Metformin is a biguanide antihyperglycemic agent and first-line pharmacotherapy used in the management of type II diabetes.
Metformin is considered an antihyperglycemic drug because it lowers blood glucose concentrations in type II diabetes without causing hypoglycemia. It is commonly described as an "insulin sensitizer", leading to a decrease in insulin resistance and a clinically significant reduction of plasma fasting insulin levels. Another well-known benefit of this drug is modest weight loss, making it an effective choice for obese patients type II diabetes.
Metformin was first approved in Canada in 1972, and received subsequent FDA approval in the US in 1995.
Metformin immediate-release formulations
Metformin is indicated as an adjunct to diet and exercise to improve glycemic control in adults and pediatric patients ≥10 years old with type 2 diabetes mellitus.
Metformin extended-release tablet (XR)
The extended-release formulation of metformin is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. Safety in children has not been determined to this date.
Metformin combination products
Metformin is a component of a variety of combination products with other anti-diabetic agents. It is indicated, along with diet and exercise, to improve glycemic control in adult patients with type 2 diabetes mellitus in combination with DPP-4 inhibitors (sitagliptin, linagliptin, alogliptin, or saxagliptin), in combination with SGLT2 inhibitors (canagliflozin, empagliflozin, ertugliflozin, or dapagliflozin), or in combination with pioglitazone.
Centro Universitario de Ciencias de la Salud. Universidad de Guadalajara, Guadalajara, Jalisco, Mexico
Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jal, Mexico
Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil
Columbia University Irving Medical Center, New York, New York, United States
Sanofi-Aventis Administrative Office, Tokyo, Japan
1218.52.11003 Boehringer Ingelheim Investigational Site, Edmonton, Alberta, Canada
1218.52.11002 Boehringer Ingelheim Investigational Site, Red Deer, Alberta, Canada
1218.52.38502 Boehringer Ingelheim Investigational Site, Karlovac, Croatia
Seoul National University Hospital, Seoul, Korea, Republic of
Metabolic Research Institute, Inc., West Palm Beach, Florida, United States
John Muir Clinical Research, Concord, California, United States
Dallas Diabetic and Endocrinology Research Center, Dallas, Texas, United States
Centro de Investigaciones Clinicas del Litoral, Santa Fe, Argentina
Clinica Chiclayo, Chiclayo, Peru
King George Hospital, Visakhapatnam, India
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