@user579253831: Metformin dispensing points (patient counseling): Take with meals to reduce stomach upset. Swallow extended-release (XR) tablets whole; do not crush or chew. Common side effects: nausea, diarrhea, abdominal discomfort—these often improve over time. Avoid excessive alcohol, as it may increase the risk of lactic acidosis. Check kidney function (eGFR) before starting and periodically during treatment. Do not initiate if eGFR <30 mL/min/1.73 m²; if eGFR is 30–44, initiation is generally not recommended. Advise patients to report symptoms of lactic acidosis (extreme tiredness, muscle pain, trouble breathing, severe weakness). Metformin rarely causes hypoglycemia when used alone, but the risk increases when combined with insulin or sulfonylureas. Long-term use may reduce vitamin B12 levels; periodic monitoring may be appropriate. Encourage a healthy diet, regular exercise, and routine blood glucose monitoring as advised. #doctorstrange #students #pharmacist #medicaton #nurse

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Monday 27 July 2026 17:30:14 GMT