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Re: Is Metformin Dangerous?

From: Randi (anonymous@obgyn.net)
Tue, 9 Sep 2003 19:08:02 -0500 (CDT)


Sana -

I am also taking Glucophage XR (Met) and Spiro together.

--
Randi

At Tue, 9 Sep 2003, Janet wrote: > >Hi Sana, >I suppose you got to pay both doctor bills for infomation that is >totally contradictory. Metformin is an insulin sensitizing drug that >has been used for years to treat Type 2 diabetes. Specifically what it >does is make the insulin that you are already producing work better. >Many of us with PCOS are insulin resistant. That means that are insulin >doesnt dosent combine well with the carbohydrates we eat to produce >energy for our bodies to function well. This leads to elevated levels >of insulin in our blood resulting in other hormonal imabalances such as >elevated testosterone and irregular or absent periods that apparently >you have. Using metformin can bring these insulin levels down thereby >stabalizing other hormones. I take metformin. I also take spiro so you >can take both if you want. > >Now for the safety issues of metformin and spironolactone. Met is a >very safe drug when used for its intended purpose which is sensitizing >insulin. I EXTREMELY rare instance it can cause a lactic acidosis (18 >of 10,000), that can be fatal. Primarily this occurs with elderly that >have had a history of alchoholism or some other liver damage. As an >extra precaution, you doctor may wish to do a liver screening just to >make sure you do not fall into that category. Spironolactone lowers you >testosterone. As long as you do not become pregnant, spiro is effective >tool to improve your hair as well as treating acne. You doctor should >insist that you are on BCPs or have some other permanent reason that you >cannot get pregnant (tubes tied, hysterectomy ect..) so there is no >chance of that happening. Sever birth defects resulting from lowered >testosterone in an unborn child will occur. Once off sipronolactone, >pregnancy is completely safe from these problems. > >-- >Janet Heller > >At Tue, 9 Sep 2003, Sana wrote: >> >>I was diagnosed in May and I have seen 2 endocrinologists since. One >>told me that I am a good candidate for Metformin, and the other has said >>to me: "If you were my sister, I would not give you this medication. You >>would be much better off on spironolactone and exercise, and we just >>don't know enough about this medication." Now I'm confused, My PCOS >>symptoms are wildly out of control (weight, hair, skin, haven't had a >>period naturally since 1996). My question is, does anyone know if >>Metformin is truly a safe drug? When did this drug come out? What kind >>of tests have been done on it? When a doctor tells you they wouldn't >>give it to their family member, it scares you, and I'm trying to do >>research on my own about this drug to make my own decision. Any help >>would be wonderful. THANK YOU ALL FOR BEING PART OF THIS WONDERFUL >>FORUM, NOW I DON'T FEEL SO ALONE! :) > >-- >Email always welcome >Janet at JanetHeller@msn.com >

--
Randi

email always welcome at randigeller@aol.com




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