Prescription Required.Why?
A biguanide oral antidiabetic drug that helps lower blood glucose levels by reducing glucose production by the liver and improving insulin sensitivity.
A form of vitamin b12, crucial for nerve function and red blood cell formation. it plays a vital role in maintaining healthy nerve cells.
Diabetic neuropathy (nerve damage caused by diabetes): Methylcobalamin helps to alleviate symptoms.
Type 2 diabetes mellitus, particularly in patients with vitamin B12 deficiency or neuropathy.
Management of metabolic syndrome, often coexisting with diabetes, where improved glucose control and nerve health are both beneficial.
Metformin reduces hepatic glucose production, enhances insulin sensitivity in peripheral tissues, and slightly reduces intestinal glucose absorption. Methylcobalamin acts as a coenzyme in various metabolic pathways, particularly in the myelin sheath formation and nerve function repair, thereby aiding in nerve health improvement and potentially mitigating diabetic neuropathy.
Store in a cool, dry place, protected from light and moisture. Keep out of reach of children. Do not use if the packaging is damaged or the expiry date has passed.
Dosage should be determined by your doctor based on individual needs and response. It will vary depending on the condition being treated and the severity of the disease.
It is typically taken orally with or without food, but specific instructions should be followed as prescribed by your doctor.
Do not alter the dosage or stop the medication without consulting your doctor.
Lactacidosis (rare but serious, particularly in patients with kidney impairment)
Gastrointestinal disturbances (nausea, vomiting, diarrhea, abdominal pain)
Metallic taste in the mouth
Allergic reactions (rash, itching, swelling)
Alcohol can increase the risk of lactic acidosis and hypoglycemia. Avoid excessive alcohol intake while taking this medication.
Metformin may cause dizziness or lightheadedness. Use caution until you know how it affects you.
Consult your doctor before taking this medication during pregnancy or breastfeeding. Metformin and Methylcobalamin should not be taken without proper medical supervision during these times.
Not generally recommended for children, unless specifically prescribed by a pediatric endocrinologist.
Caution is needed in patients with kidney disease, as metformin is excreted through the kidneys. Dosage adjustment might be necessary.
Monitor liver function regularly if you have liver disease.
Your doctor or pharmacist
Manufacturer's medication guide
Reputable medical websites (e.g., Mayo Clinic, NHS)
