Prescription requiredAntidiabetic

ZUKANORM M SR 1000 TAB — Side Effects & Warnings

Known side effects of ZUKANORM M SR 1000 TAB include Nausea, vomiting, diarrhea, abdominal pain, loss of appetite, metallic taste, flatulence, headache, vitamin B12 deficiency (with long-term use). Not everyone experiences these side effects.

Common Side Effects

Nausea
vomiting
diarrhea
abdominal pain
loss of appetite
metallic taste
flatulence
headache
vitamin B12 deficiency (with long-term use)

This is not an exhaustive list. Consult your doctor if you notice any unusual symptoms.

Important Warnings

Risk of lactic acidosis (rare but serious), especially in kidney impairment, severe dehydration, sepsis, hypoxia, or excessive alcohol intake. Use with caution in liver disease and in elderly patients. Kidney function (eGFR/serum creatinine) should be assessed before and during therapy; dose adjustment/avoidance may be needed in renal impairment. Temporarily stop before iodinated contrast studies and major surgery as advised by doctor. Seek urgent care for symptoms like deep/rapid breathing, severe weakness, muscle pain, unusual sleepiness, abdominal pain, or persistent vomiting.

Drug Interactions

ZUKANORM M SR 1000 TAB may interact with the following:

Alcohol (increases lactic acidosis risk)
iodinated contrast media
carbonic anhydrase inhibitors (e.g.
topiramate
acetazolamide)
cimetidine
diuretics
corticosteroids
thyroid hormones
sympathomimetics
oral contraceptives
antipsychotics
rifampicin
ACE inhibitors and other glucose-lowering drugs/insulin (may increase hypoglycemia risk when combined)

Always tell your doctor about all medicines you are taking, including over-the-counter drugs and supplements.

Pregnancy Safety

Consult doctor (generally used only if clearly needed; insulin is often preferred in pregnancy)

Alcohol Interaction

Avoid

Habit Forming

Storage

Store below 25°C in a cool, dry place. Protect from moisture and direct light. Keep out of reach of children.

ZUKANORM M SR 1000 TAB — Safety Summary

Composition: Metformin hydrochloride 1000 mg (Sustained Release)
Prescription: Required (Rx)
Pregnancy: Consult doctor (generally used only if clearly needed; insulin is often preferred in pregnancy)
Alcohol: Avoid
Habit forming: No

ZUKANORM M SR 1000 TAB — Safety FAQs

What should I do if I experience side effects?

Mild side effects often resolve on their own. If side effects are severe or persistent, stop the medicine and consult your doctor immediately.

Are all listed side effects common?

No. Some side effects are common while others are rare. Not everyone experiences side effects. Consult your doctor if you are concerned.

Can I take this medicine with other drugs?

Some medicines interact with each other. Always inform your doctor about all medicines you are currently taking.

When should I seek emergency help?

Seek immediate medical attention if you experience severe allergic reactions (difficulty breathing, swelling of face/throat), chest pain, or any life-threatening symptoms.

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Safety disclaimer

This information is for educational purposes only and is not a substitute for professional medical advice. If you experience severe side effects, seek medical attention immediately.