Page last updated: 2024-10-30

metformin and Drug Overdose

metformin has been researched along with Drug Overdose in 68 studies

Metformin: A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289)
metformin : A member of the class of guanidines that is biguanide the carrying two methyl substituents at position 1.

Drug Overdose: Accidental or deliberate use of a medication or street drug in excess of normal dosage.

Research Excerpts

ExcerptRelevanceReference
"Subsequent publications have provided new information regarding metformin-associated lactic acidosis and its treatment."9.41Expanding the evidence for managing metformin poisoning to support decision-making. ( Ghannoum, M; Roberts, DM, 2023)
"Metformin-associated lactic acidosis is rare despite its widespread use."7.96Successful Dialysis Treatment of Metformin Associated Lactic Acidosis, Report of Two Cases. ( Berekatoglu, N; Günay, E; Kalkan, Z; Selim Ay, M; Yaman, M; Yuksel, E, 2020)
"Metformin-associated lactic acidosis (MALA) carries a high mortality rate."7.96Metformin-associated lactic acidosis: reinforcing learning points. ( Creagh, F; Goonoo, MS; Morris, R; Raithatha, A, 2020)
"The goals of this study are to describe clinical characteristics and risk factors for metabolic acidosis with hyperlactatemia in emergency department (ED) patients with acute metformin overdose."7.91Incidence and risk factors for hyperlactatemia in ED patients with acute metformin overdose. ( Hoffman, RS; Manini, AF; Taub, ES, 2019)
"Metformin overdose can cause severe hypoglycemia in the absence of other antidiabetic drugs."7.79Metformin overdose-induced hypoglycemia in the absence of other antidiabetic drugs. ( Al-Abri, SA; Hayashi, S; Olson, KR; Thoren, KL, 2013)
"In 56 cases of severe metformin-associated lactic acidosis, blood pH and lactate did not have prognostic value."7.79The prognostic value of blood pH and lactate and metformin concentrations in severe metformin-associated lactic acidosis. ( Kajbaf, F; Lalau, JD, 2013)
"Metformin intoxication induces lactic acidosis, inhibits global oxygen consumption and causes mitochondrial dysfunction in liver and other tissues."7.78Metformin overdose, but not lactic acidosis per se, inhibits oxygen consumption in pigs. ( Comi, GP; De Giuseppe, R; Fortunato, F; Gatti, S; Gattinoni, L; Monti, M; Protti, A; Vecchio, S, 2012)
" Metformin-associated lactic acidosis occurred in 9."7.76Can acute overdose of metformin lead to lactic acidosis? ( Bryant, SM; Buckley, P; Seo, B; Wills, BK, 2010)
"Metformin-associated lactic acidosis is a rare and serious complication of biguanide treatment."7.75Metformin-associated lactic acidosis: a prognostic and therapeutic study. ( Fourrier, F; Houdret, N; Nseir, S; Seidowsky, A, 2009)
"Metformin-associated lactic acidosis is a very rare but critical condition."7.75Successful treatment of severe lactic acidosis caused by a suicide attempt with a metformin overdose. ( Lin, HD; Lin, KH; Lo, SH; Wang, LM; Yang, PW, 2009)
"We report the case of a 46-yr-old male who developed severe lactic acidosis, cardiorespiratory arrest, and rhabdomyolysis following an overdose of metformin and ramipril."7.74Severe lactic acidosis and rhabdomyolysis following metformin and ramipril overdose. ( Bramham, K; Galea, M; Jelacin, N; White, I, 2007)
"In this report of a near-fatal metformin ingestion successfully treated with alkalinization and high-volume hemofiltration, we discuss the management of severe lactic acidosis and demonstrate that early aggressive intervention resulted in a positive outcome."7.73Severe lactic acidosis complicating metformin overdose successfully treated with high-volume venovenous hemofiltration and aggressive alkalinization. ( Harvey, B; Hickman, C; Hinson, G; Mayer, A; Ralph, T, 2005)
"Metformin is a common and generally well-tolerated medication in the treatment of diabetes but rarely has been implicated as the cause for metformin-associated lactate acidosis."5.48Hemodialysis in metformin-associated lactic acidosis due to acute overdose in a metformin-naïve patient. ( Baker, S; McCabe, DJ; Stellpflug, SJ, 2018)
"Subsequent publications have provided new information regarding metformin-associated lactic acidosis and its treatment."5.41Expanding the evidence for managing metformin poisoning to support decision-making. ( Ghannoum, M; Roberts, DM, 2023)
"Metformin is a widely used antidiabetic agent that is generally considered safe."5.37Metformin-associated lactic acidosis in Chinese patients with type II diabetes. ( Chan, WM; Chung, HY; Fong, BM; Siu, TS; Tam, S; Tsai, NW; Tsui, SH; Yeung, CW, 2011)
"The second part of the review deals in detail with the diagnostics and treatment of toxic alcohols poisoning and management and indication of extracorporeal removal techniques in intoxication with other drugs, theophylline, valproic acid, metformin and metformin associated lactic acidosis, respectively."5.01Extracorporeal removal techniques in toxicology: part 2. ( Harazim, M; Horák, J; Matějovič, M; Raděj, J, 2019)
"The aim was to justify less restrictive use of metformin in stable chronic renal failure, because a literature review reveals metformin is associated with a significantly lower incidence of cardiovascular events and mortality compared with other hypoglycaemic agents, and metformin-associated lactic acidosis is rare and causation uncertain."4.90A justification for less restrictive guidelines on the use of metformin in stable chronic renal failure. ( Adam, WR; O'Brien, RC, 2014)
"L-Carnitine combined with HDI may have helped with the calcium channel blocker (CCB) poisoning by decreasing insulin resistance, promoting intracellular glucose transport, facilitating the metabolism of free fatty acids, and increasing calcium channel sensitivity."4.89L-Carnitine for the treatment of a calcium channel blocker and metformin poisoning. ( Ajmo, I; Laliberté, M; Poirier, D; St-Onge, M, 2013)
"A 53-year-old man died following a reported ingestion of 80 g of his metformin tablets resulting in severe, refractory shock and metformin-associated lactic acidosis."4.31Toxicokinetics of metformin overdose treated with CVVHDF. ( Brooks, D; Dion, C; Lewis, B; Schwebach, C, 2023)
"Metformin-associated lactic acidosis is rare despite its widespread use."3.96Successful Dialysis Treatment of Metformin Associated Lactic Acidosis, Report of Two Cases. ( Berekatoglu, N; Günay, E; Kalkan, Z; Selim Ay, M; Yaman, M; Yuksel, E, 2020)
"Metformin-associated lactic acidosis (MALA) carries a high mortality rate."3.96Metformin-associated lactic acidosis: reinforcing learning points. ( Creagh, F; Goonoo, MS; Morris, R; Raithatha, A, 2020)
"The goals of this study are to describe clinical characteristics and risk factors for metabolic acidosis with hyperlactatemia in emergency department (ED) patients with acute metformin overdose."3.91Incidence and risk factors for hyperlactatemia in ED patients with acute metformin overdose. ( Hoffman, RS; Manini, AF; Taub, ES, 2019)
"Massive metformin overdose can cause metabolic acidosis with hyperlactatemia."3.88'Massive' metformin overdose. ( Chiew, AL; Dobos, NM; Isbister, GK; McArdle, K; Mostafa, AA; Newth, A; Roberts, MS; Wright, DFB, 2018)
"Overdosing of the oral antidiabetic metformin in impaired renal function is an important contributory cause to life-threatening lactic acidosis."3.83Development, implementation and outcome analysis of semi-automated alerts for metformin dose adjustment in hospitalized patients with renal impairment. ( Bucklar, G; Gött, C; Jödicke, A; Krattinger, R; Niedrig, D; Russmann, S, 2016)
"Metformin-associated lactic acidosis or lacticemia has been widely reported as an adverse drug effect in diabetic patients with other significant comorbidities and in acute overdose in adults."3.81Lacticemia After Acute Overdose of Metformin in an Adolescent Managed Without Intravenous Sodium Bicarbonate or Extracorporeal Therapy. ( Bebarta, VS; Pead, J; Varney, SM, 2015)
"Although metformin-associated lactic acidosis is well described, there is less information on metformin overdose and whether it is of similar severity."3.81Hyperlactataemia and clinical severity of acute metformin overdose. ( Isbister, GK; McNamara, K, 2015)
"In 56 cases of severe metformin-associated lactic acidosis, blood pH and lactate did not have prognostic value."3.79The prognostic value of blood pH and lactate and metformin concentrations in severe metformin-associated lactic acidosis. ( Kajbaf, F; Lalau, JD, 2013)
"Metformin overdose can cause severe hypoglycemia in the absence of other antidiabetic drugs."3.79Metformin overdose-induced hypoglycemia in the absence of other antidiabetic drugs. ( Al-Abri, SA; Hayashi, S; Olson, KR; Thoren, KL, 2013)
"Metformin intoxication induces lactic acidosis, inhibits global oxygen consumption and causes mitochondrial dysfunction in liver and other tissues."3.78Metformin overdose, but not lactic acidosis per se, inhibits oxygen consumption in pigs. ( Comi, GP; De Giuseppe, R; Fortunato, F; Gatti, S; Gattinoni, L; Monti, M; Protti, A; Vecchio, S, 2012)
"Lactic acidosis is a rare and often lethal complication of metformin therapy."3.77Prolonged hemodialysis for severe metformin intoxication. ( Juvvadi, R; McFarren, C; Rifkin, SI; Weinstein, SS, 2011)
" Metformin-associated lactic acidosis occurred in 9."3.76Can acute overdose of metformin lead to lactic acidosis? ( Bryant, SM; Buckley, P; Seo, B; Wills, BK, 2010)
"Metformin, widely used in the treatment of diabetes mellitus, is known to cause lactic acidosis in both therapeutic use and after an overdose."3.76Metformin overdose with a resultant serum pH of 6.59: survival without sequalae. ( Algren, DA; Dell'Aglio, DM; Morgan, BW; Perino, LJ; Todino, JD, 2010)
"To investigate the treatment of massive metformin overdose associated with lactic acidosis."3.75Severe metformin intoxication treated with prolonged haemodialyses and plasma exchange. ( Erdur, B; Sari, I; Tura, P; Turkcuer, I; Yuksel, A; Yuksel, S, 2009)
"Metformin-associated lactic acidosis is a very rare but critical condition."3.75Successful treatment of severe lactic acidosis caused by a suicide attempt with a metformin overdose. ( Lin, HD; Lin, KH; Lo, SH; Wang, LM; Yang, PW, 2009)
"Metformin-associated lactic acidosis is a rare and serious complication of biguanide treatment."3.75Metformin-associated lactic acidosis: a prognostic and therapeutic study. ( Fourrier, F; Houdret, N; Nseir, S; Seidowsky, A, 2009)
"We report the case of a 46-yr-old male who developed severe lactic acidosis, cardiorespiratory arrest, and rhabdomyolysis following an overdose of metformin and ramipril."3.74Severe lactic acidosis and rhabdomyolysis following metformin and ramipril overdose. ( Bramham, K; Galea, M; Jelacin, N; White, I, 2007)
"A 39-year-old woman with type-2 diabetes mellitus presented with metabolic acidosis due to an attempted suicide with metformin."3.74[Fatal autointoxication with metformin]. ( Bijleveld, YA; de Pont, AC; Franssen, EJ; Hoekstra, JB; Jansen, ME; Kerver, ED, 2007)
"In this report of a near-fatal metformin ingestion successfully treated with alkalinization and high-volume hemofiltration, we discuss the management of severe lactic acidosis and demonstrate that early aggressive intervention resulted in a positive outcome."3.73Severe lactic acidosis complicating metformin overdose successfully treated with high-volume venovenous hemofiltration and aggressive alkalinization. ( Harvey, B; Hickman, C; Hinson, G; Mayer, A; Ralph, T, 2005)
"The major risk associated with metformin is lactic acidosis."3.72Toxic effects from metformin exposure. ( Quadrani, DA; Spiller, HA, 2004)
"Poisoning is a common problem in the United States."2.82The Role of the Nephrologist in Management of Poisoning and Intoxication: Core Curriculum 2022. ( Kraut, JA; Mullins, ME, 2022)
"Metformin is known to cause potentially fatal metabolic acidosis with an increased lactate level in both overdose and therapeutic use."2.45Acute metformin overdose: examining serum pH, lactate level, and metformin concentrations in survivors versus nonsurvivors: a systematic review of the literature. ( Abramson, J; Dell'Aglio, DM; Kazzi, Z; Morgan, BW; Perino, LJ; Schwartz, MD, 2009)
"The prevalence of type 2 diabetes (T2D) continues to rise across the world."1.51Metformin overdose: A serious iatrogenic complication-Western France Poison Control Centre Data Analysis. ( Boels, D; Hadjadj, S; Hamel, JF; Stevens, A; Toure, A, 2019)
"Metformin is a common and generally well-tolerated medication in the treatment of diabetes but rarely has been implicated as the cause for metformin-associated lactate acidosis."1.48Hemodialysis in metformin-associated lactic acidosis due to acute overdose in a metformin-naïve patient. ( Baker, S; McCabe, DJ; Stellpflug, SJ, 2018)
"Metformin is an oral antihyperglycemic agent used in the management of type 2 diabetes mellitus."1.40Fatal metformin overdose: case report and postmortem biochemistry contribution. ( Bonsignore, A; Fraternali Orcioni, G; Palmiere, C; Pozzi, F; Ventura, F, 2014)
"Metformin has been used for many years as oral anti-hyperglycaemic agent in the treatment of type 2 diabetes mellitus either in Poland or in the world."1.39[Metformin poisoning--clinical features, diagnostics and treatment--case presentations]. ( Bak, M; Kołacinski, Z; Krakowiak, A; Krawczyk, K; Kuropatwa, J; Winnicka, R, 2013)
"Metformin is a widely used antidiabetic agent that is generally considered safe."1.37Metformin-associated lactic acidosis in Chinese patients with type II diabetes. ( Chan, WM; Chung, HY; Fong, BM; Siu, TS; Tam, S; Tsai, NW; Tsui, SH; Yeung, CW, 2011)
" In the children younger than six years, dosage ranged from 9 to 196 mg/kg, with a mean and median of 60+/-41."1.31Multicenter case series of pediatric metformin ingestion. ( Gorman, SE; Hofman, M; Klein-Schwartz, W; Krenzelok, EP; Spiller, HA; Stork, CM; Weber, JA; Winter, ML, 2000)

Research

Studies (68)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (4.41)18.2507
2000's17 (25.00)29.6817
2010's38 (55.88)24.3611
2020's10 (14.71)2.80

Authors

AuthorsStudies
Mullins, ME1
Kraut, JA1
Pollack, BE2
Barbaro, RP2
Selewski, DT2
Carlton, EF2
Trebach, J1
Mohan, S1
Gnirke, M1
Su, MK1
Gosselin, S1
Hoffman, RS2
Lewis, B1
Brooks, D1
Dion, C1
Schwebach, C1
Roberts, DM2
Ghannoum, M1
Hughes, BW1
Gray, LA1
Bradberry, SM1
Sandilands, EA1
Thanacoody, RH1
Coulson, JM1
Sohn, JT1
Raděj, J1
Horák, J1
Harazim, M1
Matějovič, M1
Günay, E1
Kalkan, Z1
Selim Ay, M1
Yuksel, E1
Berekatoglu, N1
Yaman, M1
Goonoo, MS1
Morris, R1
Raithatha, A1
Creagh, F1
Liu, S1
Xu, L1
Ma, J1
Huang, R1
Lin, T1
Li, Z2
Liang, H1
Li, S1
Li, R1
Zhang, L1
Tao, Y1
Chen, Y1
Ye, Z1
Zhang, B1
Wang, W1
Xiao, H1
Liang, X1
Shi, W1
Chiew, AL2
Wright, DFB2
Dobos, NM1
McArdle, K1
Mostafa, AA1
Newth, A1
Roberts, MS2
Isbister, GK3
McCabe, DJ1
Baker, S1
Stellpflug, SJ1
Stefani, M1
Graham, GG1
Krüger, HJ1
De Wet, R1
Blumberg, LH1
Weyer, J1
Lemke, FG1
Taub, ES1
Manini, AF1
Stevens, A1
Hamel, JF1
Toure, A1
Hadjadj, S1
Boels, D1
Al-Abri, SA1
Hayashi, S1
Thoren, KL1
Olson, KR1
Kajbaf, F1
Lalau, JD1
St-Onge, M1
Ajmo, I1
Poirier, D1
Laliberté, M1
Protti, A3
Bonsignore, A1
Pozzi, F1
Fraternali Orcioni, G1
Ventura, F1
Palmiere, C1
Krawczyk, K1
Bak, M1
Kuropatwa, J1
Winnicka, R1
Kołacinski, Z1
Krakowiak, A1
Adam, WR1
O'Brien, RC1
McNamara, K1
Sharma, MP1
Kar, SK1
Díaz, R1
Vega, J1
Goecke, H1
Graham, RE1
Cartner, M1
Winearls, J1
Bebarta, VS1
Pead, J1
Varney, SM1
Yamada, T1
Shojima, N1
Yamauchi, T1
Kadowaki, T1
Niedrig, D1
Krattinger, R1
Jödicke, A1
Gött, C1
Bucklar, G1
Russmann, S1
Sehra, S1
Jaggi, S1
Sehra, D1
Aggarwal, R1
Saraswat, V1
Juneja, D1
Ebrahim, I1
Blockman, M1
Turkcuer, I1
Erdur, B1
Sari, I1
Yuksel, A1
Tura, P1
Yuksel, S1
Chang, LC1
Hung, SC1
Yang, CS1
Yang, PW1
Lin, KH1
Lo, SH1
Wang, LM1
Lin, HD1
Seidowsky, A1
Nseir, S1
Houdret, N1
Fourrier, F1
McFadden, C1
Dell'Aglio, DM2
Perino, LJ2
Kazzi, Z1
Abramson, J1
Schwartz, MD1
Morgan, BW2
French, LK1
Horowitz, BZ1
Hendrickson, RG1
Kjelland, CB1
Djogovic, D1
Wills, BK1
Bryant, SM1
Buckley, P1
Seo, B1
Al-Makadma, YS1
Riad, T1
Rifkin, SI1
McFarren, C1
Juvvadi, R1
Weinstein, SS1
Yeung, CW1
Chung, HY1
Fong, BM1
Tsai, NW1
Chan, WM1
Siu, TS1
Tam, S1
Tsui, SH1
Miller, DK1
Brinson, AJ1
Catalano, G1
Catalano, MC1
Fortunato, F2
Monti, M1
Vecchio, S2
Gatti, S1
Comi, GP2
De Giuseppe, R1
Gattinoni, L2
Lecchi, A1
Artoni, A1
Greppi, N1
Fagiolari, G1
Moggio, M1
Mistraletti, G1
Lanticina, B1
Faraldi, L1
Orban, JC1
Fontaine, E1
Ichai, C1
Kopec, KT1
Kowalski, MJ1
Gjedde, S1
Christiansen, A1
Pedersen, SB1
Rungby, J1
Nisse, P1
Mathieu-Nolf, M1
Deveaux, M1
Forceville, X1
Combes, A1
Spiller, HA2
Quadrani, DA1
Lacher, M1
Hermanns-Clausen, M1
Haeffner, K1
Brandis, M1
Pohl, M1
Harvey, B1
Hickman, C1
Hinson, G1
Ralph, T1
Mayer, A1
Soderstrom, J1
Murray, L1
Daly, FF1
Little, M1
Galea, M1
Jelacin, N1
Bramham, K1
White, I1
de Pont, AC1
Kerver, ED1
Jansen, ME1
Bijleveld, YA1
Franssen, EJ1
Hoekstra, JB1
Todino, JD1
Algren, DA1
Brady, WJ1
Carter, CT1
Heaney, D1
Majid, A1
Junor, B1
Teale, KF1
Devine, A1
Stewart, H1
Harper, NJ1
Carlton, FB1
Weber, JA1
Winter, ML1
Klein-Schwartz, W1
Hofman, M1
Gorman, SE1
Stork, CM1
Krenzelok, EP1
Bates, N1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Study of Metformin Overdose in Adult Patients Treated at the University Hospital of Nancy: Single-center Descriptive Retrospective Observational Study[NCT04762966]50 participants (Anticipated)Observational2021-03-01Recruiting
On the Role of Mitochondrial Dysfunction in the Pathogenesis of Metformin-associated Lactic Acidosis[NCT00942123]10 participants (Actual)Observational2009-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

10 reviews available for metformin and Drug Overdose

ArticleYear
The Role of the Nephrologist in Management of Poisoning and Intoxication: Core Curriculum 2022.
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 2022, Volume: 79, Issue:6

    Topics: Acidosis; Curriculum; Drug Overdose; Humans; Metformin; Nephrologists; Poisoning

2022
Expanding the evidence for managing metformin poisoning to support decision-making.
    Clinical toxicology (Philadelphia, Pa.), 2023, Volume: 61, Issue:4

    Topics: Acidosis; Acidosis, Lactic; Drug Overdose; Humans; Hypoglycemic Agents; Metformin; Poisoning; Renal

2023
Extracorporeal removal techniques in toxicology: part 2.
    Vnitrni lekarstvi, 2019,Summer, Volume: 65, Issue:6

    Topics: Acidosis, Lactic; Drug Overdose; Humans; Hypoglycemic Agents; Metformin; Renal Dialysis; Theophyllin

2019
L-Carnitine for the treatment of a calcium channel blocker and metformin poisoning.
    Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2013, Volume: 9, Issue:3

    Topics: Aged; Antidotes; Antihypertensive Agents; Calcium Channel Blockers; Carnitine; Combined Modality The

2013
A justification for less restrictive guidelines on the use of metformin in stable chronic renal failure.
    Diabetic medicine : a journal of the British Diabetic Association, 2014, Volume: 31, Issue:9

    Topics: Acidosis, Lactic; Diabetes Mellitus; Drug Administration Schedule; Drug Overdose; Glomerular Filtrat

2014
Acute metformin overdose: examining serum pH, lactate level, and metformin concentrations in survivors versus nonsurvivors: a systematic review of the literature.
    Annals of emergency medicine, 2009, Volume: 54, Issue:6

    Topics: Acidosis, Lactic; Acute Disease; Adult; Drug Overdose; Female; Humans; Hydrogen-Ion Concentration; H

2009
The role of serum lactate in the acute care setting.
    Journal of intensive care medicine, 2010, Volume: 25, Issue:5

    Topics: Acidosis, Lactic; Adult; Aged; Antiretroviral Therapy, Highly Active; Biomarkers; Critical Care; Dru

2010
Metformin-associated lactic acidosis (MALA): case files of the Einstein Medical Center medical toxicology fellowship.
    Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2013, Volume: 9, Issue:1

    Topics: Acidosis, Lactic; Adult; Drug Overdose; Humans; Hypoglycemic Agents; Male; Metformin; Renal Dialysis

2013
Recent advances in the pharmacologic management of diabetes mellitus.
    Emergency medicine clinics of North America, 2000, Volume: 18, Issue:4

    Topics: Acarbose; Administration, Oral; Carbamates; Chromans; Diabetes Mellitus; Drug Overdose; Emergencies;

2000
Sulphonylureas and metformin overdose: clinical features and management.
    Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association, 2001, Volume: 9, Issue:2

    Topics: Drug Overdose; Humans; Hypoglycemic Agents; Metformin; Sulfonylurea Compounds

2001

Other Studies

58 other studies available for metformin and Drug Overdose

ArticleYear
Lactic acidosis and multisystem organ failure following ibuprofen overdose requiring haemodialysis.
    BMJ case reports, 2022, Feb-07, Volume: 15, Issue:2

    Topics: Acidosis, Lactic; Adolescent; Child; Continuous Renal Replacement Therapy; Drug Overdose; Humans; Ib

2022
Lactic acidosis and multisystem organ failure following ibuprofen overdose requiring haemodialysis.
    Drug and therapeutics bulletin, 2023, Volume: 61, Issue:7

    Topics: Acidosis, Lactic; Drug Overdose; Drug-Related Side Effects and Adverse Reactions; Humans; Hypoglycem

2023
Retrospective evaluation of management guidelines for extracorporeal treatment of metformin poisoning.
    Clinical toxicology (Philadelphia, Pa.), 2023, Volume: 61, Issue:4

    Topics: Drug Overdose; Humans; Lactic Acid; Metformin; Renal Dialysis; Retrospective Studies

2023
Toxicokinetics of metformin overdose treated with CVVHDF.
    The American journal of emergency medicine, 2023, Volume: 68

    Topics: Acidosis, Lactic; Continuous Renal Replacement Therapy; Drug Overdose; Hemodiafiltration; Humans; Hy

2023
Metformin-associated lactic acidosis reported to the United Kingdom National Poisons Information Service (NPIS) between 2010 and 2019: a ten-year retrospective analysis.
    Clinical toxicology (Philadelphia, Pa.), 2023, Volume: 61, Issue:6

    Topics: Acidosis, Lactic; Drug Overdose; Humans; Hypoglycemic Agents; Lactic Acid; Metformin; Poisons; Retro

2023
The elimination half-life of metformin during metformin overdose.
    The American journal of emergency medicine, 2023, Volume: 70

    Topics: Acidosis, Lactic; Drug Overdose; Half-Life; Hemodiafiltration; Humans; Hypoglycemic Agents; Metformi

2023
Successful Dialysis Treatment of Metformin Associated Lactic Acidosis, Report of Two Cases.
    Iranian journal of kidney diseases, 2020, Volume: 14, Issue:2

    Topics: Acidosis, Lactic; Adult; Drug Overdose; Female; Humans; Metformin; Renal Dialysis; Suicide, Attempte

2020
Metformin-associated lactic acidosis: reinforcing learning points.
    BMJ case reports, 2020, Sep-02, Volume: 13, Issue:9

    Topics: Acidosis, Lactic; Acute Kidney Injury; Bicarbonates; Continuous Renal Replacement Therapy; Diabetes

2020
High-volume continuous venovenous hemodiafiltration plus resin hemoperfusion improves severe metformin-associated toxicity.
    Journal of diabetes investigation, 2018, Volume: 9, Issue:4

    Topics: Acidosis, Lactic; Adult; Drug Overdose; Female; Hemodiafiltration; Hemoperfusion; Humans; Hypoglycem

2018
'Massive' metformin overdose.
    British journal of clinical pharmacology, 2018, Volume: 84, Issue:12

    Topics: Acidosis; Drug Overdose; Female; Hemodiafiltration; Humans; Hypoglycemic Agents; Metformin; Middle A

2018
Hemodialysis in metformin-associated lactic acidosis due to acute overdose in a metformin-naïve patient.
    The American journal of emergency medicine, 2018, Volume: 36, Issue:9

    Topics: Acidosis, Lactic; Drug Overdose; Female; Humans; Hypoglycemic Agents; Metformin; Renal Dialysis; You

2018
Complex decisions in the use of extracorporeal treatments in acute metformin overdose: which modality, when and how to measure the effect.
    British journal of clinical pharmacology, 2018, Volume: 84, Issue:12

    Topics: Drug Overdose; Drug-Related Side Effects and Adverse Reactions; Humans; Hypoglycemic Agents; Metform

2018
Comment on ''Massive' metformin overdose' by Chiew et al.
    British journal of clinical pharmacology, 2018, Volume: 84, Issue:12

    Topics: Drug Overdose; Humans; Hypoglycemic Agents; Metformin

2018
Response to 'Comment on ''Massive' metformin overdose' by Chiew et al.'
    British journal of clinical pharmacology, 2018, Volume: 84, Issue:12

    Topics: Drug Overdose; Humans; Hypoglycemic Agents; Metformin

2018
Atypical presentation of Crimean-Congo haemorrhagic fever: Lessons learned.
    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 2019, Jan-31, Volume: 109, Issue:2

    Topics: Acidosis; Comorbidity; Diabetes Mellitus, Type 2; Diabetic Ketoacidosis; Diagnosis, Differential; Dr

2019
Incidence and risk factors for hyperlactatemia in ED patients with acute metformin overdose.
    The American journal of emergency medicine, 2019, Volume: 37, Issue:12

    Topics: Acetaminophen; Acidosis, Lactic; Analgesics, Non-Narcotic; Case-Control Studies; Drug Overdose; Emer

2019
Metformin overdose: A serious iatrogenic complication-Western France Poison Control Centre Data Analysis.
    Basic & clinical pharmacology & toxicology, 2019, Volume: 125, Issue:5

    Topics: Acidosis, Lactic; Adolescent; Adult; Age Factors; Aged; Data Analysis; Databases, Factual; Diabetes

2019
Metformin overdose-induced hypoglycemia in the absence of other antidiabetic drugs.
    Clinical toxicology (Philadelphia, Pa.), 2013, Volume: 51, Issue:5

    Topics: Acidosis, Lactic; Adolescent; Drug Overdose; Female; Humans; Hypoglycemia; Hypoglycemic Agents; Hypo

2013
The prognostic value of blood pH and lactate and metformin concentrations in severe metformin-associated lactic acidosis.
    BMC pharmacology & toxicology, 2013, Apr-12, Volume: 14

    Topics: Acidosis, Lactic; Adult; Aged; Aged, 80 and over; Drug Monitoring; Drug Overdose; Female; Humans; Hy

2013
One other explanation for hypoglycemia during metformin overdose.
    Clinical toxicology (Philadelphia, Pa.), 2013, Volume: 51, Issue:6

    Topics: Drug Overdose; Female; Humans; Hypoglycemia; Hypoglycemic Agents; Metformin

2013
Fatal metformin overdose: case report and postmortem biochemistry contribution.
    International journal of legal medicine, 2014, Volume: 128, Issue:3

    Topics: Acidosis, Lactic; Aged; Chromatography, High Pressure Liquid; Diabetes Mellitus, Type 2; Drug Overdo

2014
[Metformin poisoning--clinical features, diagnostics and treatment--case presentations].
    Przeglad lekarski, 2013, Volume: 70, Issue:8

    Topics: Adult; Aged; Diabetes Mellitus, Type 2; Drug Overdose; Fatal Outcome; Female; Humans; Hypoglycemic A

2013
Hyperlactataemia and clinical severity of acute metformin overdose.
    Internal medicine journal, 2015, Volume: 45, Issue:4

    Topics: Acidosis, Lactic; Acute Disease; Adolescent; Adult; Aged; Drug Overdose; Female; Humans; Hyperlactat

2015
Surreptitious metformin abuse in anorexia nervosa presenting as periodic hypoglycaemia.
    The Australian and New Zealand journal of psychiatry, 2015, Volume: 49, Issue:9

    Topics: Anorexia Nervosa; Coma; Drug Overdose; Female; Humans; Hypoglycemia; Hypoglycemic Agents; Metformin;

2015
[Non-fatal hyperkalemia in lactic acidosis due to metformin overdose. Report of one case].
    Revista medica de Chile, 2015, Volume: 143, Issue:3

    Topics: Acidosis, Lactic; Aged; Diabetes Mellitus, Type 2; Drug Overdose; Humans; Hyperkalemia; Hypoglycemic

2015
A severe case of vasoplegic shock following metformin overdose successfully treated with methylene blue as a last line therapy.
    BMJ case reports, 2015, Jul-06, Volume: 2015

    Topics: Acidosis; Adult; Drug Overdose; Fluid Therapy; Gliclazide; Humans; Male; Metformin; Methylene Blue;

2015
Lacticemia After Acute Overdose of Metformin in an Adolescent Managed Without Intravenous Sodium Bicarbonate or Extracorporeal Therapy.
    Pediatric emergency care, 2015, Volume: 31, Issue:8

    Topics: Acidosis, Lactic; Adolescent; Drug Overdose; Female; Humans; Hypoglycemic Agents; Metformin; Renal D

2015
Lactic acidosis due to attempted suicide with metformin overdose: A case report.
    Diabetes & metabolism, 2016, Volume: 42, Issue:4

    Topics: Acidosis, Lactic; Adult; Diabetes Mellitus, Type 2; Drug Overdose; Humans; Hypoglycemic Agents; Male

2016
Development, implementation and outcome analysis of semi-automated alerts for metformin dose adjustment in hospitalized patients with renal impairment.
    Pharmacoepidemiology and drug safety, 2016, Volume: 25, Issue:10

    Topics: Acidosis, Lactic; Aged; Algorithms; Automation; Dose-Response Relationship, Drug; Drug Overdose; Fem

2016
Management of Sitagliptin and Metformin Combination Toxic Overdose.
    The Journal of the Association of Physicians of India, 2016, Volume: 64, Issue:11

    Topics: Acidosis, Lactic; Adult; Drug Overdose; Female; Humans; Metformin; Sitagliptin Phosphate; Suicide, A

2016
Metabolic acidosis in a patient with metformin overdose.
    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 2017, Jan-30, Volume: 107, Issue:2

    Topics: Acidosis; Blood Gas Analysis; Cardiotonic Agents; Drug Overdose; Fatal Outcome; Female; Heart Arrest

2017
Severe metformin intoxication treated with prolonged haemodialyses and plasma exchange.
    European journal of emergency medicine : official journal of the European Society for Emergency Medicine, 2009, Volume: 16, Issue:1

    Topics: Acidosis, Lactic; Adult; Drug Overdose; Female; Humans; Hypoglycemic Agents; Metformin; Plasma Excha

2009
The case. A suicidal woman with delayed high anion gap metabolic acidosis.
    Kidney international, 2009, Volume: 75, Issue:7

    Topics: Acidosis; Diabetes Mellitus, Type 2; Drug Overdose; Female; Humans; Metformin; Middle Aged; Pyridine

2009
Successful treatment of severe lactic acidosis caused by a suicide attempt with a metformin overdose.
    The Kaohsiung journal of medical sciences, 2009, Volume: 25, Issue:2

    Topics: Acidosis, Lactic; Adult; Diabetes Mellitus, Type 2; Drug Overdose; Female; Humans; Hypoglycemic Agen

2009
Metformin-associated lactic acidosis: a prognostic and therapeutic study.
    Critical care medicine, 2009, Volume: 37, Issue:7

    Topics: Acidosis, Lactic; Adolescent; Adult; Aged; Aged, 80 and over; Bicarbonates; Buffers; Cohort Studies;

2009
Why check metformin levels?
    Critical care medicine, 2009, Volume: 37, Issue:7

    Topics: Acidosis, Lactic; Drug Overdose; Humans; Hypoglycemic Agents; Metformin; Predictive Value of Tests;

2009
Acute metformin overdose.
    Annals of emergency medicine, 2010, Volume: 56, Issue:1

    Topics: Drug Overdose; Humans; Lactates; Metformin; Prognosis

2010
Can acute overdose of metformin lead to lactic acidosis?
    The American journal of emergency medicine, 2010, Volume: 28, Issue:8

    Topics: Acidosis, Lactic; Adolescent; Adult; Child; Child, Preschool; Drug Overdose; Female; Humans; Hypogly

2010
Successful management of high-dose metformin intoxication. Role of vasopressin in the management of severe lactic acidosis.
    Middle East journal of anaesthesiology, 2010, Volume: 20, Issue:6

    Topics: Acidosis, Lactic; Adrenergic alpha-Agonists; Anti-Inflammatory Agents; Antidiuretic Agents; Drug Ove

2010
Prolonged hemodialysis for severe metformin intoxication.
    Renal failure, 2011, Volume: 33, Issue:4

    Topics: Acidosis, Lactic; Acute Kidney Injury; Drug Overdose; Humans; Hypoglycemic Agents; Male; Metformin;

2011
Metformin-associated lactic acidosis in Chinese patients with type II diabetes.
    Pharmacology, 2011, Volume: 88, Issue:5-6

    Topics: Acidosis, Lactic; Adult; Aged; Aged, 80 and over; Amylases; Asian People; China; Creatinine; Diabete

2011
Lactic acidosis, hypotension, and sensorineural hearing loss following intentional metformin overdose.
    Current drug safety, 2011, Nov-01, Volume: 6, Issue:5

    Topics: Acidosis, Lactic; Drug Overdose; Glyburide; Hearing Loss, Sensorineural; Humans; Hypoglycemia; Hypog

2011
Metformin overdose, but not lactic acidosis per se, inhibits oxygen consumption in pigs.
    Critical care (London, England), 2012, May-08, Volume: 16, Issue:3

    Topics: Acidosis, Lactic; Animals; Drug Overdose; Hypoglycemic Agents; Infusions, Intravenous; Metformin; Ox

2012
Metformin overdose causes platelet mitochondrial dysfunction in humans.
    Critical care (London, England), 2012, Oct-03, Volume: 16, Issue:5

    Topics: Acidosis, Lactic; Blood Platelets; Dose-Response Relationship, Drug; Drug Overdose; Female; Humans;

2012
Metformin overdose: time to move on.
    Critical care (London, England), 2012, Oct-25, Volume: 16, Issue:5

    Topics: Blood Platelets; Drug Overdose; Female; Humans; Male; Metformin; Mitochondria

2012
Survival following a metformin overdose of 63 g: a case report.
    Pharmacology & toxicology, 2003, Volume: 93, Issue:2

    Topics: Administration, Oral; Aged; Denmark; Dialysis; Drug Overdose; Humans; Male; Metformin; Suicide, Atte

2003
A fatal case of metformin poisoning.
    Journal of toxicology. Clinical toxicology, 2003, Volume: 41, Issue:7

    Topics: Adult; Drug Overdose; Fatal Outcome; Humans; Male; Metformin

2003
Toxic effects from metformin exposure.
    The Annals of pharmacotherapy, 2004, Volume: 38, Issue:5

    Topics: Acidosis, Lactic; Adolescent; Adult; Adverse Drug Reaction Reporting Systems; Aged; Child; Drug Over

2004
Severe metformin intoxication with lactic acidosis in an adolescent.
    European journal of pediatrics, 2005, Volume: 164, Issue:6

    Topics: Acidosis, Lactic; Acute Kidney Injury; Adolescent; Drug Overdose; Female; Humans; Metformin; Renal D

2005
Severe lactic acidosis complicating metformin overdose successfully treated with high-volume venovenous hemofiltration and aggressive alkalinization.
    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2005, Volume: 6, Issue:5

    Topics: Acidosis, Lactic; Adolescent; Drug Overdose; Female; Fluid Therapy; Hemofiltration; Humans; Hypoglyc

2005
Toxicology case of the month: oral hypoglycaemic overdose.
    Emergency medicine journal : EMJ, 2006, Volume: 23, Issue:7

    Topics: Adolescent; Drug Overdose; Emergency Service, Hospital; Female; Glipizide; Humans; Hypoglycemia; Hyp

2006
Severe lactic acidosis and rhabdomyolysis following metformin and ramipril overdose.
    British journal of anaesthesia, 2007, Volume: 98, Issue:2

    Topics: Acidosis, Lactic; Antihypertensive Agents; Compartment Syndromes; Drug Overdose; Hemofiltration; Hum

2007
[Fatal autointoxication with metformin].
    Nederlands tijdschrift voor geneeskunde, 2007, Apr-28, Volume: 151, Issue:17

    Topics: Acidosis; Adult; Diabetes Mellitus, Type 2; Drug Overdose; Fatal Outcome; Female; Humans; Hypoglycem

2007
Metformin overdose with a resultant serum pH of 6.59: survival without sequalae.
    The Journal of emergency medicine, 2010, Volume: 39, Issue:1

    Topics: Acidosis, Lactic; Adult; Drug Overdose; Female; Humans; Hypoglycemic Agents; Hypotension; Metformin;

2010
Metformin overdose.
    The American journal of emergency medicine, 1997, Volume: 15, Issue:1

    Topics: Adult; Drug Overdose; Emergencies; Humans; Hypoglycemic Agents; Male; Metformin; Suicide, Attempted

1997
Bicarbonate haemodialysis as a treatment of metformin overdose.
    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 1997, Volume: 12, Issue:5

    Topics: Acidosis, Lactic; Adult; Bicarbonates; Buffers; Drug Overdose; Humans; Hypoglycemic Agents; Lactic A

1997
The management of metformin overdose.
    Anaesthesia, 1998, Volume: 53, Issue:7

    Topics: Acidosis, Lactic; Adult; Diabetes Mellitus, Type 2; Drug Overdose; Fatal Outcome; Female; Humans; Hy

1998
Multicenter case series of pediatric metformin ingestion.
    The Annals of pharmacotherapy, 2000, Volume: 34, Issue:12

    Topics: Acidosis, Lactic; Adolescent; Blood Glucose; Child; Child, Preschool; Drug Overdose; Female; Humans;

2000