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-   -   Extended release Metformin question (http://www.lowcarbfriends.com/bbs/diabetes/804410-extended-release-metformin-question.html)

That Girl 05-18-2013 09:56 PM

Extended release Metformin question
Anyone here take extended release Metformin? If so, would you please tell me the dose, when you take it and who manufacturer's it? I am so frustrated with my Dr's....my pharmacist thinks I should take it all in the morning, Dr. said to take it once in the morning, once at dinner. The dose is 2000mg per day. Now I heard you should take the extended release at night..wth? I have no faith in this Dr...she didn't even know the extended release was available..now I question the dose. Walgreens just changed the manufacturer from Watson to Lupin...is that ok??? Please, any thoughts would be greatly appreciated...

Janknitz 05-18-2013 10:12 PM

I take Teva ER, which I seem to tolerate very well. My dose is supposed to be 1500 mg/ day taken as 2 500 mg in the morning, one at night. But I take 2000 ( lousy endo doesn't know much about PCOS) and I take 500 in the morning, 1000 before dinner, and 500 before bed.

My FBG's are good this way, but not much is helping the PCOS at this point.

ravenrose 05-18-2013 10:36 PM

no, don't take it all at once. the only advantage of that is that most people have a hard time remembering to take pills, and better all at once than to forget them! it won't make a HUGE difference, but even the extended release work better if they are spread out.

I have had no problem with different manufacturers.

what are your blood sugars like? if you need help with morning numbers, you should take some of your metformin at bedtime, or at least at dinner. if your fasting numbers are too low that way, but you need the higher dose to control post prandial readings, then it would make sense NOT to take it at night.

Mistizoom 05-19-2013 04:50 AM

I take 1500 mg/day all at once right before bed. Works well for me and controlled my insulin levels even before I went LC. I don't think there's any major benefit of splitting the dose of the ER. I think the brand is Caraco Pharmaceutical Laboratories, but I've had them from a couple different manufacturers over the years and never had a problem.

ETA: I take the metformin ER for insulin resistance/PCOS, not diabetes.

Mobear 05-19-2013 05:05 AM

I take 1500mg ER at bedtime. Most of my problem is with high fasting numbers. When I started taking metformin (10?years ago), I took it at dinner time. Someone suggested taking it at bedtime and I found that works better for me.

My insurance insists on a mail order pharmacy so I have no control over the manufacturer. The pharmacy switches around to save money and I take whatever they are currently using.

Dr. Bernstein doesn't like the generic metformin at all and thinks everyone should take the name brand Glucophage. If I could afford to do that I probably would, but it isn't going to happen.

That Girl 05-20-2013 08:11 PM

Thanks everybody, I have more faith in you guys than the Dr.....

saponaria 06-17-2013 09:59 AM

I take 500 mg ER at breakfast and dinner.

E.W. 06-24-2013 01:43 PM

My Dr. perscribed it to be taken all at night before bed. I never did try
it though. I simply couldn't aford it.

Mistizoom 06-24-2013 06:11 PM


Originally Posted by E.W. (Post 16485063)
My Dr. perscribed it to be taken all at night before bed. I never did try
it though. I simply couldn't aford it.

Did you try another pharmacy? Many pharmacies such as Walmart have metformin and metformin ER on their $4 a month list, or similar.

Jakelilydad 06-24-2013 10:12 PM

I was told to take it with the big meal of the day, which for me is in the evening. I tried it once without food, after a dinner out, and had bed stomach pains, so now am careful to take it with the meal. I just take 500 mg per day, though.

Vilya 06-29-2013 11:53 AM

I take 1000 mg. of met ER at night, before I go to bed. I tried different times when I was first diagnosed, and from my experimentation taking it at night seems to work the best (for me, anyway).

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