Riomet Od 500mg Strip Of 15 Tablets

• If you are allergic to metformin, or any other ingredients of this medicine
• If you have liver or severe kidney problems
• If you are an alcoholic
• If you have uncontrolled diabetes
• If you have any heart problems, or if you recently had a heart attack
• If you have a severe infection of lung or kidney. Infections can increase the risk for lactic acidosis

• Nausea
• Vomiting
• Mild diarrhoea
• Stomach pain
• Altered taste sensations
• Loss of appetite
• Vitamin B12 deficiency (low level of vitamin B12 in blood)
• Skin rash, redness, itching
• Lactic acidosis (too much acid in the body)
• Abnormal liver function tests and hepatitis

Other General Warnings

• You suffering from continous diarrhoea, vomiting, loss of body fluids
• You experience signs of low blood glucose like dizziness, weakness, rapid heartbeat, sweating, inability to concentrate. Metformin does not usually cause sudden low blood sugar (hypoglycemia). If Metformin is prescribed with other anti-diabetic medications, low blood sugar may occur
• You experience muscle pain, stomach pain, vomiting, breathing difficulty, low body temperature. This could be a serious condition known as lactic acidosis
• Stop taking Riomet Od 500mg Strip Of 15 Tablets for a short time if you have severe vomiting, diarrhea

• Take this medicine with or after a meal to reduce it's side effects
• Consult your doctor for the appropriate dosage of Riomet Od 500mg Strip Of 15 Tablets
• Take the tablet as a whole with a glass of water.The tablets should not be crushed
• Swallow each tablet with a glass of water

• This medicine should be kept away from excess heat or moisture
• Keep away from the reach of children

Overdose

• In the case of overdose, lactic acidosis may occur
• Symptoms of lactic acidosis are vomiting, stomache, muscle cramps and difficulty in breathing
• You must seek immediate emergency medical care if you suspect an overdose

Missed a Dose

How Does It Work?

• Your pancreas produces a hormone called insulin. Insulin drives glucose (sugar) from the blood to enter inside the cell. Then this glucose is utilized as energy by the cell
• If you have diabetes mellitus, your pancreas either does not make enough insulin or your body is unable to use properly the insulin it produces (insulin resistance)
• As a result, glucose is not able to enter into the cells and this leads to a high level of glucose in your blood
• Riomet Od 500mg Strip Of 15 Tablets works by decreasing the amount of glucose absorbed from the intestine, lowering the amount of sugar created by the liver, and facilitating entry of sugar into the cells

Interactions with other medicines

• Medicine used to reduce pain and swelling like ibuprofen, celecoxib
• Medicine used to treat asthma like salbutamol or terbutaline
• Medicines like furosemide (diuretics)
• If you need to take an injection of iodine-containing contrast medium into your bloodstream, for an X-ray or scan, your doctor will ask you to stop taking metformin before or at the time of injection
• If you are on medicines that are used to treat pain and inflammation (NSAID and COX-2 inhibitors, such as ibuprofen and celecoxib) for the long term, these can damage your kidneys. Use of such medicines in diabetes should be avoided

Interactions with food items

• Absorption of vitamin B12 appears to be reduced during long-term metformin therapy, and annual screening of serum vitamin B12 levels and red blood cell parameters has been recommended
• Advisable to have a diabetic diet as advised by your doctor or dietician. This medicine works best along with a good diet and exercise. Exercise is known to decrease insulin resistance