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Metformin, when taken in excess, can occasionally lead to a rare but serious condition known as lactic acidosis, which can be life-threatening. The likelihood of developing lactic acidosis increases under certain conditions, including:

• Being an older adult
• Having kidney or liver disease
• Experiencing dehydration
• Suffering from heart failure
• Consuming alcohol heavily
• Undergoing surgery
• Participating in X-ray or scanning procedures involving iodinated contrast
• Taking certain medications

In some cases, your healthcare provider may advise you to temporarily discontinue use of this medication. For further clarification, consult your doctor or pharmacist.

It is crucial to discontinue metformin immediately and seek medical assistance if you experience symptoms of lactic acidosis. These symptoms may include:

• Unusual fatigue
• Dizziness or severe drowsiness
• Chills
• Bluish or cold skin
• Muscle pain
• Rapid or difficult breathing
• Slow or irregular heartbeat
• Abdominal pain with nausea, vomiting, or diarrhea

Always ensure you communicate any concerns or symptoms to your healthcare provider promptly.

When taking this medication, you might experience mild side effects like headache, diarrhea, nausea, vomiting, runny nose, or sore throat. These effects are usually temporary, but if they persist or worsen, consult your healthcare provider.

Serious side effects require immediate medical attention. These include signs of lactic acidosis (such as persistent stomach symptoms), urinary tract infections (burning or painful urination), or worsening kidney issues (changes in urine output). The medication can also lead to yeast infections in the genital area, with symptoms like unusual discharge or itching. In rare cases, it may cause a severe bacterial infection (Fournier's gangrene) in the genital or anal area; seek urgent care if you notice pain, redness, or swelling in these areas along with fever.

This drug could increase the risk of lower limb amputation, particularly if you have preexisting conditions like poor blood flow or foot ulcers. Regular foot checks and reporting any new sores or pain to your doctor can help mitigate this risk.

Though low blood sugar is uncommon, it can occur if combined with other diabetes medications or if you skip meals. Symptoms include sweating, shaking, or dizziness. Carry a quick source of sugar and inform your doctor if you experience these symptoms. Conversely, high blood sugar might result in increased thirst and urination; inform your doctor if this happens.

Dehydration is another concern, potentially leading to kidney damage. Ensure adequate fluid intake and report any signs of dehydration, such as reduced urination or dry mouth. To prevent dizziness, rise slowly from sitting or lying positions.

A very serious allergic reaction to this medication is rare but requires immediate medical help if symptoms like rash, swelling, or trouble breathing occur. This summary does not cover all possible side effects, so contact your healthcare provider if you notice any unusual symptoms.