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Re: Met/Gluc and intense diarrhea (Belle and orig author)From: ANGIE (anonymous@obgyn.net)Sat, 13 Apr 2002 08:41:02 -0500 (CDT)
At Tue, 9 Apr 2002, Valerie wrote: > >OH CAN I RELATE!!!!! > >First off, let me thank Belle once again for life (and sphincter) saving >advice :) I have been on Glucophage for a month now and I too followed >my prescripion initially... 500mg in the A.M. and 500mg in the P.M. >and I was doubled over in agony.... Belle and Mel talked me through my >first week with wise words that I will pass on- THERE IS NO RACE UP TO >THE PRESCRIBED DOSAGE, it's all about getting there comfortably... > >On my third day I changed my habits from 500 AM & 500 PM... I bought a >great pill cutter and took 1/2 pill at dinner for a week... then 1/2 >pill at dinner and 1/2 at breakfast for a week... then 1/2 at breakfast >and 3/4 at dinner for a week...and now I am on 3/4 at breakfast and 3/4 >at dinner (I have been here for almost 2 weeks because I am still having >enough wind to ponder harnessing the methane energy :) but at least I am >not crapping my pants or doubled over in tears... I am hopeful that >later this week I will add another quarter pill to my dinner dose... but >500mg Glucophage in a dose was horrible initially and so I am in no rush >considering that my pants are still the closest thing to the windy city >in California... > >Take it easy, increase slowly... your doc sounds like maybe she lacks >some patience... no doctor is perfect, at least you got your Gluc, but >don't give up easy on it, rather work patiently and slowly up to your >personal clinical dosage... and always listen to Belle and Mel... they >are understanding and they didn't cringe at my graphic descriptions of >Glucophage hell... I suspect if you give your body time to make these >adjustments and you take in only small amounts of carbs that you will >ramp up to your goal dose in time... > >-- >ValerieC > >At Tue, 9 Apr 2002, Belle wrote: >> >>Is this your third day of taking Glucophage or your third day of taking >>1000mg? >> >>If it is your third day taking 1000mg/day, cut back to the last level at >>which you were comfortable then build back up slowly by 1/2 or 1/4 of a >>pill a week until you reach your theraputic level. >> >>If it is your third day taking Glucophage and your doctor already has >>you on 1000mg/day and has not offered you relief even after you have >>called the office, slap her the next time you see her!!! ;-) >> >>Glucophage is a medication that you have to work up a tolerance to in >>order to take it successfully. You should start at NO HIGHER than 500 >>mg per day. Some women have to start at 250 mg/day (1/2 of a pill). >>Stay at this level for a week then increase the level by 1/2 of a pill >>if possible. If this causes you problems, only increase the dosage by >>1/4 of a pill. Stay on each level for a week before you increase to the >>next level. >> >>Take the first level with your largest meal of the day (usually dinner). >>Take th next pill (or portion of pill) with the next largest meal of the >>day. Some women find it easier to take before meals, others take it >>after meals and still others find most comfort by taking it during the >>meal. >> >>Do not eat an excess of carbs during the meals. This in itself can >>cause the explosive diarrhea. The carbs include what you have to drink, >>not only eat. >> >>I purchased a pill splitter at the grocery store for about $5.00 and it >>was a super investment for me. >> >>At Tue, 9 Apr 2002, meg wrote: >>> >>>This is my 3rd day on Metformin >>>500mg twice a day. I take it w/ breakfast and dinner. Every afternoon >>>around 2-2:30 I get explosive diarrhea! Called the Dr. and she said I shouldn't >>>keep taking Immodium, and that if this continues I will have to be taken >>>off Metformin. Any advice for me? Thanks in advance! Meg >> >>-- >>Hope this helps, >> >>Belle >> >So does it matter how much you break it up as long as you take your full dose? I have also had intense diarrhea and throwing up on Met. I've tried taking 1/2 with lunch, 1/2 with breakfast, and then a full pill at dinner. (I have to take 1000 mg bid due to also being diabetic and hypoglycemic as well.) Thanks
-- ANGIE in Idaho
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