Metformin

A biguanide medication commonly used to manage type 2 diabetes by improving insulin sensitivity and reducing glucose production in the liver.

Myo-Inositol

A naturally occurring sugar alcohol with insulin-sensitizing effects. it may improve insulin signaling and glucose uptake in cells.

Management of polycystic ovary syndrome (PCOS) symptoms, particularly insulin resistance and related infertility.

May be used as an adjunct to metformin alone in managing type 2 diabetes, though this is not a standard firstline approach and requires medical supervision.

Metformin primarily decreases hepatic glucose production and improves insulin sensitivity. Myo-inositol enhances insulin signaling, potentially improving glucose uptake in peripheral tissues and ovaries. The combination aims for a synergistic effect on improving insulin sensitivity and managing PCOS-related symptoms.

Store in a cool, dry place away from direct sunlight and moisture. Keep out of reach of children. Follow any specific storage instructions provided by your pharmacist or on the medication packaging.

Dosage will be individualized based on your medical condition, response to treatment, and other medications. Always follow your healthcare provider's instructions.

Typically taken orally, with or without food, as prescribed.

Vitamin B12 deficiency (long-term use of metformin)

Gastrointestinal upset (nausea, vomiting, diarrhea, abdominal pain)

Weight loss or gain

Metallic taste in the mouth

Hypotension (low blood pressure)

Alcohol Consumption

Alcohol consumption should be limited or avoided as it can increase the risk of lactic acidosis, especially with metformin.



While Driving or operating Machinery

May cause dizziness or fatigue, especially when starting treatment. Avoid driving or operating machinery if affected.



Pregnant & Breastfeeding Women

Use during pregnancy and breastfeeding is generally discouraged unless benefits outweigh risks. Consult your healthcare provider immediately if pregnancy is suspected or planned.



Children

Not typically indicated for use in children. Consult a pediatrician for appropriate treatment in pediatric populations.



Kidney

Metformin is contraindicated or requires dosage adjustment in patients with moderate to severe kidney impairment. Renal function should be closely monitored.



Liver

Caution is advised in patients with liver disease. Liver function should be monitored regularly.

List relevant medical journals and reputable websites (e.g., NIH, reputable medical journals) – These need to be properly cited in a real-world application.