Metformin – The most common and famous prescribed medicine
Add15years.com Add15years.in Author: (Prof.) Dr. S. Om Goel, MD/DM From family of doctors from AIIMS, MAMC& Delhi University MD Medicine, USA DM/Fellowship, USA
Metformin – The most common and famous prescribed medicine
Metformin (1,1-dimethylbiguanide), a biguanide derivate and its chemical structure is related to guanidine. Insulin sensitizer Most widely prescribed drug to treat hyperglycemia, at least 120 million user worldwide. Monotherapy & in combination with all antidiabetic.
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History • • • •
Metformin was first prepared in 1922 by the Dublin chemists Jean sterne wasthe first to try metformin on humans for the treatment of diabetes. He coined the name “Glucophage” for the drug and published his results in 1957. Metformin was introduced to the United Kingdom in 1958, France in 1957, and Canada in 1972.
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Popular Brands • • • • • • • • • •
Glucophage Metformin Hydrochloride ER Glumetza Rioment Fortamet Glucophage XR Diamin Formin Met – 500 Bigomet
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Mechanism of action Decrease hepatic glucose production through a mild inhibitions of the mitochondrial respiratory-chain. Decrease intestinal absorption of glucose. Anti-oxidative properties of metformin on endothelial cells www.add15years.com www.add15years.in
Actions of metformin Anti-obesity effects: • Decreased appetite • Increased GLP-1 sections Anti-hyperglycemic effects: • Decreased intestinal carbohydrate absorption • Inhibition of hepatic gluconeogenesis • Enhancement of insulin-stimulated glucose transport in the skeletal muscle.
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Side Effect • • • • • •
Metallic taste in the mouth Gastrointestinal (anorexia, cough, vomiting, abdominal discomfort) Vitamin B12 deficiency Lactic acidosis Reduce appetite Fatigue
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AVAIL OFFER N OW
ADD100RsOFF ADD100%OFF Author: (Prof.) Dr. S. Om Goel, MD/DM From family of doctors from AIIMS, MAMC & Delhi University MD Medicine, USA DM/Fellowship, USA
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