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.
Universidad de Guanajuato, León, Guanajuato, Mexico
The Hospital for Sick Children, Toronto, Ontario, Canada
St. Michael's Hospital, Toronto, Ontario, Canada
9-111 Endocrinology Department, UofA Hospital, Edmonton, Alberta, Canada
2-004 Li Ka Shing Centre, UofA, Edmonton, Alberta, Canada
UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania, United States
The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China
Faculty of Medicine, Tanta, Egypt
Universidad de Guanajuato, León, Guanajuato, Mexico
Faculty of Pharmacy, Shibīn Al Kawm, Menoufia, Egypt
Zhongshan Hospital, Fudan University, Shanghai, China
UPMC Wexford Spine Center, Wexford, Pennsylvania, United States
UPMC Kaufmann Medical Building, Pittsburgh, Pennsylvania, United States
Stay informed with timely notifications on clinical trials, regulatory changes, and research advancements related to this medication.