Re: Dr. Sam--Question about meds interaction
From: =?iso-8859-2?q?Zalányi Sámuel?= (anonymous@obgyn.net)
Sat, 26 May 2001 08:01:25 +0100 (MET DST)
Hi Mel,
There are several ways to decrease metformin side effects. First, to take it with meals. Second, to start with low dose. Third: you may find out which food makes it worse. Last: you can take imodium to stop GI side effects.
If this doesn't help at all, there are other insulin sensitizers (Actos and Avandia).
Hope this helps
Sam
>
> Well, I can't even begin to tell you how much I feel like I just
> slammed into a brick wall, a very tall very hard one.
>
> So, theoretically -- I will not hold you responsible for your advice,
> I'm just curious as to your opinion -- if you had a PCOS patient who
> could not tolerate Metformin, what would you do to treat her PCOS? I
> have the kind of doctor who is open to listening to my ideas, but if I
> can't treat it with BCP/Spiro and I can't treat it with Metformin, I
> don't know what to do about it. I certainly don't want to go back to
> doing nothing at all. If there are other options, could you give me
> some suggestions?
>
> In case you didn't see my other message, I'm not talking about the
> usual gas/diarrhea/nausea with the Metformin. It made me so weak I
> could barely stand and felt like even a can of green beans was too
> heavy to carry and I could not wake up for more than a few minutes at a
> time before I sorta passed out again (meaning I fell asleep quick and
> hard, without even noticing, not just fatigue or sleepiness).
>
> Thanks for your advice
>
> --Mel
>
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