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Re: College student needs help with Glucophage XR side effects.

From: anonymous@obgyn.net
Sat, 7 Sep 2002 11:52:30 -0500 (CDT)


Dear Mary,

I missed the XR in my first reading.

if she is cutting up the tablet to start on a lower dose, it should be the regular not the XR type of metformin. THe XR type will lose it's XR effect if it is broken up.

Some women have less problem with the regular metformin, others find the XR is better. If taking the XR, probably try just one (not two) tablets before bed....

Your daughter will have to experiment with all of this.

If she really cant' take metformin, there are other drugs that can be tried (actos, etc.) though they need to be monitored more closely......

At Fri, 6 Sep 2002, mary wrote: >
>My 18 year daughter has PCOS. She was first on metformin, but after
>seeing an endocronoligist, she was then switched to glucophage xr. After
>4 weeks, she continued to have the side effects of spending too much
>time in the restroom. She had both nausea and diarrhea. Food simply
>could not be cooked in the house anymore because the nausea was just too
>much for her. We then went back to the endo. and he suggested she take
>a break from the meds (1000 mgs) per day because she needed to go to
>college and be able to attend class. Please, we need advice on how to
>cope with the nausea, etc. because she only gets a 6 week break and
>then she will need to go back on the medicine. She is going to a
>nutritionalist who is helping her with a proper eating plan because she
>also has high cholesterol. She was also going to start to take
>accutane, but the endo. said no because she needed a break from all
>meds. We are desperate and need help.
>Thanks, Mary




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