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Compare Metformin prices

Dosage Package Price per pill, $ Price, $
1000mgX30 30 1.00 30.00
1000mgX60 60 0.80 48.00
500mgX30 30 0.57 17.10
500mgX60 60 0.45 27.00
850mgX30 30 0.73 21.90
850mgX60 60 0.58 34.80
400/2.50mgX30 30 1.50 45.00
400/2.50mgX60 60 1.20 72.00
500/5mgX30 30 1.57 47.10
500/5mgX60 60 1.27 76.20

Where to buy Metformin with Visa or MasterCard?

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Metformin No Prescription

Blood sugar levels are ordinarily controlled by the body's natural supply of insulin, which helps sugar move out of the bloodstream and into the cells to be prescribed for energy.
It contains two drugs commonly prescribed to lower blood sugar, glipizide (Glucotrol) and metformin (Glucophage).
It is caused by a buildup of lactic acid in the blood.
It is prescribed when diet and exercise alone do not control blood sugar levels, or when treatment with another antidiabetic medication does not work.
Lactic acidosis is a medical emergency that must be treated in a hospital.
Metformin could cause a very rare--but potentially fatal--side effect known as lactic acidosis.
Metformin helps remedy this problem in two ways: by causing your body to release more insulin and by helping your body use insulin more effectively.
Metformin is an oral medication prescribed to control blood sugar levels in people with type 2 (non-insulin-dependent) diabetes.
Metformin replaces the need to take these two drugs separately.
Notify your doctor immediately if you experience any of the following:
People who have type 2 diabetes do not make enough insulin or do not respond normally to the insulin their bodies make, causing a buildup of unused sugar in the bloodstream.
The problem is most likely to occur in people whose liver or kidneys are not working well, and in those who have multiple medical problems, take several medications, or have congestive heart failure.
The risk is higher if you are an older adult or drink alcohol.

Symptoms of lactic acidosis may include:
- Unusual muscle pain;
- Unexpected or unusual stomach discomfort;
- Slow or irregular heartbeat;
- Sleepiness;
- Rapid breathing or trouble breathing;
- Low body temperature;
- Low blood pressure;
- Light-headedness;
- Extreme weakness or tiredness;
- Dizziness;

Metformin Side Effects

Metformin side effects that you should report to your health care professional or doctor as soon as possible:

More common side effects may include:
- Upper respiratory infection;
- Muscle pain;
- Hypoglycemia (low blood sugar);
- High blood pressure;
- Headache;
- Dizziness;
- Diarrhea;
- Abdominal pain;

Less common side effects may include:
- Vomiting;
- Urinary tract infection;
- Nausea;

Metformin Contraindications

Metformin is contraindicated if you have any of the following conditions:
- If the kidneys aren't working properly;
- If you are an older person;
- If you are going to have surgery, except minor surgery;
- If you become seriously dehydrated, since this increases the likelihood of developing lactic acidosis;
- If you develop kidney problems while on Metformin;
- If you develop liver problems;
- If you have a heart condition or you're at risk for heart disease;
- If you have ever had an allergic reaction to glipizide or metformin;
- If you have kidney disease or your kidney function has been impaired by a condition such as shock, blood poisoning, or a heart attack;
- If you have kidney, liver, adrenal, or pituitary gland problems;
- If you have metabolic or diabetic ketoacidosis (a life-threatening medical emergency caused by insufficient insulin and marked by excessive thirst, nausea, fatigue, pain below the breastbone, and fruity breath);
- If you lose a significant amount of fluid due to vomiting, diarrhea, fever, or some other condition;
- If you miss meals or fail to eat after doing strenuous exercise;
- If you need to take medicine for congestive heart failure;
- If you notice any of these warning signs, since severe low blood sugar can occasionally lead to seizures or coma;
- If you notice sudden changes after you've been stabilized for a while;
- If you're older, weak, or undernourished;

Metformin Interactions

Do not take Metformin with any of the following drugs:
- Water pills (diuretics) such as hydrodiuril, dyazide, and moduretic;
- Warfarin sodium (coumadin);
- Vancomycin (vancocin);
- Trimethoprim (bactrim, septra);
- Triamterene (dyazide, dyrenium);
- Tranquilizers such as thorazine;
- Thyroid hormones such as synthroid;
- Steroids such as prednisone (deltasone);
- Ranitidine (zantac);
- Quinine;
- Quinidine (quinidex);
- Procainamide (procanbid, pronestyl);
- Probenecid (benemid);
- Phenytoin (dilantin);
- Oral contraceptives;
- Nonsteroidal anti-inflammatory drugs such as aleve, motrin, and naprosyn;
- Nifedipine (adalat, procardia);
- Niacin (niaspan);
- Morphine;
- Isoniazid (rifamate), a drug prescribed for tuberculosis;
- Furosemide (lasix);
- Estrogens such as premarin;
- Digoxin (lanoxin);
- Decongestant, airway-opening drugs such as sudafed and ventolin;
- Cimetidine (tagamet);
- Chloramphenicol (chloromycetin);
- Calcium channel blockers (heart medications) such as calan, isoptin, and procardia;
- Beta-blocking blood pressure medicines such as inderal, lopressor, and tenormin;
- Anti-inflammatories that contain salicylates, such as aspirin, dolobid, and rowasa;
- Antifungal drugs that are taken orally, such as fluconazole (diflucan) and miconazole;
- Antidepressants known as mao inhibitors, including nardil and parnate;
- Antibiotics known as sulfonamides, including bactrim, cotrim, and septra;
- Amiloride (moduretic);

Metformin Dosage

CHILDREN

Children should not take Metformin, since the safety and effectiveness of the drug have not been studied in this group.

ADULTS

For patients not previously treated with diabetes medications

If your fasting blood sugar levels are particularly high, you doctor may have you take 2.5 milligrams of glipizide with 500 milligrams of metformin twice a day.
The recommended starting dose is 2.5 milligrams of glipizide with 250 milligrams of metformin once a day.

The maximum daily dose is 10 milligrams of glipizide with 2,000 milligrams of metformin.
The daily dosage can be increased by one tablet every 2 weeks until blood sugar levels are controlled.

For patients on combination therapy taking separate doses of glipizide and metformin

The maximum daily dose should not exceed your current doses of glipizide and metformin.
If this regimen doesn't control your blood sugar, the daily dose can be increased by increments of up to 5 milligrams (glipizide)/500 milligrams (metformin).
The usual daily starting dose is either 2.5 or 5 milligrams of glipizide with 500 milligrams of metformin.
The maximum daily dose is 20 milligrams of glipizide with 2,000 milligrams of metformin.

For patients previously treated with glipizide (or a similar drug) or metformin

The recommended starting dose of Metformin is either 2.5 or 5 milligrams of glipizide with 500 milligrams of metformin twice a day.
The maximum daily dose is 20 milligrams of glipizide with 2,000 milligrams of metformin.
If this regimen doesn't control your blood sugar, the daily dose can be increased by increments of up to 5 milligrams (glipizide)/500 milligrams (metformin).

Metformin Overdose

An overdose of Metformin can cause an attack of low blood sugar requiring immediate treatment.
An excessive dose of Metformin can trigger lactic acidosis.

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