Formin is a drug for the treatment of non-insulin-dependent diabetes mellitus, the form of release is tablets. The main active ingredient of the drug is metformin, the pharmacological group of the drug is hypoglycemic synthetic drugs (biguanides).
Sold in coated tablets. The drug Formin Pliva has an international name – Metformin (Metformin). Each tablet includes 850 mg of active ingredient.
The preparation contains auxiliary components that do not have any therapeutic effect: corn starch, magnesium stearate, talc and other substances.
So, let’s look at how Formin works, and how to take it correctly? What are the contraindications, side effects?
Instructions for use of the drug
The drug Formin Pliva is recommended for the treatment of type 2 diabetes mellitus against the background of dietary inefficiency and physical activity. Often prescribed to patients who are overweight or obese.
As a rule, the standard dosage of the drug is 850 mg per day, that is, you need to take one tablet. Increasing the dose with a lack of therapeutic effect is possible only after two weeks of treatment.
Formin can be used as maintenance therapy, in which case it is recommended to take two tablets per day. The maximum daily dosage is three tablets per day.
- To reduce the likelihood of side effects from the digestive system, the medicine must be taken during meals or immediately after it.
- The daily dosage is divided into two doses. Swallow the tablets only whole, you can not chew, break, crush in any other way.
- The medicine is washed down with a sufficient amount of ordinary liquid.
If the patient has a history of severe metabolic disorders, then the dosage is adjusted downward. For elderly patients, the dose is selected individually, and it is always less than for people of the middle age group.
Generally speaking, the dosage of the drug Formin Pliva depends on the initial indicators of sugar, the age group of the patient, the length of service of the sugar disease, concomitant diseases and other factors.
How much will have to take the medicine, are patients interested? Unfortunately, it is not possible to precisely answer this question, since it all depends on the clinical picture of a particular patient. We can only say that the course of therapy will be long.
The use of the drug in higher doses (higher than recommended) does not give greater effectiveness, but increases the risk of side effects. The price of Formin Pliva (some call it “Mido” – this is a mistake) varies from 120 to 250 rubles.
Contraindications and Precautions
On Formin Pliva, the instruction provides information when taking the drug is strictly prohibited. These contraindications are taken into account without fail, being an obstacle to the prescription of the drug.
First of all, it is strictly forbidden to take a medication with increased sensitivity to it or auxiliary components. Usually, if this point is unknown, and there was a prescription of the medicine, then taking it will lead to allergies.
It is impossible to treat type 1 diabetes mellitus, as well as type 2 diabetes, when preparations of sulfonylurea derivatives did not give the desired therapeutic effect.
There are other contraindications for use:
- Coma, precomatous state.
- Ketoacidosis, surgery.
- Impaired liver and kidney function.
- Any form of heart failure.
- Respiratory failure, chronic alcoholism.
- Until the age of 18.
- With a low-calorie diet.
With extreme caution, the drug is prescribed to patients of the elderly age group. And before starting therapy, creatinine clearance is mandatory.
If the patient simultaneously takes Formin and sulfonylurea derivatives, administers the hormone insulin, then sugar must be constantly monitored, since there is a great risk of developing a hypoglycemic state.
Before prescribing a medicine for a diabetic older than 65 years of age, whose metabolic processes are slowed down, it is necessary to adequately assess the benefits and risks of using the drug.
Reviews of patients note that the medication in the vast majority of cases is well tolerated, but side effects are also observed.
It should be noted that almost all patients at the beginning of treatment have problems with the functioning of the digestive tract, which are manifested by nausea, vomiting, pain in the abdomen, and diarrhea.
If you start taking it with a minimum dosage, then no side effects are observed, provided that the patient drinks the medicine during meals or after it. When adverse reactions do not subside, a long period of time is observed and even intensify, the medicine is canceled.
Taking Formin can lead to such adverse reactions:
- Sleep disturbance, severe weakness, apathy and lethargy, general malaise.
- Decreased blood pressure.
- Allergic rash.
Formin acts effectively, but due to a number of side effects, the drug is often canceled in the middle of the course of treatment. In this case, the doctor recommends similar products with the same active substance.
Analogs of Formina
The following drugs act as analogues of the drug: Metformin, Bagomet, Siofor 1000 , Glucofage, Gliformin, Formmetin and other medicines.
Bagomet – a hypoglycemic agent for the treatment of type 2 diabetes mellitus, is prescribed in the absence of effectiveness from a low-carb diet. The main active ingredient is metformin.
You can not take with hypersensitivity to the drug, impaired renal function, extensive surgical interventions, diabetic ketoacidosis, during pregnancy, breastfeeding, and intoxication with alcoholic beverages.
The dosage of the drug depends on the initial indicators of blood sugar. Start taking with 500-1000 mg of the drug. Depending on the effectiveness of therapy, the dosage is increased to 1500-2000 mg (over several weeks). The price is 400 rubles.
Patient reviews show that Glucofage is a good pill for lowering blood sugar in type 2 diabetes. The advantage of the drug is that it works quickly, while causing few side effects, that is, it is well tolerated by patients.
Which remedy to choose in a particular situation, the attending physician decides. It all depends on the characteristics of the clinical picture and the general well-being of the patient. You can not replace one medicine with another, even if they are analogues.