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Prescriptions Dispensed from Canada * are Dispensed by:
Candrug
ID#18985
604.543.8711
Pharmacy Manager:
Amarjit Mann

Pharmacy Address:
202A, 8322-130th Street
Surrey, BC
Canada
V3W 8J9
Toll Free:1-866-995-7387

(*Not all prescriptions dispensed by Candrug.)

Chemical Name: Metformin Sustained Release
  Product Manufacturer Dosage  Qty Price(USD)
Fortamet 5258 Merck  500 mg 56 $69.00
Fortamet 5325 Merck  500 mg 112 $115.00
Fortamet 5356 Merck  500 mg 224 $186.00
Metformin Sustained Release 5357 Generic  500 mg 100 $40.00
Metformin Sustained Release 13427 Generic  500 mg 200 $75.00

Fortamet  Information
This medication is a biguanide-type medicine that is used along with a diet and exercise program to control high blood sugar in diabetic patients. This medication works by helping to restore your body's proper response to the insulin you naturally produce, and by decreasing the amount of sugar that your liver makes and that your stomach/intestines absorb. Controlling high blood sugar helps prevent heart disease, strokes, kidney disease, blindness and circulation problems, as well as decreased sexual ability (impotence).

Fortamet  Directions
This medication is usually taken by mouth, once daily with the evening meal, or as directed by your doctor. This medication must be swallowed whole. Do not crush or chew the tablets. Drink plenty of fluids while taking this medication. Use this medication regularly in order to get the most benefit from it. Remember to use it at the same time each day. Your dosage is based on your medical condition and response to therapy. Fortamet  Side Effects
Nausea, stomach upset, diarrhea or metallic taste may occur initially as your body adjusts to the medication. If stomach symptoms recur later (after you are on the same dose for several days or weeks), tell your doctor immediately. A late recurrence of stomach symptoms may be due to lactic acidosis.

Inactive parts of the drug may be passed in your stool as a harmless soft mass that may look like the original tablet. This is normal for this drug.

This medication usually does not cause low blood sugar (hypoglycemia), but this effect may occur if you do not consume enough calories (from food, juices, fruit, etc.). The symptoms include chills, cold sweat, dizziness, drowsiness, shaking, rapid heartbeat, weakness, headache, fainting, tingling of the hands or feet, or hunger. It is a good habit to carry glucose tablets or gel to treat low blood sugar. If you are in a situation where you don't have these reliable forms of glucose, eat a quick source of sugar such as table sugar, honey, or candy, or drink a glass of orange juice or non-diet soda to quickly raise your blood sugar level. Tell your doctor immediately about the reaction. To help prevent hypoglycemia, eat meals on a regular schedule and do not skip meals.

Symptoms of high blood sugar (hyperglycemia) include thirst, increased urination, confusion, drowsiness, flushing, rapid breathing, or fruity breath odor. If these symptoms occur, tell your doctor immediately. Your medication dosage may need to be increased.

A serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching, swelling, dizziness, trouble breathing.

The generic alternative is not manufactured by the company that makes the brand product.



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