I'm taking 1000 Metformin in a.m. and 1000 Metformin in p.m. and having 4 - 6 episodes of explosive explosive diarrhea 4 - 6 times a a day. I try to control it with 4 - 5 Imodium a day. Does anyone else have this problem and if so, what can be done to alleviate this problem. Currently I am off all Metformin and no symptoms of diarrhea, but my blood sugars are ranging from 150 - 169.
There are several things you can try to help control the diarrhea caused by Metformin (a common side effect).
1. Reduce your dose, with the approval of your doctor. While diarrhea is most common in the initial weeks of taking metformin, reducing the dose may reduce the frequency, as it allows the body to adjust to the medication.
2.Try switching to a controlled release version - it may reduce diarrhea, because smaller amounts are absorbed over the day rather than hitting your system all at once.
3.Take metformin with a meal and try reducing your carbohydrate and fat intake.
Hope these help!
I am on the same medicine but I moved down to 500 mg of metformin. The diahrea comes because of the sugar in your body ..it will be removed. This is the side effect... try to only eat portions of food. Instead of 3 big meals make it 5-6. To have control over the amount of sugar your putting in your body... always remind yourself most foods turn to starch in the body... metformin will balance you immediately... I changed over to wheat products... pnuts... shredded wheat... pecans. And I rarely have the problem once every few months... so I avoid getting full and stick to small portions of food... hope this info helps... vttech10
Cut back the dosage. You shouldn't be taking more than 1000mg a day until you can tolerate that dose.
The dosing guidelines for metformin:
Starting: 500 mg twice a day or 850 mg once daily
Maintenance: 850 - 2550 mg/day
Max: 2550 mg/day
Doses above 850 mg/day should be given in 2 - 3 divided doses
Increase dose by 500 mg a week or 850 mg every two weeks
See precautions for dosing in kidney and liver disease
Why they would start you at 2000 mg is beyond me. Do it the safe sane way: start at 500 mg. Stay there until you can tolerate it for a week or two, then move up to 500 mg twice a day. repeat
It should take you a month to get to the 2000 mg level
- Metformin Information for Consumers
- Metformin Information for Healthcare Professionals (includes dosage details)
- Side Effects of Metformin (detailed)
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