Metformin Medicine 1. Overview Metformin is a first-line oral medication primarily used to manage type 2 diabetes mellitus. It is not used for type 1 diabetes. It works by improving glycemic control with a low risk of hypoglycemia and is often prescribed alongside lifestyle modifications. 2. Mechanism of Action -Reduces Hepatic Glucose Production: Inhibits gluconeogenesis in the liver. Enhances Insulin Sensitivity: Increases glucose uptake in muscle and adipose tissue. Delays Intestinal Glucose Absorption: Modestly affects absorption in the gut. 3. Clinical Uses Type 2 Diabetes: First-line therapy to lower blood glucose. Off-Label: Polycystic ovary syndrome (PCOS) to improve insulin resistance and regulate menstrual cycles. 4. Dosage Forms & Administration Forms: Immediate-release (IR; 2–3 times daily) and extended-release (XR; once daily). Dosing: Start: 500 mg o...
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