Side Effects:

Common Nausea, Vomiting, Altered taste, Diarrhoea, Abdominal pain, Loss of appetite.

Expert advice for Metmore Tablet SR
Metformin is the medicine of choice to lower blood sugar levels. You should continue to exercise regularly, eat a healthy diet, and take your other diabetes medicines (if prescribed) along with Metmore. Chances of weight gain and low blood sugar are lesser as compared to other diabetes medicines. An upset stomach with nausea and diarrhoea may occur in the first two weeks; take it with food to avoid an upset stomach. Hypoglycemia (low blood sugar level) may occur when taken along with other antidiabetic medicines, alcohol or on delaying/skipping a meal. Carry a sugar source with you for immediate relief. Notify your doctor if you have a kidney disease. Your doctor may adjust your dose. Vitamin B12 deficiency and symptoms of anemia like fatigue, pale skin, shortness of breath or headache may occur. Notify your doctor if you experience any of these as you may require supplements.

Frequently Asked Questions

Q. Is Metmore helpful in patients with polycystic ovarian syndrome (PCOS)?
Yes. Metmore is helpful in patients with PCOS. It may be used along with other medicines to induce ovulation and regularize menstrual cycles. It also delays the development of type 2 diabetes if you already have prediabetes and aids in weight loss if you follow a diet and exercise program.

Q. How does Metmore help in weight loss?
Metmore helps in weight loss by decreasing hunger (appetite) and hence food intake. It makes the insulin already available in your body to work more effectively. This leads to decrease glucose production, increase glucose use and decreased fat deposits which further helps to lower body weight. However, it is not yet approved for weight loss, this is an off-label use.

Q. Is Metmore useful in the treatment of infertility?
Metmore is commonly used off-label for the treatment of infertility associated with polycystic ovary syndrome (PCOS). It regulates ovulation and androgen levels in the body and improves menstrual regularity and pregnancy rates and outcomes. This beneficial effect is thought to be due to improvement in insulin resistance by Metmore.

Q. Does Metmore cause low blood sugar levels (hypoglycemia)?
Metmore can lower blood sugar level (hypoglycemia). It happens more often if you delay or miss your food, do more than your routine exercise, drink alcohol or take other antidiabetic medicine along with. So, regular monitoring of blood sugar level is important and be cautious of symptoms of hypoglycemia and always keep glucose tablets, honey or fruit juice with you.

Q. Can I take Metmore forever?
Metmore is generally a safe and well-tolerated drug even on long-term use. However, its long-term use can cause vitamin B12 deficiency leading to anemia and peripheral neuropathy (nerve damage). so, it should be taken only at prescribed doses for the duration as advised by the doctor.

Q. Is Metmore a sulfonylurea?
No, Metmore is not a sulfonylurea. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modification in diet and exercise.

Q. Is Metmore a steroid?
No, Metmore is not a steroid. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modifications in diet and exercise.

Q. Does Metmore cause bloating?
Metmore commonly causes stomach upset like bloating (heavy and uncomfortable feeling in the stomach), nausea, vomiting, and diarrhea. To avoid these side effects, it is advised to be taken after meals, preferably started at a low dose and then increased slowly over weeks, or by using slow-release tablets.

Q. Is Metmore good for fatty liver?
Metmore is seen to be beneficial in the treatment of non-alcoholic fatty liver disease (NAFLD). One of the underlying cause of NAFLD is insulin resistance. Metmore improves insulin resistance and liver enzymes in these patients. It is not seen to benefit patients of alcoholic fatty liver disease and is usually avoided in patients with liver cirrhosis as they are at an increased risk of lactic acidosis.

Q. What is the benefit of combining Metmore with coenzyme q10?
Coenzyme Q10 is an antioxidant that helps in energy production and is found in heart, liver, kidney, and pancreas (which produces insulin). It can repair the damage caused to these organs by free radicals. Low levels of CoQ10 are seen in patients with diabetes. So, some researchers suggest it be given from outside. It can be taken with Metmore as no drug-drug interactions or harmful effects have been seen between the two.

Q. Does Metmore help in improving your menstrual cycle (periods)?
Yes, Metmore does improve menstrual cycle (periods) regularity in women with polycystic ovarian syndrome (PCOS). It is associated with insulin resistance, decreased ovulation, and high androgen levels which cause menstrual irregularities like delayed periods and scanty bleeding. Metmore helps in regularizing menstrual cycles by improving insulin sensitivity, ovulation rate, and decreasing androgen levels.

Q. Can I take Metmore with atorvastatin?
Yes, Metmore can be taken with atorvastatin. There are no reported harmful effects when they are used together. Rather some studies suggest beneficial effects in diabetics as they may prevent a very high increase in blood glucose after food, decrease some inflammation markers and protect the patients from liver injury.

Q. Can I take Metmore with phentermine?
Metmore can be taken with phentermine. These are sometimes given together in obese patients who are also diabetic and are taking Metmore along with exercise and diet modification. Phentermine decreases food intake by its action in the brain. However, phentermine can decrease the effect of Metmore leading to very high blood glucose levels. So, a dose adjustment of Metmore may be needed.

Q. Can I take Metmore with levothyroxine?
Metmore can be taken with levothyroxine but the dose of Metmore may need to be adjusted. Levothyroxine can decrease the effect of Metmore leading to very high blood glucose levels. These are used together in patients with coexisting thyroid disease and diabetes mellitus or polycystic ovarian syndrome (PCOS).

Q. Can I take Metmore with prednisolone?
Metmore can be taken with prednisolone but the dose of Metmore may need to be adjusted. Prednisolone can decrease the effect of Metmore leading to very high blood glucose levels. Continuous use of steroids like prednisolone can also cause diabetes known as glucocorticoid-induced diabetes and use of Metmore is recommended in these patients.

Q. Can I take Metmore with metoprolol?
Metmore can be taken with metoprolol. There are no reported drug interactions or harmful effects in humans when they are used together. However, some animal studies suggest that metoprolol can decrease the blood levels of Metmore and on long-term use can increase lactic acid and uric acid levels.

Q. Does Metmore clear acne?
Metmore is not indicated for clearing acne due to just any condition. It only helps in clearing acne in women with polycystic ovarian syndrome (PCOS) along with other problems like facial hair, abdominal obesity, and irregular menstruation.

Q. Does Metmore cause hair loss?
No, hair loss has not been reported with Metmore. It only helps in clearing facial hair (hirsutism) in women with polycystic ovarian syndrome (PCOS) along with other problems like acne, abdominal obesity, and irregular menstruation.

Q. Does Metmore cause weight gain?
No, weight gain has not been reported with Metmore. Rather it helps in decreasing weight especially abdominal fat patients of type 2 diabetes mellitus and in women with polycystic ovarian syndrome (PCOS) along with other problems like facial hair, acne, and irregular menstruation.

Q. Does Metmore cause constipation?
Metmore is not known to cause constipation. Some common side effects associated with the use of Metmore includes nausea, vomiting, abdominal pain, altered taste, diarrhea, and loss of appetite.

Q. Is Metmore safe?
Metmore is a safe and well-tolerated drug even on long-term use when taken strictly as advised by the doctor. However, there are some very common side effects like nausea, vomiting, abdominal pain, altered taste, diarrhea, and loss of appetite you may experience even at therapeutic doses.

Q. Does Metmore increase blood pressure?
Metmore is not known to increase blood pressure. Some common side effects associated with the use of Metmore includes nausea, vomiting, abdominal pain, altered taste, diarrhea, and loss of appetite.

Q. Is Metmore an insulin?
No, Metmore is not an insulin. Metmore is an oral drug used in type 2 diabetes mellitus and lowers blood glucose levels by decreasing its production and increasing absorption and making the already available insulin in your body to work better. Insulin is a normally produced hormone in the body, used in the injectable form in the treatment of both type 1 and 2 diabetes mellitus and it works by absorbing and storing glucose from the blood.

Q. Is Metmore a banned drug?
No, Metmore is not a banned drug. It is a prescription medicine and is available when prescribed by registered medical practitioner.

Q. Is Metmore a birth control pill?
No, Metmore is not a birth control pill. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modification in diet and exercise.

Q. Is Metmore a statin?
No, Metmore is not a statin. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modification in diet and exercise.

Q. Can I take Metmore with saxagliptin?
Both Metmore and saxagliptin are anti diabetic drugs and can be used together. Their fixed dose combinations are also available and commonly advised once Metmore is unable to control blood sugar levels even after giving the maximum tolerated dose. As they work by different mechanisms, they help in better control of blood sugar levels compared to either drug taken alone.

Q. Does Metmore cause blurry vision?
Metmore is not known to cause blurred vision. Change in vision in a patient with diabetes could be due to multiple reasons. It could be a temporary problem either due to high blood sugar levels which cause your lens inside your eye to swell and change your vision. If the blurred vision continues for a long time, consult a doctor.

Q. What is lactic acidosis and how is it related to Metmore use?
Lactic acidosis is a rare, but serious complication associated with the use of Metmore. Patient has high blood lactic acid levels and may present with tiredness, weakness, stomach pain, loose stools, severe muscle pain, muscle cramps and difficulty in breathing. It is especially seen in old age patients, those with kidney, liver or heart disease, or who take large amounts of alcohol. If you have these symptoms, stop taking Metmore and consult your doctor.

Q. Is Metmore use associated with liver pain?
Metmore is not known to cause any liver pain or damage. Rather, it is seen to be useful in patients with non-alcoholic fatty liver disease (NAFLD) and chronic hepatitis C. However, it is usually avoided in patients with liver cirrhosis as they are at an increased risk of lactic acidosis which is a serious complication associated with the use of Metmore.

Q. Does Metmore make you feel high?
No, Metmore does not elevate the mood or make you feel high. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modification in diet and exercise. Rare side effects of Metmore include anxiety and depression.

Q. Can Metmore cause back pain?
Usually, Metmore is not associated with back pain. However, it can be a presentation of stomach upset, a common side effect caused by Metmore which includes bloating (heavy and uncomfortable feeling in the stomach), nausea, vomiting, and diarrhea, or it could be a symptom of lactic acidosis, a rare and a serious complication of Metmore.

Q. Can long-term use of Metmore cause vitamin b12 deficiency?
Yes, Metmore causes vitamin B12 deficiency on long-term use as it interferes with absorption of vitamin B12 in the stomach. If untreated, it may cause anemia and nerve problems and the patient can have tingling sensation and numbness in hands and feet, weakness, urinary problems, change in mental status and difficulty in making balance (ataxia). To avoid these problems, some researchers suggest an intake of vitamin B12 from outside at least once every year.

Q. Is Metmore useful in the management of metabolic syndrome?
Yes, Metmore is seen to be useful in the management of metabolic syndrome, a collection of risk factors that include high blood pressure, high blood sugar levels, abnormal blood cholesterol levels and excess fat around the waist. Metmore is an insulin sensitizer and it improves the action of insulin and normalises blood sugar levels and reduces body weight.

Q. How beneficial is it to take Metmore with glimepiride?
Both Metmore and glimepiride are anti diabetic drugs and can be used together. They work by different mechanisms and can control the blood sugar levels in a much better way when used together as compared to either drug taken alone. However, glimepiride can cause very low blood glucose levels, so a regular monitoring of blood glucose is very important.

Q. Is it safe to take Metmore with cetirizine?
Yes, Metmore can be taken with cetirizine. There are no reported drug interactions or harmful effects when they are used together.

Q. Can I take Metmore and ranitidine together?
Metmore can be taken with ranitidine. However, if you are taking them together, you need to monitor blood glucose levels regularly as ranitidine can decrease the removal of Metmore from the body and increase its blood levels. This can cause very low blood sugar levels and other side effects as well and the dose of Metmore may need adjustment.

Q. How beneficial is it to take Metmore with linagliptin?
Both Metmore and linagliptin are anti-diabetic drugs and can be used together. Their fixed dose combinations are also available and commonly advised once Metmore is unable to control blood sugar levels even after giving the maximum tolerated dose. As they work by different mechanisms, they help in better control of blood sugar levels compared to either drug taken alone.

Q. Does Metmore inhibit hepatitis B virus protein?
Yes, some research studies have shown that Metmore can decrease the multiplication and growth of hepatitis B virus when given along with other antiviral drugs. However, this is indication is still under research and not yet approved.

Q. Can I take Metmore before or after a chest x-ray? Does its use lead to chest x-ray abnormality?
Metmore should be temporarily discontinued before chest or any X-ray that requires injection of a contrast medium or dye. These dyes can decrease kidney function and Metmore along with these dyes can cause a serious side effect like lactic acidosis. So you may need to stop taking Metmore. However, do not stop taking any medicine without talking to your doctor.

Q. Does Metmore make you sleepy?
Metmore can cause sleepiness which could be an early symptom of lactic acidosis along with tiredness, weakness, stomach pain, loose stools, severe muscle pain, muscle cramps and difficulty in breathing. It is a serious condition caused by Metmore seen in old age patients, those with kidney, liver or heart disease, or those who take large amounts of alcohol. If you have these symptoms, stop taking Metmore and consult your doctor.

Q. Does the use of Metmore cause joint pain?
Use of Metmore is not associated with joint pain. However, diabetes itself decreases blood circulation to the joints and even damages them leading to joint pain. Use of anti-diabetic drugs like sitagliptin or saxagliptin is also associated with joint pain. Early symptoms of lactic acidosis like muscle pain and cramps with weakness and tiredness can be mistaken for joint pain.

Q. Can Metmore help in reducing weight gain caused by antipsychotics?
Metmore may be of help in the treatment and prevention of weight gain caused by antipsychotics along with lifestyle modifications like a change in diet and regular exercise. Weight gain is an important reason for discontinuation of these medicines. Metmore improves insulin sensitivity and prevents weight gain, both of these factors are affected by the use of antipsychotics.

Q. Is Metmore useful in the treatment of fragile X syndrome?
Metmore has shown promising results in some animal research studies in the treatment of fragile X syndrome. It may help in improving mental and behavioral disorders (autism) and control obesity and risk of developing diabetes in these patients. But these results are very preliminary and it is still not approved for the treatment of fragile X syndrome.

Q. What is the difference between liraglutide and Metmore?
Metmore and liraglutide are antidiabetic drugs and both control blood sugar levels effectively. Metmore is taken by oral route and it decreases glucose production from liver and glucose absorption from the gut and increases insulin sensitivity. While liraglutide is an injectable and it increases insulin release from the pancreas. Both cause stomach upset, like nausea, vomiting, diarrhea and bloating while liraglutide also increases the risk of pancreatitis.

Q. Does Metmore use make you feel high?
No, Metmore does not elevate the mood or make you feel high. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modification in diet and exercise. Rare side effects of Metmore include anxiety and depression.

Q. Does Metmore make you sweat?
Yes, sweating is one of the known side effects of Metmore. The exact cause of this is not known. Some researchers suggest it to be due to low blood sugar levels especially at night which can cause night sweats as well. Monitor your blood sugar levels regularly and talk to your doctor as your dose of Metmore may need to be adjusted.

Q. Can I take Metmore with clomiphene citrate?
Metmore can be taken with clomiphene citrate. They are advised together in patients with infertility along with polycystic ovarian syndrome (PCOS). Clinical studies have shown an improvement in ovulation and pregnancy rates in these patients as compared to use of clomiphene citrate alone or if the patients are resistant to the effects of clomiphene citrate. However, this is still under research.

Q. Is Metmore useful in treating or preventing breast cancer?
Metmore is seen to be useful in the treatment and prevention of cancers especially breast cancer in research studies. As high insulin levels are known to increase the risk of cancer, Metmore decreases cancer cell growth by decreasing insulin and blood glucose levels. However, its use in treating breast cancer is not yet approved.

Q. Does Metmore use increase your chance to get Helicobacter pylori infection?
No, Metmore is not associated with an increased risk of Helicobacter pylori infection. Diabetes itself increases the risk of H.pylori infection which increases the chances of stomach upset like nausea, vomiting, diarrhea, and bloating by Metmore.

Q. Does Metmore use leads to anemia?
Metmore may decrease the levels of vitamin B12 on long term use which may rarely cause a type of anemia in which blood cells are larger than normal (megaloblastic anemia). You may need to take foods rich in vitamin B12 like eggs, dairy products, and meat or a supplement from outside.

Q. Is Metmore useful in the treatment of prediabetes?
Metmore is seen to be useful in the management of prediabetes, a condition with blood glucose levels higher than normal but not high enough to label you as diabetic. Metmore makes the insulin already available in your body to work more effectively, decreases glucose production by liver and increases use of glucose by the muscles and lowers body weight. However, lifestyle modifications like a change in diet and exercise should be tried first as they are seen to be more effective than Metmore.

Q. Can I take Metmore with teneligliptin?
Yes, Metmore can be taken with teneligliptin. It is a good add-on treatment if the blood sugars are very high even after taking Metmore. The risk of low blood sugar levels (hypoglycemia) is also very low with both the medicines. However, consult your doctor before taking them together as a dose adjustment may be needed.