WARNING

Riomet is a brand name for metformin hydrochloride, which is a commonly prescribed medication for the treatment of type 2 diabetes. Like any medication, Riomet is associated with certain risks and side effects. It’s important to note that individual responses to medications can vary, and not everyone will experience these issues. Here are some potential risks and side effects associated with Riomet:

• Gastrointestinal Issues: Common side effects include nausea, vomiting, diarrhea, and stomach upset. These symptoms may occur at the beginning of treatment and often improve over time.
• Lactic Acidosis: Although rare, metformin can lead to a serious condition called lactic acidosis, which is a buildup of lactic acid in the blood. This can be life-threatening and requires immediate medical attention. Lactic acidosis is more likely to occur in individuals with kidney or liver problems.
• Hypoglycemia (Low Blood Sugar): When used alone, metformin is not known to cause hypoglycemia. However, when combined with other diabetes medications, there is a risk of low blood sugar. This risk increases if the patient has irregular meal patterns or if there is excessive alcohol intake.
• Vitamin B12 Deficiency: Long-term use of metformin has been associated with a decrease in vitamin B12 absorption, which could lead to a deficiency over time. Regular monitoring of vitamin B12 levels may be recommended.
• Kidney Function: Metformin is excreted through the kidneys, so individuals with impaired kidney function may be at an increased risk of adverse effects. Your healthcare provider will determine if Riomet is suitable for you based on your kidney function.
• Other Side Effects: Other less common side effects may include metallic taste in the mouth, decreased vitamin B12 absorption, and skin reactions.

It’s essential to take Riomet or any medication as prescribed by your healthcare provider. Before starting or discontinuing any medication, including Riomet, it’s crucial to discuss the potential risks and benefits with your doctor. Regular monitoring and follow-up appointments can help manage any side effects and ensure the medication’s effectiveness in treating your condition.

Why is this medication prescribed?

Riomet is a brand name for metformin hydrochloride, a medication commonly prescribed for the treatment of type 2 diabetes. Metformin is an oral antidiabetic drug that helps control blood sugar levels by improving the body’s response to insulin and reducing the amount of glucose produced by the liver. Here are some key reasons why Riomet may be prescribed:

• Type 2 Diabetes Management: Riomet is primarily used to manage type 2 diabetes, a condition in which the body either doesn’t produce enough insulin or doesn’t use insulin effectively. It is often prescribed when lifestyle changes such as diet and exercise alone are insufficient to control blood sugar levels.
• Improving Insulin Sensitivity: Metformin helps the body’s cells become more sensitive to insulin, allowing them to better use glucose for energy. This can help lower blood sugar levels.
• Lowering Hepatic Glucose Production: Metformin reduces the production of glucose by the liver, which is a key factor in controlling blood sugar levels.
• Weight Management: Metformin may also be prescribed to help with weight management in individuals with diabetes, as it is associated with modest weight loss.

How should this medicine be used?

As for how Riomet should be used:

• Dosage: The dosage of Riomet is typically determined by a healthcare provider based on factors such as the patient’s age, weight, kidney function, and the severity of diabetes.
• Administration: Riomet is an oral solution and is usually taken by mouth with meals. It should be measured using the provided dosing cup or an oral syringe.
• Frequency: The medication is often taken one to three times a day, as prescribed by the healthcare provider. It’s important to follow the prescribed dosing schedule.
• Consistency: It’s essential to take Riomet consistently and at the same times each day to maintain stable blood sugar levels.
• Monitoring: Regular monitoring of blood sugar levels is crucial to assess the effectiveness of the medication and make any necessary adjustments to the treatment plan.
• Follow Healthcare Provider’s Instructions: Patients should follow their healthcare provider’s instructions regarding diet, exercise, and other aspects of diabetes management in addition to taking Riomet.

It’s important for individuals prescribed with Riomet to have regular check-ups with their healthcare provider to monitor their response to the medication and address any potential side effects or adjustments needed in the treatment plan. Never adjust the dosage or stop taking Riomet without consulting a healthcare professional.

Other uses for this medicine

Some potential off-label uses for Riomet include:

• Polycystic Ovary Syndrome (PCOS): Metformin is sometimes prescribed off-label to manage symptoms of PCOS in women, such as irregular menstrual cycles, infertility, and insulin resistance.
• Gestational Diabetes: In certain cases, healthcare providers may prescribe metformin for gestational diabetes during pregnancy.
• Weight Management: Metformin is associated with modest weight loss, and it may be prescribed off-label to help with weight management in certain individuals.

What special precautions should I follow?

Special precautions should be taken when using Riomet, and it’s important to follow your healthcare provider’s guidance. Here are some key precautions:

• Kidney Function: Riomet is excreted through the kidneys, so it’s important to assess kidney function before starting treatment. Individuals with impaired kidney function may need a dosage adjustment or an alternative treatment.
• Lactic Acidosis: While rare, metformin can cause a serious condition called lactic acidosis. This risk is higher in individuals with kidney or liver problems. Symptoms of lactic acidosis include weakness, severe muscle pain, difficulty breathing, and irregular heartbeat. Seek immediate medical attention if you experience these symptoms.
• Liver Function: Riomet is generally safe for individuals with normal liver function. However, if you have liver disease, your healthcare provider may need to monitor you more closely or consider alternative treatments.
• Alcohol Consumption: Excessive alcohol consumption can increase the risk of lactic acidosis. It’s important to limit alcohol intake or avoid it altogether while taking Riomet.
• Iodinated Contrast Agents: If you are scheduled for a procedure involving the use of iodinated contrast agents (used in some imaging studies), your healthcare provider may temporarily discontinue Riomet, as the combination can increase the risk of lactic acidosis.
• Vitamin B12 Levels: Long-term use of metformin has been associated with a decrease in vitamin B12 absorption. Regular monitoring of vitamin B12 levels may be recommended, and supplementation may be necessary.

Always inform your healthcare provider about your complete medical history, including any existing health conditions, medications, and supplements you are taking. This helps ensure the safe and effective use of Riomet and allows your healthcare provider to make informed decisions about your treatment. If you have any concerns or experience side effects while taking Riomet, consult your healthcare provider promptly.

What special dietary instructions should I follow?

• Consistent Meal Timing: Try to take Riomet with meals to help reduce gastrointestinal side effects. Consistent meal timing can also help stabilize blood sugar levels.
• Healthy Diet: Follow a healthy, balanced diet as recommended by your healthcare provider or a registered dietitian. This may include monitoring carbohydrate intake and choosing foods with a low glycemic index.
• Hydration: Ensure adequate hydration, especially if you experience vomiting or diarrhea, as these symptoms can affect fluid balance.

What should I do if I forget a dose?

If you forget a dose of Riomet:

• Take the missed dose as soon as you remember, unless it’s almost time for your next scheduled dose.
• Do not double up on doses to make up for a missed one.
• If you are unsure about what to do, contact your healthcare provider for guidance.

What side effects can this medication cause?

Riomet, like any medication, can cause side effects. It’s important to note that not everyone will experience these side effects, and some individuals may experience side effects that are not listed here. Common side effects are usually mild and may improve over time. However, if you experience severe or persistent side effects, it’s crucial to contact your healthcare provider. Here are some potential side effects of Riomet (metformin):

Common Side Effects:

• Gastrointestinal Issues: These are among the most common side effects and may include nausea, vomiting, diarrhea, and stomach upset. Taking Riomet with meals or adjusting the dosage can sometimes help alleviate these symptoms.
• Metallic Taste: Some people may experience a metallic taste in their mouth.
• Decreased Vitamin B12 Absorption: Long-term use of metformin has been associated with a decrease in vitamin B12 absorption. Regular monitoring of vitamin B12 levels and supplementation if necessary may be recommended.

Less Common Side Effects:

• Hypoglycemia (Low Blood Sugar): While metformin alone is not known to cause hypoglycemia, combining it with other diabetes medications can increase the risk. This is more likely to occur if there are irregular meal patterns or excessive alcohol intake.
• Skin Reactions: Rarely, metformin can cause skin reactions such as redness, itching, or rash.

Serious Side Effects (Rare):

• Lactic Acidosis: Although rare, metformin can cause a serious condition called lactic acidosis, characterized by an accumulation of lactic acid in the blood. Symptoms may include weakness, severe muscle pain, difficulty breathing, and an irregular heartbeat. Seek immediate medical attention if you experience these symptoms.
• Allergic Reactions: In rare cases, metformin may cause allergic reactions such as swelling, itching, or severe skin reactions. Seek medical help if you experience these symptoms.

It’s important to attend regular check-ups with your healthcare provider to monitor your response to Riomet and address any concerns or side effects. Additionally, inform your healthcare provider of all medications, supplements, and over-the-counter drugs you are taking to avoid potential interactions. Do not stop or adjust your medication without consulting your healthcare provider. If you experience any unexpected or severe side effects, seek medical attention promptly.

What should I know about storage and disposal of this medication?

Here are important guidelines regarding the storage and disposal to Riomet (metformin):

Storage:

• Store Riomet at room temperature, away from excessive heat, moisture, and light.
• Keep the medication in its original container with the lid tightly closed.
• Do not store Riomet in the bathroom, and keep it out of reach of children and pets.

Disposal:

• Dispose of unused or expired medications properly.
• Follow any specific disposal instructions provided by your healthcare provider or pharmacist.
• Do not flush medications down the toilet unless instructed to do so. Use a drug take-back program or follow local regulations for proper disposal.

In case of emergency/overdose

In case of an emergency or suspicion of an overdose, seek medical attention immediately. Symptoms of a Riomet overdose may include:

• Extreme weakness or tiredness
• Nausea, vomiting, stomach pain
• Difficulty breathing
• Dizziness or lightheadedness
• Slow or irregular heartbeat
• Loss of consciousness

What other information should I know?

• Inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking to avoid potential interactions.
• Attend regular check-ups to monitor your response to Riomet and discuss any concerns or side effects with your healthcare provider.
• Follow your healthcare provider’s instructions regarding diet, exercise, and other aspects of diabetes management.
• Inform healthcare providers, including dentists and surgeons, about your use of Riomet before undergoing any procedures or surgeries.
• Regularly monitor your blood sugar levels as directed by your healthcare provider.
• Be aware of the signs and symptoms of hypoglycemia (low blood sugar) and know how to treat it if it occurs.
• If you are pregnant, planning to become pregnant, or breastfeeding, discuss the use of Riomet with your healthcare provider.
• Be cautious with alcohol consumption, as excessive alcohol intake can increase the risk of lactic acidosis.

Always follow your healthcare provider’s advice and instructions. If you have any questions or concerns about Riomet, consult your healthcare provider or pharmacist for clarification and guidance.