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One of the most serious (but quite rare) risks of metformin is lactic acidosis, the buildup of lactic acid. Lactic acidosis can be fatal, and the early signs are sometimes easy to miss.
Given severely impaired kidney function, clearance of metformin and lactate is reduced, increasing levels of both, and possibly causing lactic acid buildup. Because metformin decreases liver uptake of lactate, any condition that may precipitate lactic acidosis is a contraindication.
While rare, lactic acidosis (when lactic acid, the same thing that makes you sore after a workout, builds up in the blood) can be a side effect in those with poor kidney or liver function or due ...
Symptoms of lactic acidosis include nausea, vomiting, and weakness. ... Taking metformin may cause unpleasant side effects like diarrhea, nausea, and an upset stomach. Taking it with food can ...
Lactic acidosis is commonly found in people who are unwell, such as those with severe heart and/or lung disease, a severe infection with sepsis, the systemic inflammatory response syndrome due to another cause, severe physical trauma, or severe depletion of body fluids. [3]
Acute complications are complications that develop rapidly and can be exemplified as diabetic ketoacidosis (DKA), hyperglycemic hyperosmolar state (HHS), lactic acidosis (LA), and hypoglycemia. [1] Chronic complications develop over time and are generally classified in two categories: microvascular and macrovascular.
Lactic acidosis (a buildup of lactic acid in your blood) is a potential serious side effect of metformin. Signs of this condition include feeling dizzy, having unusual muscle pain or a slow or ...
The most common causes of high anion gap metabolic acidosis are: ketoacidosis, lactic acidosis, kidney failure, and toxic ingestions. [3] Ketoacidosis can occur as a complication of diabetes mellitus (diabetic ketoacidosis), but can occur due to other disorders, such as chronic alcoholism and malnutrition. In these conditions, excessive free ...