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Medical Forum / Diseases and Disorders / Diabetes / August 2007

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Metformin biological 1/2 Life

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Stumpy - 01 Aug 2007 23:05 GMT
I found 2 values;  6.2 Hr - Plasma,  17.6 Hr - Blood.

Which would be the effective half-life?

I go see my Dr. next week and want to ask for multiple doses during the day,
or an extended release.  Don't have an Endocrinologist yet.
Larry - 02 Aug 2007 04:32 GMT
> I found 2 values;  6.2 Hr - Plasma,  17.6 Hr - Blood.
>
> Which would be the effective half-life?
>
> I go see my Dr. next week and want to ask for multiple doses during the day,
> or an extended release.  Don't have an Endocrinologist yet.

Stumpy: Very smart question. If you can tolerate Regular metformin
rather than extended release you are better off so far as effective
blood levels. Extended release is a compromise due to GI side effects
in some patients and also made more money as a patent extension for
the drug company. Extended release is not absorbed so well and comes
out the other end partially "dry" in many patients. The package insert
indicates partial absorption. Many patients do not tolerate Regular
metformin so I am told. Some of this side effect might be due to
insistent intake of too many carbs which is contraindiacted in
diabetes anyway. I take metformin R 2x/day with no problems. (2000mg
daily). If I eat too many carbs some GI problems occur on occasion.

Larry
Stumpy - 02 Aug 2007 20:54 GMT
>> I found 2 values;  6.2 Hr - Plasma,  17.6 Hr - Blood.
>>
[quoted text clipped - 17 lines]
>
> Larry

The first 2 weeks of 850mg/day caused problems.  It's better now.  Will ask
for 500mg/2X.  If the extended release is still under patent then my
insurance won't cover it anyway.
W. Baker - 03 Aug 2007 17:49 GMT
: >> I found 2 values;  6.2 Hr - Plasma,  17.6 Hr - Blood.
: >>
[quoted text clipped - 17 lines]
: >
: > Larry

: The first 2 weeks of 850mg/day caused problems.  It's better now.  Will ask
: for 500mg/2X.  If the extended release is still under patent then my
: insurance won't cover it anyway.

Its not.  I get mine a Kmart for $15 for a 3 months supply, that's 360
pills!  They offer thi price fo rmany generics without any insurance.  I
us it because it is ess than the copay for my                 Medicare D
plan and keeps me out of the donut hole longer.

Wendy
Nicky - 02 Aug 2007 21:47 GMT
>I found 2 values;  6.2 Hr - Plasma,  17.6 Hr - Blood.
>
>Which would be the effective half-life?
>
>I go see my Dr. next week and want to ask for multiple doses during the day,
>or an extended release.  Don't have an Endocrinologist yet.

Interesting question. I got a gastric reaction within an hour of
taking the first dose; but it took about 3 weeks for a consistent
affect on the bg. I felt more awake within a couple of days of
stopping it.

From that data, I'd say the plasma one. I took 500mg in the morning
and again at night.

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Frank t2 - 03 Aug 2007 04:24 GMT
I get a reflux reaction when ever the metformin tabs touch my mouth/throat.

"Nicky" <ukc802466929@btconnect.com> a écrit ...

>>I found 2 values;  6.2 Hr - Plasma,  17.6 Hr - Blood.
>>
[quoted text clipped - 16 lines]
> D&E, 100ug thyroxine
> Last A1c 5.6%  BMI 25
Nicky - 03 Aug 2007 13:48 GMT
>I get a reflux reaction when ever the metformin tabs touch my mouth/throat.

Hmmm. If you're not trying to win the prize for the fastest reaction -
could you wrap them in something? I know they're the size of a horse
pill... but for some reason a bit of salami came to mind. Might be too
much cat-sitting a cat who needs 2 thyroxine pills a day, and hates
the whole concept... there's probably a more appropriate method : )
Can't use fats, or you'll mess with the absorption.

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Frank t2 - 03 Aug 2007 22:52 GMT
Chocolate ?  <eg>

Seriously, I can still take them and have done for abt 10 years now.

"Nicky" <ukc802466929@btconnect.com> a écrit ...

>>I get a reflux reaction whenever the metformin tabs touch my mouth/throat.
>
[quoted text clipped - 9 lines]
> D&E, 100ug thyroxine
> Last A1c 5.6%  BMI 25
Nicky - 04 Aug 2007 09:28 GMT
>Chocolate ?  <eg>

Chocolate coated metformin would probably have a market : )

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Frank t2 - 04 Aug 2007 12:44 GMT
lol ... mmmmmmm !

Strange that pharmaceuticals never considered flavours in their medecines
...
How hard can it be ? .. same pricing (to be eligible for health plans), but
such an edge on the competition !

Imagine ... 85% chocolate coated metformin !

"Nicky" <ukc802466929@btconnect.com> a écrit ...

>>Chocolate ?  <eg>
>
[quoted text clipped - 4 lines]
> D&E, 100ug thyroxine
> Last A1c 5.6%  BMI 25
Will, T2 - 04 Aug 2007 16:47 GMT
> Strange that pharmaceuticals never considered flavours in their medecines

Oh, but they sometimes do consider and use flavors, especially children's
meds... Just look at the liquids like amoxycillen, liquid tylenol, benadryl,
etc.

Then many of the chewables are flavored, as well....

Will, T2
 
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