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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why The Intake Of The Medicine Is Increased?

I take Metformin XL 1000mg BID, I have constant diarrhea as a side effect, I have brought it up to my Dr but he tells me its a side effect and leaves it at that. I have been taking Metormin for 4 years at first it was 500mg BID then 1000mgXL QD, now it s 1000mg XL BID. confused?????????????? Pooping myself to death
Thu, 24 Jul 2014
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General & Family Physician,  's  Response
Hello
thanks for the query

Metformine is an oral antidiabetic drug. The dosage per day can go up to 3000mg. Normally the dosage is a function of how well your blood glucose level is controlled. Usually, when the blood glucose level is not controlled, the dosage is increased.

Am sure, your doctor increased your dosage because your blood glucose level was not being controlled.

However, a second drug could be considered such as glibenclamide if increasing the dose of the other causes more side effects. Talk with your doctor on the possibility of adding a second drug.

Best regards
Dr Achuo
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Why The Intake Of The Medicine Is Increased?

Hello thanks for the query Metformine is an oral antidiabetic drug. The dosage per day can go up to 3000mg. Normally the dosage is a function of how well your blood glucose level is controlled. Usually, when the blood glucose level is not controlled, the dosage is increased. Am sure, your doctor increased your dosage because your blood glucose level was not being controlled. However, a second drug could be considered such as glibenclamide if increasing the dose of the other causes more side effects. Talk with your doctor on the possibility of adding a second drug. Best regards Dr Achuo