Drug-Drug Interactions
• Renal function impairing agents: These can increase the risk of lactic acidosis by causing metformin accumulation.
• Carbonic anhydrase inhibitors: They may cause acid-base imbalance and elevate the risk of lactic acidosis when used with this medication.
• Insulin and insulin secretagogues: These increase the likelihood of low blood sugar, necessitating potential dose adjustment.
• Other agents affecting glycaemic control: Medicines influencing blood sugar levels may require dosage modifications.
Drug-Food Interactions
• High-fat diets: These may slow metformin absorption, reducing its therapeutic effectiveness.
Drug-Disease Interactions
• Metabolic acidosis: Avoid this medication in cases of acute or chronic metabolic acidosis, as it can worsen the condition.