Flatulence, abdominal discomfort, diarrhea, nausea, vomiting, loss of appetite, metallic taste, headache

For prescription use only. Metformin may rarely cause lactic acidosis—risk increases with severe kidney disease, dehydration, heavy alcohol use, severe infection, shock, or hypoxia; kidney function should be assessed before and during therapy. Temporarily stop metformin before/after iodinated contrast procedures and major surgery as advised by doctor. Use caution in liver disease, heart failure, and elderly. Risk of hypoglycaemia increases when used with insulin or sulfonylureas; recognize symptoms and treat promptly.

Alcohol (increases lactic acidosis risk), iodinated contrast media, insulin and sulfonylureas (increased hypoglycaemia risk), diuretics and ACE inhibitors/ARBs (may affect renal function), corticosteroids and thyroid hormones (may raise glucose), cationic drugs excreted by renal tubular secretion (e.g., cimetidine) may increase metformin levels

Store below 25°C in a dry place, protected from light and moisture. Keep in original blister pack and out of reach of children.

Voglibose+Metformin ER 0.2/1000 tablets (various brands), Vogli-M 0.2/1000 ER, Voglimet XR 0.2/1000, Voglibose Metformin SR 0.2/1000 (generic alternatives)