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EeyoreButterfly

Metformin and Stomach Problems?

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For those of you on Metformin who experienced stomach issues, could you please describe them?

 

I am on the third day of Metformin and cannot tell if my stomach problems are due to Metformin or are a continuation of the problems I've been having (for which I've been told to lay off all milk for two weeks to see if I am lactose intolerant). I'm thinking it's the latter since I'm only on 500mg of ER taken with supper, but I just don't know. I was hoping to somebody could tell me about what they experienced so I might be able to get a better idea if it's the Metformin or not.

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I've just started taking Metformin but I have not had any issues. I always take mine (1000 X 2 each day) just after or during a full meal. Once in the morning and at diner. Maybe it's something you should talk to your DR about?

 

antbronco

 

Keep up the good fight and remember...

 

Go Broncos!!!!!

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Unfortunately, the symptoms of both were about the same for me. Diarrhea & gas.

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I've just started taking Metformin but I have not had any issues. I always take mine (1000 X 2 each day) just after or during a full meal. Once in the morning and at diner. Maybe it's something you should talk to your DR about?

 

antbronco

 

Keep up the good fight and remember...

 

Go Broncos!!!!!

 

My doctor already knows about it- hence the no milk for two weeks. In fact, she was reluctant to put me on Metformin because of it but after looking at my numbers decided the benefit outweighed the risk. I'm pretty sure it's not the Metformin, but I don't know what typical "stomach problems" people have with Metformin.

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I wish I could help but I just don't know. Maybe someone with a lot more knowledge then this newbee has advice.

 

antbronco

 

Keep up the good fight and remember...

 

Go Broncos!!!!!

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Eeyore,

 

It's not at all uncommon to experience stomach and gastric issues when starting out on Metformin. The common things are gas, cramping and Diarrhea. I'm on metformin for 11 months now and did not really experience the problems, but I gather I'm one of the lucky ones. That said I have had about 3 events, which I believe are metformin related. Each occured after dinner, starting with dreadful cramps, then gas and then the world fell out of my bottom. I believe this happened when I had eaten a large, carby or greasy meal.

 

The general advice for somebody starting out and having problems is to watch the carb intake and make sure to eat before taking the met. Often the directions are "with food" which leads some people to take the met and then eat, however I believe it is better to eat and then take the met.

 

As far as I know the stomach/gastric issues should ease and go after about a week or so. Perhaps you could ask your Doctor about splitting the dose.

 

Hope this helps,

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I took metformin for 5 or 6 years then the "bottom fell out" as DaveF so discreetly described. That happened when I finally got down to 180lbs. I've heard that without fat cells around, metformin gets angry. Had to stop metformin when I went on the short list for using contrast dye. That's used for some MRA's, CT's and all angiograms. I get lots of those that are unscheduled and the kidneys don't like metformin mixed with that dye.

. Word of advice: whenever you start a new medication, goto Drugs.com | Prescription Drugs - Information, Interactions & Side Effects or equivalent and check out drug interactions. Especially check out over the counter stuff.

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I had a horrible violent reaction to Metformin, couldn't leave the house. vomiting diarreah and just really ill for two weeks, it jump started my diet.

 

anyway, then I went on actos instead, which did nothing for the numbers.

 

 

then I asked to try met ER and have been absolutely fine on that. really.

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Eeyore,

 

It's not at all uncommon to experience stomach and gastric issues when starting out on Metformin. The common things are gas, cramping and Diarrhea. I'm on metformin for 11 months now and did not really experience the problems, but I gather I'm one of the lucky ones. That said I have had about 3 events, which I believe are metformin related. Each occured after dinner, starting with dreadful cramps, then gas and then the world fell out of my bottom. I believe this happened when I had eaten a large, carby or greasy meal.

 

I have had this same experience. I have been on Metformin a little over a month now and I have not had any real problems with it either. I too have had 2 incidents though and they were both after having a large meal with too many carbs that lead to cramps/gas/diarrhea.

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Hi there Eeyore,

 

I have been on Met for just over a month now and had the "classic" effects of massive cramps, gas, bloating, vomiting and the world falling out of my bottom (dave, very well said):D for about two weeks after starting.

 

I have since had a couple of "events" also where I ate carbs much higher than my usual low carb diet , fattier foods and Met told me (other than my ridiculously high numbers) that is a no no.

 

I too am lactose intolerant and would explain my problems there in almost the same way. The only difference for me is the strength of the cramps, much worse with Met.

 

I haven't tried Met ER but from what I have seen around the board and other places it is much easier on the stomach than just plain Met.

 

The way my numbers are now, they are much more stable and unless I mess with myself by trying to sneak in too many carbs per meal, they are generally getting better. I do see my Doc in a couple of weeks and am going to ask him to add Met at night as well, my morning numbers are always around 150 or slightly higher.

 

Hang in there because once the numbers started coming down, it was worth every trip to the commode! (put some good reading in there)

 

I hope this helps a bit,

Cass:T

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i was on metformin (500mg x 3 - day) back in 95/96, and i had the diarrhea, gas, cramps, bloating... i was on it for a year and a half, then i was put back on it in 2002 (500mg x 2 - day) and then in 2003 (850mg x 2 - day)... each time i went on it or changed dosage, i had the 3 months or so of adjustment to make... the generic one i take, when it changes from GEN-METFORMIN to APO-METFORMIN, i have the adjustment time again with the side effects... it really sucks...

 

SIDE EFFECTS

Nausea, stomach upset, diarrhea, or a metallic taste in the mouth may occur at first as your body adjusts to the medication. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. If stomach symptoms return later (after you are on the same dose for several days or weeks), tell your doctor immediately. Stomach symptoms that occur after the first days of your treatment may be a sign of lactic acidosis.

 

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

 

This medication does not usually cause low blood sugar (hypoglycemia). However, low blood sugar may occur, especially if you take other medications for diabetes, drink large amounts of alcohol, do unusually heavy exercise, or do not consume enough calories from food. Symptoms include cold sweat, blurred vision, dizziness, drowsiness, shaking, fast heartbeat, headache, fainting, tingling of the hands/feet, and hunger. It is a good habit to carry glucose tablets or gel to treat low blood sugar. If you don't have these reliable forms of glucose, rapidly raise your blood sugar by eating a quick source of sugar such as table sugar, honey, or candy, or drink fruit juice or non-diet soda. Tell your doctor about the reaction immediately. To help prevent low blood sugar, eat meals on a regular schedule, and do not skip meals. Check with your doctor or pharmacist to find out what you should do if you miss a meal.

 

Symptoms of high blood sugar (hyperglycemia) include thirst, increased urination, confusion, drowsiness, flushing, rapid breathing, and fruity breath odor. If these symptoms occur, tell your doctor immediately. Your dosage may need to be increased.

 

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching, swelling, severe dizziness, trouble breathing.

 

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

 

WARNINGS

Metformin can rarely cause a serious (sometimes fatal) condition called lactic acidosis. Stop taking metformin and seek immediate medical attention if you develop any of the following symptoms of lactic acidosis: unusual tiredness, severe drowsiness, chills, blue/cold skin, muscle pain, fast/difficult breathing, unusually slow/irregular heartbeat.

 

Lactic acidosis is more likely to occur in patients who have certain medical conditions, including kidney or liver disease, conditions that may cause a low oxygen blood level or poor circulation (e.g., severe congestive heart failure, recent heart attack, recent stroke), heavy alcohol use, a severe loss of body fluids (dehydration), X-ray or scanning procedures that require an injectable iodinated contrast drug, recent surgery, or a serious infection. Tell your doctor immediately if any of these conditions occur or if you notice a big change in your overall health. You may need to stop taking metformin temporarily. The elderly are also at higher risk, especially those older than 80 years who have not had kidney tests.

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I went through a month of **** on metformin that never started to get better until I went on the ER (extended release) version .. and then it still took another month for the side effects to totally go away.

However between met and low carb I have my daily numbers down into the mid to high normal range so it was worth it after all was said and done.

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Hello..

 

Metformin made me feel sick to my stomach about 30m after taking it. I has nausea, sleepyness and general malaise until I stopped taking it. There is no way to know if I way only reacting badly, or if the reaction was accompanied by the wrong diabetes treatments for my body. (Now on Humalog)

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How many who had stomach upset took ER?

 

I am on 500 mg of ER at night. I really think it is whatever stomach issue I already had, becaus it seems like people don't have a problem with ER, and 500 mg seems to be one of the lower doses.

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My Mom is taking Metformin to control her blood sugar level. She was never heavy, but now she's only 97 pounds. I've been hearing something about Mteformin aiding in, or causing weight loss. Has anyone else heard of this? Should I be concerned that the medicine may be making the problem worse? Also is there anything she should eat/take to gain weight without raising her glucose level?

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Based on your other (admitted) spam posts I'm having a hard time taking this seriously. However, I will answer your question.

 

Metformin can help with weight loss, but it is a modest amount. Your mom needs to talk to her doctor about her weight and what she can do to remedy it.

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Hi, I am new at this. My first visit! I was diagnosed in Oct. 2008. I was put on 500 Mg of Metformin. By the next day, I couldn't get out of bed except for times of experiencing vomiting and diahrea (both very often); felt very sleepy, achy, very much like a bad flu. I called my Dr. and was told I probably did have the flu. After a week of this, I told her I really believed it was the Metformin. She took me off it and put me on Glipizide. I got better right away. Glipizide wasn't working for the BSl though so she sent me to an edocrinologist. He put me on the ER of Metformin 500 mg at night. Seemed like that was working. He doubled it and took me off the glipizide. 2 days later, I got violently ill. 3 emergency room visits later, they tell me I might have a problem with my pancreas. Put me in the hospital. Then the hospital dr. says my pancreas is ok and he believes it is all the Metformin. Took me off it. That was 2 days ago and I am home and feeling almost normal again. Don't know what they are going to put me on tomorrow, but it won't be Metformin. This is all so confusing and scary.

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I am probably resurrecting this post from the dead so forgive me. I have been on metformin for about a month now. The first week I noticed I had upset stomach after taking my dose (500mg once a day). I tend to take my dose after lunch. I began timing it and it is like clockwork, I have the cramping, gas and diarrhea exactly 3 hours after taking the medication. It did get better but if I miss my dose for a day or two then the stomach issues comes back for a couple of days. Good way to make sure I remember to take my medicine!

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Psychological Belief could be important factor, Sometimes a drug might not cause any problems at all, but because the Person is " Worried " about certain problems , he/she will feel these problems (even though it is not present)

So Stomach Problems might just be from the " Anxiety" nothing more

 

Just forget that Metformin is causing problems , live you life normally

If These Problems Continued for Long-Term , Talk To your Doctor and He/She Might Consider changing it

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....I began timing it and it is like clockwork, I have the cramping, gas and diarrhea exactly 3 hours after taking the medication. It did get better but if I miss my dose for a day or two then the stomach issues comes back for a couple of days. Good way to make sure I remember to take my medicine!

 

Try taking your dose at bedtime and see if it still bothers you. I find I can sleep through things I might otherwise notice, so I take vitamins and my evening metformin just before I go to bed.

 

Also, if you're not on the extended release version, you might consider it. It peaks more slowly, and many find improvement in symptoms on it. Something else you might consider is adjust what you're eating at the meal with which you take your pill to see if that makes any difference. I find that greasy foods are problematic to me, though otherwise I have no problems whatso ever.

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Just forget that Metformin is causing problems , live you life normally

 

Sorry, if i'm having explosive diarrhea and cramping every time I take a pill, forgetting about it is out of the question...as is "living your life normally."!

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Sorry, if i'm having explosive diarrhea and cramping every time I take a pill, forgetting about it is out of the question...as is "living your life normally."!

 

lol, i didn't mean forget about " explosive diarrhea and cramping " , i mean just forget about little " Discomfort "

 

Placebo Trials proved what i said, Some People was given tablets as if it is Metformin ( while it is not Metformin ) , and found that they have Stomach Problems !!

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Have you ever taken it? Like I said before, I have no problems with it other than when I eat greasy foods (which I shouldn't be eating anyway, so it's actually a good negative reinforcement for me), but i've read enough posts here over the last 4.5 years since i've been diagnosed, that I know there are many who suffer much more than just "little discomfort."

 

Since you're going to be a doctor, I encourage you not to discount what your patients tell you because you think it's all in their head, rather look at them individually, listen to what they are saying, ask questions to find out what else may be going on that could potentially be exacerbating their symptoms (time of dose, empty stomach vs with food, type of food taken with meds, whether they have gastric issues independent of the metformin, whether extended release metformin would alleviate some of the problems, etc.).

 

As a physician, you'll know tons of things your patients' will have no knowledge of, but never forget, as your patient, we are living with our condition 7 days a week, 365 days a year, and while we may only make up 1 hr of your 8 hr day, our lives depend on us being able to make you understand the challenges we are facing.

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Have you ever taken it? Like I said before, I have no problems with it other than when I eat greasy foods (which I shouldn't be eating anyway, so it's actually a good negative reinforcement for me), but i've read enough posts here over the last 4.5 years since i've been diagnosed, that I know there are many who suffer much more than just "little discomfort."

 

Since you're going to be a doctor, I encourage you not to discount what your patients tell you because you think it's all in their head, rather look at them individually, listen to what they are saying, ask questions to find out what else may be going on that could potentially be exacerbating their symptoms (time of dose, empty stomach vs with food, type of food taken with meds, whether they have gastric issues independent of the metformin, whether extended release metformin would alleviate some of the problems, etc.).

 

As a physician, you'll know tons of things your patients' will have no knowledge of, but never forget, as your patient, we are living with our condition 7 days a week, 365 days a year, and while we may only make up 1 hr of your 8 hr day, our lives depend on us being able to make you understand the challenges we are facing.

 

Thank You For the Advice

 

I'm Sorry If i said anything wrong :)

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No worries, I'm just giving you a different perspective to think about.

 

If you want to truly get a different perspective, get a meter and for a week, pretend to be a T2 diabetic. Test yourself 4-6 times a day, worry if you are high, eat something if you are low, give up (or greatly minimize) carbs, imagine taking a medicine that may make you feel bad a couple times a day, try to find time for exercise, look at all kinds of internet articles about amputations, blindness, renal failure, listen to the well-meaning advice of the food police as they attempt to tell you what to eat, what not to eat, how if you'd lose weight it would all go away or how if you hadn't been overweight you wouldn't have diabetes, worry about dying young and never getting to retire, worry about what genes you are passing on to your children, see on the news how much diabetes care costs over a year.....deal with fear, guilt and stress on a daily basis....then at the end of the week when you can once again begin your life, imagine knowing that the week you had is going to be this way until the day you die, as diabetes is a life sentence.

 

Sure there are many worse things than diabetes, but diabetes is a full time job, and I think unless someone is in the trenches, they truly can't understand.

 

I do appreciate your willingness to come to a diabetic forum to read and learn from those with first-hand experience.

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