What is metformin and how does it work?

Metformin is prescribed to patients with type 2 diabetes to manage elevated blood sugar levels. It operates by aiding the restoration of the body’s proper response to insulin, a hormone naturally produced. Classified as a biguanide, metformin reduces blood sugar levels in individuals with diabetes by diminishing sugar production in the liver and absorption by the intestines, while also increasing cell sensitivity to insulin.

Although some patients may experience initial side effects, these typically subside within two weeks as the body adapts to the medication. Depending on the dosage, metformin may take several weeks or months to lower A1C levels, a blood test measuring blood sugar levels over the past three months.

To obtain metformin in Canada, a prescription is required. Consultation with a doctor, such as through Laso MD, can facilitate the acquisition of a metformin prescription.

 

What are the uses for metformin?

Metformin is a medication utilized to regulate and maintain blood sugar levels in individuals with type 2 diabetes. Effective diabetes management can help prevent complications such as kidney damage, blindness, nerve problems, limb loss, and sexual function issues. It also reduces the liver’s sugar production and intestinal sugar absorption.

Metformin is highly effective in treating type 2 diabetes, controlling blood glucose and lowering A1C levels by up to 1.5% at its maximum dose.

 

How do you use metformin?

Due to its prescription-only status in Canada, metformin must be obtained through a doctor. Once prescribed, it is taken orally one to three times a day with meals. Adequate fluid intake is recommended unless directed otherwise by the doctor.

It is essential to inform the doctor and pharmacist about all medications and products in use, including prescription and nonprescription drugs, as well as herbal products. Consistent daily usage and adherence to scheduled times are crucial for maximum benefits.

 

How much does metformin cost in Canada?

Metformin costs vary based on factors such as provincial or private insurance coverage, daily dosage, and preference for generic or brand-name pills. The starting dose is typically 500mg daily, with patients potentially taking up to 1000mg twice daily.

The cost can range from up to $90 per month for a brand version to under $10 for the generic version.

 

What are the side effects and risks of metformin?

Before starting metformin, consulting with a doctor is essential to determine its suitability. Possible side effects include:

– Nausea
– Vomiting
– Stomach upset
– Diarrhea
– Weakness
– Metallic taste in the mouth

Serious side effects, such as dizziness, severe drowsiness, breathing difficulties, and muscle pain, should be reported to the doctor promptly. Long-term use of metformin may impact vitamin B-12 absorption, potentially leading to an increased risk of anemia and certain psychological and neurological symptoms. Regular monitoring of B-12 levels is advisable for those taking metformin for an extended period.

 

Who should avoid taking metformin?

Before using metformin in Canada, it is crucial to inform your doctor or pharmacist about your medical history. Older patients using metformin may face an increased risk of lactic acidosis and low blood sugar levels.

Individuals with a history of severe kidney disease or heart failure should refrain from taking metformin.

If you are pregnant, your doctor may opt for alternative medications during pregnancy to manage diabetes. Metformin should only be taken as needed during pregnancy, as it can impact the menstrual cycle and increase the risk of pregnancy in premenopausal anovulatory women.

Consult your doctor if you are using metformin and planning to become pregnant. Discuss reliable birth control options with your doctor or pharmacist while using this medication.

 

What should I avoid while taking metformin?

Certain medications should be avoided while taking metformin, including but not limited to:

– Specific chest pain medications
– Anti-malarial medications
– Certain diuretics
– Certain antibiotics (Cephalexin, Septra, and more)
– ACE inhibitors
– Certain antidepressants
– Iodinated contrast (used in medical imaging tests)

Discuss all medications you are taking with your doctor to ensure the safety of using metformin.

It is also recommended to avoid heavy alcohol consumption while taking metformin. Limit alcohol intake to no more than one drink for women or two drinks for men per day.

Non-alcoholic beverages are acceptable, and maintaining a regular diet is encouraged. However, excessive sugar consumption is not advisable in managing type 2 diabetes, as it can elevate blood sugar levels even when using metformin.

 

Do I need to monitor my blood sugar levels while taking metformin?

If you’ve been diagnosed with type 2 diabetes and prescribed metformin, you may not need to personally check your blood sugar levels. Typically, doctors order an A1C test every three to six months to monitor blood sugar levels. If you’ve obtained a metformin prescription in Canada, discuss with your doctor the recommended approach for monitoring your blood sugar levels.

 

What should I do if I miss a dose of metformin?

If you miss a dose of metformin, take the prescribed amount as soon as you remember, unless it is close to your next scheduled dose. In the latter case, proceed with the next dose as prescribed—never double your dose.

 

What is Laso MD?

Laso MD is an online platform connecting individuals with doctors and healthcare providers through text, audio, or video consultations. Once logged into your Laso MD account, you can request an online consultation.

Online consultations mirror in-person appointments, allowing the doctor to examine you as necessary, inquire about your symptoms, review your health history, and assess the suitability of metformin for your condition. If the doctor deems your condition more serious, they may advise an in-person appointment.

Since purchasing metformin online without a prescription is not possible, after consulting with a Laso MD doctor who prescribes metformin online, you can choose to send the prescription to a local pharmacy or have it delivered at no additional cost.