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.
The Egyptian IVF-ET center, Cairo, Egypt
Novartis Investigative Site, Kahramanmaras, Turkey
Primary Children's Medical Center/Utah, Salt Lake City, Utah, United States
Nemours Children's Clinic, Jacksonville, Florida, United States
University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States
Local Institution, Melbourne, Victoria, Australia
University of Miami, Miami, Florida, United States
Joslin Diabetes Center, Boston, Massachusetts, United States
University of Washington, Seattle, Washington, United States
Tehran University of Medical Sciences, Tehran, Iran, Islamic Republic of
Novo Nordisk Investigational Site, Istanbul, Turkey
Investigational Site Number 203104, Plzen, Czech Republic
Investigational Site Number 616106, Bytom, Poland
Investigational Site Number 616105, Wroclaw, Poland
Novartis Investigative Site, Völlkingen, Germany
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