://www.accessdata.fda.gov/drugsatfda_docs/label/2008/020357s031,021202s016lbl.pdf
3. https://www.webmd.com/drugs/2/drug-20009/glucophage-xr-oral/details