Metformin Hydrochloride
Oral antidiabetic medication used for treatment of Diabetes Type II, Obesity and Polycystic Ovarian Syndrome (PCOS). Biguanide drugs act by decreasing Neoglycogenesis (new formation of sugar) in the liver. Low risk of Hypoglycemia.
Metformin is excreted into breast milk in non-significant amount and without harmful effect on breastfed infants of treated mothers,
Obesity is associated with breastfeeding difficulties. In spite of Metformin has beneficial effect on Obesity, this is not true with PCOS because lactation capacity is related to growth of breast tissue during pregnancy which is not improved by the use of Metformin,
Oral antidiabetic drugs are not effective for Diabetes Type I. For Diabetes Type II diet, physical exercise and breastfeeding may ameliorate glycemia levels. See remarks on mother's Diabetes Mellitus by consulting specific item.
Alternatives
We do not have alternatives for Metformin Hydrochloride since it is relatively safe.
Very Low Risk
Compatible. Not risky for breastfeeding or infant.
Low Risk
Moderately safe. Mild risk possible. Follow up recommended. Read the Comment.
High Risk
Poorly safe. Evaluate carefully. Use a safer alternative. Read the Comment.
Very High Risk
Not recommended. Cessation of breastfeeding or alternative.
Writings
- Μετφορμίνη υδροχλωρική (Greek)
- Метформина Гидрохлорид (Cyrillic)
- メトホルミン塩酸塩 (Japanese)
- C4 H11 N5, HCl (Molecular formula)
- 1,1-Dimethylbiguanide hydrochloride (Chemical name)
- A10BA02 (ATC Code/s)
Drug trade names
- Adimet™
- Aglumet™
- Anglucid™
- Ansures™
- Apozemia™
- Avamina™
- Bagomet (Багомет)™
- Bai Si Ping (佰思平)™
- Baligluc™
- Bei Shun (倍顺)™
- Bigsens™
- Bo Ke (卜可)™
- Bolamyn™
- Briform™
- Dabex™
- DBI AP™
- De Ai Xin (德艾欣)™
- Debeone™
- Deson™
- Diab Dos™
- Diabamyl™
- Diabesil™
- Diabetmin™
- Diabetyl™
- Diabex™
- Diafat™
- Diaformin (Диаформин)™
- Diaformin (迪化唐锭)™
- Diaformina™
- Diaformin™
- Diaglitab™
- Dialon™
- Dianben™
- Dianormet (Дианормет)™
- Diazen™
- Diformin™
- Dimefor™
- Dinamel™
- Du Le Ning (都乐宁)™
- Duburina™
- Ebymect™
- Etform™
- Euform™
- Ficonax™
- Fintaxim™
- Forlucyl™
- Formetic™
- Formetin (Форметин)™
- Formet™
- Formin (Формин Плив)™
- Forminal™
- Formyn™
- Fornidd™
- Fortamet™
- Gerformin™
- Glafornil™
- Glicefor™
- Glicenex™
- Glidanil™
- Glifage™
- Gliformil™
- Gliformin (Глиформин)™
- Glifortex™
- Glifor™
- Gliminfor (Глиминфор)™
- Glucaminol™
- Glucodown™
- Glucofage™
- Glucoformin™
- Glucoform™
- Glucofree™
- Glucogood™
- Glucomed™
- Glucomet™
- Gluconorm™
- Glucon™
- Glucophage (Глюкофаж)™
- Glucophage (格华止)™
- Glucophage™
- Glucoplus™
- Glucopres™
- Glucotec S™
- Gludin™
- Gluformin™
- Glukofen™
- Glumet™
- Glumetza™
- Glunovag™
- Glycomet (Глікомет)™
- Glycomet™
- Glycon™
- Glycoran™
- Glyformin™
- Guamet™
- Harbamind™
- Hipoglucin™
- Hong Fei Kang (弘飞康)™
- Humamet™
- I-Max™
- Ifa-Certez Duo™
- Ifor™
- Insunex™
- Islotin™
- Jiang Li Shu (降力舒)™
- JinZhenXing (津真型)™
- Jun Li Da (君力达)™
- Jun Shi Da Xin (君士达新)™
- Lanagerin (Ланжерин)™
- Langerin™
- Li Le Er (力乐尔)™
- Marphage™
- Matofin™
- Mectin™
- Medobis™
- Meforal™
- Meglubet™
- Meglucon™
- Meguanin™
- Mekoll™
- Melbexa™
- Melbin™
- Melgib™
- Mellinix™
- Mengen™
- Merckformin™
- Metabet™
- Metadien (Метадиен)™
- Metanorm™
- Metbay™
- Metchek™
- Metespina™
- Metex™ (Australia)
- Metfin™
- Metfirex™
- Metfogamma (Метфогамма)™
- Metfogamma™
- Metfogen™
- Metfonorm™
- Metforal™
- Metforem™
- Metforil™
- Metformax™
- Metformed™
- Metformix™
- Metform™
- Metglucon™
- Metifor™
- Metixor™
- Metnova™
- Metophage™
- Metored™
- Metospanin (Метоспанин)™
- Metphage™
- Metral™ (Poland)
- Metrivin™
- Metsol™
- Metta™
- Met™
- Mifelar™
- Minatozil™
- Ming Nuo (名诺)™
- Minraam™
- Mitforgen™
- MTF™
- Mylformet™
- Neoform™
- Neomet™
- Nidcor™
- Normaglyc™
- NovoFormin (НовоФормин)™
- Orabet™
- Oramet™
- Oxemet™
- Panfor™
- Pharmafet™
- Pre-Dial™
- Pu Le Kang Ni (普乐康尼)™
- Qi Ji (齐佶)™
- Qing Kuang (清旷)™
- Quexel™
- Redugluc™
- Ren Xin (仁欣)™
- Riomet™
- Risidon™
- Romac™
- Rui Nuo Shu (瑞诺舒)™
- Ruijiu (瑞久)™
- San Xiao Ping (三肖平)™
- Shan Mu Shi (山姆士)™
- Sheng Bang Jie (圣邦杰)™
- Sibet™ (Mexico)
- Siofor (Сиофор)™
- Siofor™
- SP-Glucomet™
- Stadamet™
- Stagid™
- Sukontrol™
- Tai Bai (泰白)™
- Tang Bi Fu (唐必呋)™
- Tang Ge (唐格)™
- Tang Luo (唐落)™
- Tang Tan (唐坦)™
- Teutoformin™
- Wei Er Tang (维尔唐)™
- Xigduo™
- Xin Shu Shi Ning (欣舒施宁)™
- Xin Tang Ping (欣唐屏)™
- Xmet™
- Yi Heng (亿恒)™
- Yue Da Ning (悦达宁)™
- Zhong Shi De (众氏得)™
- Zuglimet™
References
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- Rowe H, Baker T, Hale TW. Maternal medication, drug use, and breastfeeding. Pediatr Clin North Am. 2013 Feb;60(1):275-94. 2013Abstract
- Vanky E, Nordskar JJ, Leithe H, Hjorth-Hansen AK, Martinussen M, Carlsen SM. Breast size increment during pregnancy and breastfeeding in mothers with polycystic ovary syndrome: a follow-up study of a randomised controlled trial on metformin versus placebo. BJOG. 2012Abstract Full text (link to original source) Full text (in our servers)
- Cicero AF, Tartagni E, Ertek S. Metformin and its clinical use: new insights for an old drug in clinical practice. Arch Med Sci. 2012Abstract Full text (link to original source) Full text (in our servers)
- Refuerzo JS. Oral hypoglycemic agents in pregnancy. Obstet Gynecol Clin North Am. 2011Abstract
- Amir LH, Pirotta MV, Raval M. Breastfeeding--evidence based guidelines for the use of medicines. Aust Fam Physician. 2011Abstract Full text (link to original source) Full text (in our servers)
- Eyal S, Easterling TR, Carr D, Umans JG, Miodovnik M, Hankins GD, Clark SM, Risler L, Wang J, Kelly EJ, Shen DD, Hebert MF. Pharmacokinetics of metformin during pregnancy. Drug Metab Dispos. 2010Abstract Full text (link to original source) Full text (in our servers)
- Glatstein MM, Djokanovic N, Garcia-Bournissen F, Finkelstein Y, Koren G. Use of hypoglycemic drugs during lactation. Can Fam Physician. 2009Abstract Full text (link to original source) Full text (in our servers)
- Goldenberg N, Glueck C. Medical therapy in women with polycystic ovarian syndrome before and during pregnancy and lactation. Minerva Ginecol. 2008Abstract
- Gardiner SJ, Kirkpatrick CM, Zhang M, Begg EJ. Cimetidine does not appear to influence the distribution of metformin into human milk. Br J Clin Pharmacol. 2008Abstract Full text (link to original source) Full text (in our servers)
- Feig DS, Briggs GG, Koren G. Oral antidiabetic agents in pregnancy and lactation: a paradigm shift? Ann Pharmacother. 2007Abstract
- Glueck CJ, Wang P. Metformin before and during pregnancy and lactation in polycystic ovary syndrome. Expert Opin Drug Saf. 2007Abstract
- Thatcher SS, Jackson EM. Pregnancy outcome in infertile patients with polycystic ovary syndrome who were treated with metformin. Fertil Steril. 2006Abstract
- Gambineri A, Patton L, Vaccina A, Cacciari M, Morselli-Labate AM, Cavazza C, Pagotto U, Pasquali R. Treatment with flutamide, metformin, and their combination added to a hypocaloric diet in overweight-obese women with polycystic ovary syndrome: a randomized, 12-month, placebo-controlled study. J Clin Endocrinol Metab. 2006Abstract
- Glueck CJ, Salehi M, Sieve L, Wang P. Growth, motor, and social development in breast- and formula-fed infants of metformin-treated women with polycystic ovary syndrome. J Pediatr. 2006Abstract
- Briggs GG, Ambrose PJ, Nageotte MP, Padilla G, Wan S. Excretion of metformin into breast milk and the effect on nursing infants. Obstet Gynecol. 2005Abstract
- Hale T, Kristensen J, Hackett L, Kohan R, Ilett K. Transfer of metformin into human milk. Adv Exp Med Biol. 2004Abstract
- Gardiner SJ, Kirkpatrick CM, Begg EJ, Zhang M, Moore MP, Saville DJ. Transfer of metformin into human milk. Clin Pharmacol Ther. 2003Abstract Full text (link to original source) Full text (in our servers)
- Hale TW, Kristensen JH, Hackett LP, Kohan R, Ilett KF. Transfer of metformin into human milk. Diabetologia. 2002Abstract Full text (link to original source) Full text (in our servers)