Metformin Hydrochloride (Glucophage) is an oral medication available in tablet form, with each tablet containing 500mg of metformin hydrochloride. It is commonly used to manage type 2 diabetes by improving blood sugar control, particularly in conjunction with diet and exercise.

Instructions for Use:

1. Composition: Each package contains 50 tablets, with each tablet containing 500mg of metformin hydrochloride.
2. Dosage: The typical starting dosage is 500mg once or twice daily with meals. The dosage may be gradually increased based on blood sugar levels and response to treatment. Consult with a healthcare professional for personalized dosage recommendations.
3. Administration: Take the tablets orally with water, preferably with a meal to minimize gastrointestinal discomfort. Do not crush or chew the tablets; swallow them whole.
4. Monitoring: Regularly monitor blood sugar levels as directed by your healthcare provider to assess the effectiveness of the treatment. Periodic tests of kidney function and vitamin B12 levels may also be required.
5. Potential Side Effects: Common side effects include nausea, diarrhea, and abdominal discomfort, especially when starting the medication. These symptoms often improve as your body adjusts. Rarely, metformin can cause lactic acidosis, a serious condition that requires immediate medical attention. Symptoms of lactic acidosis include muscle pain, difficulty breathing, and unusual fatigue.
6. Special Considerations: Use with caution in patients with kidney or liver impairment. Metformin is contraindicated in patients with severe kidney disease or conditions associated with hypoxia. Inform your healthcare provider of any other medications or supplements you are taking.
7. Interactions: Metformin may interact with certain medications, including other antidiabetic drugs and contrast agents used in imaging studies. Ensure your healthcare provider is aware of all medications and supplements you are taking.
8. Storage: Store the tablets in a cool, dry place away from direct sunlight and moisture. Keep out of reach of children.

Consultation Reminder: Always consult with a healthcare professional before using metformin to ensure safe and appropriate use, particularly in the management of type 2 diabetes or related conditions.