Name of Drug Classification Mechanism of Indication Contraindications Side Effects Nursing

of Drug Action Responsibilities

Metformin Therapeutic: Exact Adjunct to diet Contraindicated  Endocrine:  History:
HCI Antidiabetic mechanism is to lower blood with allergy to Hypoglycemia, Allergy to
not glucose with metformin; CHF; Lactic acidosis metformin;
understood; type2 (non diabetes  GI: Anorexia, diabetes
possibly insulin complicated by nausea, complicated
increases dependent) fever, severe vomiting, by fever,
peripheral diabetes infections, severe epigastric severe
utilization of mellitus in trauma, major discomfort , infections,
glucose, patient surgery, ketosis, heartburn, severe
decreases acidosis, coma(use diarrhea, trauma, major
hepatic insulin); type1 flatulence surgery,
glucose (insulin-  Hypersensitivity: ketosis,
production dependent),seriou Allergic skin acidosis,
and alters s hepatic reactions, coma; type 1
intestinal impairment, eczema, diabetes,
absorption of serious renal pruritus, serious
glucose impairment, erythema, hepatic or
uremia, thyroid or urticaria renal
endocrine impairment,
impairment, uremia,
glycosuria, hyper thyroid or
glycemia endocrine
associated with impairment,
primary renal glycosuria,
disease; hyperglycemia
associated
with primary
renal disease,
CHF,
pregnancy,
lactation.
 Do not
 discontinue
this
medication
without
consulting
your
healthcare
provider.
 Monitor urine
or blood for
glucose and
ketones as
prescribed.
 Swallow ER
tablets whole;
do not cut,
crush, or
chew
 Do not use
this drug
during
pregnancy; if
you become
pregnant,
consult with
your
healthcare
provider for
appropriate
therapy.
 Avoid using
alcohol while
taking this
drug.
 Report fever,
sore throat,
unusual
bleeding or
bruising, rash,
dark urine,
light-colored
stools, hypo-
or hyper
glycemic
reactions