Question: How Long Should metformin be taken for PCOS?

Daily Metformin for 2 Years, But Most Benefit Seen in First 6 Months.

Do you have to take metformin forever for PCOS?

How long should metformin be taken for PCOS? There is no consensus on a standard dose or duration of metformin for PCOS; the median dose is 1,500 mg daily. Physicians often start patients on 500 mg daily, and increase the dose gradually to reduce side effects of metformin.

Can I stop taking metformin for PCOS?

The figures reported above indicate that the majority of women with PCOS taking metformin consider that they derive benefit, and few individuals are willing to discontinue the treatment; even for a short time.

How quickly can I get pregnant with metformin?

There is some benefit starting about a month after beginning metformin. Metformin has a more substantial benefit for fertility when the woman has been taking it for at least 60 to 90 days.

How do you get rid of belly fat with PCOS?

How to Lose Weight With PCOS: 13 Helpful TipsReduce Your Carb Intake. Lowering your carb consumption may help manage PCOS due to carbs impact on insulin levels. ... Get Plenty of Fiber. ... Eat Enough Protein. ... Eat Healthy Fats. ... Eat Fermented Foods. ... Practice Mindful Eating. ... Limit Processed Foods and Added Sugars. ... Reduce Inflammation.More items...•Feb 25, 2019

Metformin The medical term for metformin is biguanide.

How Long Should metformin be taken for PCOS?

Metformin is the number one drug of choice by doctors to commence on when diagnosed with type 2 diabetes. Working to improve the ways our natural insulin works in our body and helping to regulate blood sugars by its action on the liver, metformin also How Long Should metformin be taken for PCOS? been associated with no hypoglycaemia low blood sugars ; no weight gain and some studies even suggest weight loss and is generally well tolerated.

It is one of the most affordable diabetes medications available and is increasingly being researched as it seems to have a number of other beneficial effects, playing a role in heart health, stroke prevention, cancer and general anti-ageing - read more below.

Introducing changes to your diet and exercise in combination with metformin have the biggest benefits in regulating blood sugars. Sometimes Metformin is started in pre-diabetes to try and halt the progression to diagnosis and also in gestational diabetes, with or without insulin. It is commonly given in combination with other diabetes medications if blood sugars are not within normal range. Elevated blood glucose damages the lining of blood vessels leading to a range of complications in various How Long Should metformin be taken for PCOS?

of the body. High blood glucose is sometimes referred to as high blood sugar. To learn more and what type 2 diabetes is, you can read more from our dedicated. Since metformin is the number one drug of choice for people with type 2 diabetes, keep reading to learn more about metformin, including theand the side effects of metformin, for example.

The Benefits of Metformin Metformin is an inexpensive drug and is now considered to be first line therapy for those diagnosed with type 2 diabetes. Metformin has also been heralded as the answer to anti-ageing with major benefits to our health including our heart, stroke prevention, and even warding off cancer. Read on to learn why metformin is sometimes considered a wonder drug.

Cancer prevention The fact that Metformin does not actually stimulate insulin production means that it is not causing an increase in the amount of insulin produced in the body which is good news indeed.

As insulin is a natural growth hormone it has been linked to an increase in cancers along with obesity which increases the need for insulin in the body. Recent studies and observed that people on metformin had about half as many incidences of cancer than those not taking the drug. However, from the evidence we have so far is seems that metformin is useful in the prevention and possibly even treatment of cancers. This has been further backed up by other studies including one which compared metformin with a placebo which indicates that metformin use is linked to a reduction in heart attacks; heart failure and strokes.

It also has a positive effect on cholesterol levels further enhancing these heart protective qualities. Dementia In a systematic review, it was suggested that metformin may play a role in neuroprotection and preservation of cognitive function in people with diabetes. More data is still required, however. It is important to note that metformin should not be used by individuals without diabetes for the prevention of dementia as there is no evidence to support this use.

It appears that the longer the user is on metformin the greater these effects are and that it could actually extend your life. How to Take Metformin It is really important to start on a low dose of usually 500mg once a day with How Long Should metformin be taken for PCOS?, increasing after 2 weeks to either twice daily or at an increased daily dose with your evening meal.

3 Simple Ways to Take Metformin for PCOS

You will then increase doses at these time-points as instructed by your doctor depending on the effects on your blood sugars. This is because most side effects are gastrointestinal, with nausea and diarrhoea being the most common. The usual dose of metformin is 2000mg to 3000mg daily in divided doses. It can be taken three times a day with meals to try and further regulate blood sugars.

Tablets need to be swallowed whole, not crushed a liquid formula is available if unable to swallow. If you forget to take a dose it is best to miss and take the next dose as usual. After one to two weeks, a second daily dose of metformin is added taken at breakfast time. When taking metformin, it should be taken at about the same time every day and with a glass of water.

Side Effects of Metformin Like many medications, there are some some side effects associated with taking metformin. Here are the side effects and what to do about them.

How Long Should metformin be taken for PCOS?

The introduction of extended release formulations has significantly decreased the incidence of this to about 10%. Flatulence, abdominal bloating also can happen and symptoms are often dose related.

The good news is, if you are experiencing mild or infrequent diarrhoea and it does not resolve within 2 weeks.

If the diarrhoea is severe, you must talk to your doctor as a reduced dose or change in formula can often be the answer. Most people do tolerate this drug well and with less than 5 % of all people on metformin having to stop taking it as a result of side effects. Nausea Nasuea is another common gastrointestinal side effect of metformin. This affects about 7% of people but is reported to be higher if not taking a slow release formula definitely worth checking out what you have been prescribed.

If it is continuing then it is not normal and will need to be discussed with your doctor. It is important to have this medication at mealtimes to minimize these effects. Vitamin B12 Deficiency About 30% of people taking metformin experience a reduced ability to absorb B12 from the intestine and this results in about 5-10% having a B12 deficiency. A low B12 level can result in fatigue and other symptoms seen in anaemia but also causes peripheral neuropathy- pins and needles or numbness in the feet or hands.

B12 levels can be checked via routine blood tests. B12 supplements are available by a small monthly injection over 3 months if levels are depleted as it is difficult to get enough in our diet How Long Should metformin be taken for PCOS? increase levels. Metallic Taste A few people How Long Should metformin be taken for PCOS?

of a metallic taste up to 3% and this should resolve once your body gets used to the medication. If it continues talk to your doctor. Again, this is an unusual experience but If concerned speak to your pharmacist as a different brand can be given. Alcohol and Metformin You need to be cautious and drink sensibly as metformin can interfere with the way the body works in the liver. Remember that alcohol can also lower your blood sugars and put you How Long Should metformin be taken for PCOS?

risk of hypoglycaemia. Pregnancy and Metformin The goals in pregnancy for someone with diabetes are that blood sugars should try to be maintained at normal levels throughout the pregnancy so that the risk of complications at birth are no different to that of a pregnant mother-to-be without diabetes.

Globally about 18% of pregnant women develop gestational diabetes as a result of not being able to produce enough insulin needed in pregnancy, the risk accumulating as the pregnancy develops and baby gets larger. In some countries and among certain ethnic groups the risk of gestational diabetes is greater along with factors such as your mother having diabetes; being overweight or previous gestational diabetes in pregnancy.

Controlling blood sugars minimizes risk of baby being large for gestational age at birth and as a consequence reducing the likelihood of developing pre-eclampsia; needing induction or How Long Should metformin be taken for PCOS? a cesarean-section. It also decreases the chances of baby not experiencing complications related to sudden changes in blood glucose levels once the umbilical cord is cut and it no longer has the blood supply of its mother known as hypoglycaemia.

These are all really important reasons to get it right in How Long Should metformin be taken for PCOS? and many doctors are now prescribing metformin with very positive outcomes at birth. Metformin can be used alone or with the addition of insulin if sugar levels are still too high. Not having to inject, less risk of low blood sugars and few side effects, the benefits of use are easy to see.

Side effects if experienced are most commonly nausea and diarrhoea which should settle soon after commencing. For more information on metformin use in women with gestational diabetes, read our article When not to take Metformin Metformin is not suitable for some people.

There are some conditions that can prevent you from taking metformin. Lactic Acidosis The use of metformin is associated with lactic acidosis. This is extremely rare but very serious and accounts for less than 1% of all patients taking metformin.

Since the removal of one type of metformin, phenformin, from the market a review of all patients over a 2-year period 11,800 patients revealed only 2 cases. It often presents as vague symptoms due to a large build-up of toxic lactic acid in the body.

Symptoms include nausea, vomiting, abdominal pain, breathing difficulties and low blood pressure: if suspected immediate medical assistance is needed. If you have any of the following medical problems then Metformin may not be suitable. You may need to stop metformin on admission and not restart until at least 48 hours afterwards dependent on the advice of your doctors.

To prevent any possibility of lactic-acid build up and ensure the kidneys and heart are functioning well. With all of the information above, you might be wondering what the pros and cons of metformin are. As discussed, there are a number of. There are also some side effects, for example. Below is a quick and simple list of the metformin pros and cons.

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