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Metsmall (Metformin)

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Metsmall is an inexpensive drug used to treat high blood sugar levels caused by type 2 diabetes. It is more popular than comparable drugs. It is available in both brand and generic versions. Generic Metsmall is covered by most Medicare and insurance plans, but some pharmacy coupons or cash prices may be lower.

Other names for this medication:
Asoformin, Avimet, Bemet, Benforce, Bigesens, Cetapin, Diakit, Dianorm, Diavista, Dmbest, Duomet, Emfor, Etformin, Eumet, Exermet, Exmet, Forminal, Galvus, Glatix, Glimkap, Gluconorm, Gluformin, Glyciphage, Glycirest, Glyciz, Glycurb, Glyformin, Glyrep, Gremet, Irmet, Iscept, Matce, Mefinda, Melitus, Metchek, Metclam, Metformin, Metglib, Metica, Metlife, Okamet, Riomet, Risicon, Roftem, Secrin, Sumet, Tenliptin, Vogipax, Walaphage

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Also known as: Metformin


Metsmall (metformin) is an oral diabetes medicine that helps control blood sugar levels.

Metsmall is used together with diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus.

Metsmall is sometimes used together with insulin or other medications, but metformin is not for treating type 1 diabetes.


Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.

Take MetFORMIN (Eqv-Metsmall XR) with a meal, unless your doctor tells you otherwise. Some forms of MetFORMIN (Eqv-Metsmall XR) are taken only once daily with the evening meal. Follow your doctor's instructions.

Do not crush, chew, or break an extended-release tablet. Swallow it whole.

Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).

Shake the oral suspension (liquid) before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).

Some tablets are made with a shell that is not absorbed or melted in the body. Part of this shell may appear in your stool. This is normal and will not make the medicine less effective.

You may have low blood sugar (hypoglycemia) and feel very hungry, dizzy, irritable, confused, anxious, or shaky. To quickly treat hypoglycemia, eat or drink a fast-acting source of sugar (fruit juice, hard candy, crackers, raisins, or non-diet soda).

Your doctor may prescribe a glucagon injection kit in case you have severe hypoglycemia. Be sure your family or close friends know how to give you this injection in an emergency.

Blood sugar levels can be affected by stress, illness, surgery, exercise, alcohol use, or skipping meals. Ask your doctor before changing your dose or medication schedule.

MetFORMIN (Eqv-Metsmall XR) is only part of a complete treatment program that may also include diet, exercise, weight control, blood sugar testing, and special medical care. Follow your doctor's instructions very closely.

Store at room temperature away from moisture, heat, and light.

Your doctor may have you take extra vitamin B12 while you are taking MetFORMIN (Eqv-Metsmall XR). Take only the amount of vitamin B12 that your doctor has prescribed.

Detailed Metformin dosage information


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose can cause severe hypoglycemia or lactic acidosis.


Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F) away from moisture, light and heat. Throw away any unused medicine after the expiration date. Keep out of the reach of children.

Side effects

The most common side effects associated with Metsmall are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


You should not use MetFORMIN (Eqv-Metsmall XR) if you are allergic to it, or if you have:

severe kidney disease; or metabolic acidosis or diabetic ketoacidosis (call your doctor for treatment).

If you need to have surgery or any type of x-ray or CT scan using a dye that is injected into your veins, you may need to temporarily stop taking MetFORMIN (Eqv-Metsmall XR). Be sure your caregivers know ahead of time that you are using this medication.

Tell your doctor if you have ever had:

kidney disease (your kidney function may need to be checked before you take this medicine); high ketone levels in your blood or urine; heart disease, congestive heart failure; liver disease; or if you also use insulin, or other oral diabetes medications.

You may develop lactic acidosis, a dangerous build-up of lactic acid in your blood. This may be more likely if you have other medical conditions, a severe infection, chronic alcoholism, or if you are 65 or older. Ask your doctor about your risk.

Follow your doctor's instructions about using this medicine if you are pregnant or you become pregnant. Controlling diabetes is very important during pregnancy, and having high blood sugar may cause complications in both the mother and the baby.

MetFORMIN (Eqv-Metsmall XR) may stimulate ovulation in a premenopausal woman and may increase the risk of unintended pregnancy. Talk to your doctor about your risk.

You should not breastfeed while using this medicine.

MetFORMIN (Eqv-Metsmall XR) should not be given to a child younger than 10 years old. Some forms of MetFORMIN (Eqv-Metsmall XR) are not approved for use by anyone younger than 18 years old.

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