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Re: just started MET, what to do for horrible nausea? :-(

From: tera (anonymous@obgyn.net)
Fri, 17 Jan 2003 22:37:44 -0600 (CST)


Hi!

I totally agree with Sonnet - you must start out slowly!! The first time I was put on Metformin for any length of time I got violently ill - I had nausea and fatigue, etc. and it scared me so much that I quit taking it. Then after I did some research I discovered two things: One, I did not start slowly enough. And two: Not every woman with PCOS has to take a high dose to see benefits. Because my insulin resistance was not very serious, I did not need to be on a high dose. In fact, the dose that my doctor gave me was way too high for my system and my body couldn't tolerate the dosage. I am now on a mere 500 mgs per day of Met (which I hear is extremely low) and I have had a regular period every month for a year since I started taking it - which is a big deal for me. Although treatment with Metformin is not new in women with PCOS, it is difficult for doctors to come up with a dose when they write a prescription (that's what my doctor told me) and many times they write out a prescription that is high enough for a full fledged diabetic! Of course, check with your doctor, but raise your dose very slowly until you reach a level where you start receiving some benefits. It may take time to see benefits and you might have to deal with some trial and error. I know women on 1550 mgs of Met and women who are taking 500 mgs like me. PCOS is not "one size fits all". God bless, Tera

At Fri, 17 Jan 2003, Sonnet wrote: >
>If you're not already doing it, remember that it is VERY important to
>start slowly with metformin. You HAVE to work up to your full dose in
>teeny tiny little increments. Start at 250mg/day - if the nausea
>persists, you can even go to 125mg. When you feel better, slowly raise
>the dose, until you're at the level your doctor prescribed. For most
>women with PCOS this is around 1500mg, and it should take at least a
>couple of weeks (and sometimes much longer) to get up to that dose.
>
>If you're already doing this, Sorry!! :( The only other thing I can
>suggest is that many women find that the GI effects (nausea and
>diarrhea) go away within a few weeks. Hang in there. If it never does,
>I think it's worth it to look at other medications rather than put
>yourself through that!
>
>At Fri, 17 Jan 2003, Caroline wrote:
>>
>>ive been on the met for 5 days now.. i have horrible nausea... is
>>there anythng i can do for it?
>
>--
>email always welcome: sonnet_fitz@hotmail.com
>

--
Tera



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