Carbophage G1 Forte
Merck Ltd - 10 S
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Prescription required
Metformin hydrochloride prolonged-release 500 mg
Delivered across India in about 3–5 days, Chennai next day. ₹49 delivery, free above ₹999.
Cash on delivery available — pay when your order arrives
This medicine needs a prescription.
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Carbophage XR 500 is used for type 2 diabetes mellitus (to control blood sugar), insulin resistance/prediabetes as advised by doctor; may be used alone or with other antidiabetic medicines.
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026
Carbophage XR 500 contains Metformin hydrochloride prolonged-release 500 mg. It belongs to the Biguanide (antihyperglycemic), extended-release formulation class of medicines.
Metformin reduces glucose production by the liver and decreases intestinal absorption of glucose. It also improves the body’s sensitivity to insulin, helping cells use glucose better and lowering blood sugar levels.
Take orally as advised by your doctor, usually once daily with the evening meal or with food. Swallow the XR tablet whole; do not crush, break, or chew. Dose is adjusted based on blood sugar and tolerance; continue diet and exercise recommendations.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.
An overdose of this medicine can cause a dangerous build-up of acid in the blood, with vomiting, severe weakness and laboured breathing. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.
Most side effects of Carbophage XR are mild and settle as the body adjusts. Reported side effects include:
Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.
| Pregnancy | Consult doctor (use only if clearly needed; insulin is often preferred in pregnancy) |
|---|---|
| Breastfeeding | Consult your doctor before using this while breastfeeding. |
| Alcohol | Avoid (increases risk of lactic acidosis and may affect blood sugar) |
| Driving | Not expected to affect your ability to drive. |
| Kidney | Consult your doctor if you have kidney disease. |
| Liver | Consult your doctor if you have liver disease. |
| Habit forming | No |
Not for type 1 diabetes or diabetic ketoacidosis. Risk of lactic acidosis (rare but serious), higher in kidney impairment, severe dehydration, severe infection, heavy alcohol use, liver disease, or heart/respiratory failure—seek urgent care for weakness, muscle pain, breathing difficulty, unusual sleepiness, stomach discomfort. Use with caution/avoid in significant renal impairment; kidney function should be checked before and during treatment. Temporarily stop before/after iodinated contrast imaging and major surgery as advised. Long-term use may reduce vitamin B12 levels; monitor if anaemia/neuropathy symptoms. Hypoglycaemia is uncommon with metformin alone but can occur when combined with insulin/sulfonylureas.
Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people with severe kidney disease, severe liver disease, or an acute illness causing dehydration. Not for people who have had diabetic ketoacidosis.
iodinated contrast media, alcohol, insulin and sulfonylureas (increased hypoglycaemia risk), cimetidine, carbonic anhydrase inhibitors (e.g., topiramate/acetazolamide) (increased acidosis risk), diuretics and ACE inhibitors/ARBs (may affect kidney function), corticosteroids and sympathomimetics (may raise blood sugar)
Store below 25°C in a dry place, protected from moisture and light. Keep in original blister pack and out of reach of children.
Take it with or just after food to reduce stomach upset. Keep taking it even when your sugar readings look normal — that is the medicine working. Continue your diet and physical activity; this medicine works alongside them, not instead of them.
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Compiled from the manufacturer's prescribing information and the sources below, and reviewed by a registered medical practitioner. It does not replace your own doctor's advice.