Discontinue the medicine for 48 hours before and after the elective surgery. Monitor renal (kidney) function at least annually. Discontinue immediately if metabolic acidosis (overproduction of acid in the body) is suspected. WarningsĪssess risk factors for lactic acidosis (buildup of lactate causing acidic pH of blood stream). Rarely it may cause lactic acidosis (buildup of lactate causing acidic pH of blood stream). GI upset, taste disturbance, abnormal liver function tests, hepatitis (inflammatory condition of liver), skin reactions, reduced B12 absorption are some of its side effects. It is also used as adjuvant therapy in insulin dependent diabetes, particularly in obese patients. This medicine is indicated in maturity onset diabetes either alone or with sulphonylureas. Inform your doctor immediately if you experience any serious side effects.Do not discontinue this medicine without consulting your doctor. Do not use more than the recommended dose.Do not share this medicine with anyone.Drink enough fluids to prevent dehydration.Take this medicine exactly as instructed by your doctor.
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