Page last updated: 2024-10-30

metformin and Hyperlactatemia

metformin has been researched along with Hyperlactatemia in 11 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.

Hyperlactatemia: Increase in blood LACTATE concentration often associated with SEPTIC SHOCK; LUNG INJURY; SEPSIS; and DRUG TOXICITY. When hyperlactatemia is associated with low body pH (acidosis) it is LACTIC ACIDOSIS.

Research Excerpts

ExcerptRelevanceReference
"Metformin-treated patients may experience severe hyperlactatemia or lactic acidosis (LA)."9.41Metformin's Role in Hyperlactatemia and Lactic Acidosis in ICU Patients: A Systematic Review. ( Fuster, DG; Moser, M; Mueller, L; Prazak, J; Schefold, JC; Zuercher, P, 2023)
" The primary outcomes were: (1) hyperlactatemia, defined as a lactate concentration ≥ 2 mmol/L at any point during hospital admission and, (2) metformin associated lactic acidosis (MALA), defined as a lactate concentration ≥ 5 mmol/L and pH <7."7.91Incidence and risk factors for hyperlactatemia in ED patients with acute metformin overdose. ( Hoffman, RS; Manini, AF; Taub, ES, 2019)
"Chronic metformin treatment mildly increases lactate level, but does not induce hyperlactatemia or lactic acidosis in acute illness on the first day of admission to an internal medicine ward."7.85Metformin Does Not Induce Hyperlactatemia in Patients Admitted to Internal Medicine Ward. ( Doenyas-Barak, K; Golik, A; Koren, R; Koren, S; Zilberman-Itskovich, S, 2017)
" There was no difference in prevalence of hyperlactatemia and lactic acidosis between the patients with and without metformin use (18."7.85Association between Metformin Use and Risk of Lactic Acidosis or Elevated Lactate Concentration in Type 2 Diabetes. ( Cha, BS; Han, E; Hwang, S; Kang, ES; Kang, HP; Lee, BW; Lee, EY; Lee, HC; Lee, SH; Lee, W; Lee, YH; Lee, YM, 2017)
"Metformin-treated patients may experience severe hyperlactatemia or lactic acidosis (LA)."5.41Metformin's Role in Hyperlactatemia and Lactic Acidosis in ICU Patients: A Systematic Review. ( Fuster, DG; Moser, M; Mueller, L; Prazak, J; Schefold, JC; Zuercher, P, 2023)
" The primary outcomes were: (1) hyperlactatemia, defined as a lactate concentration ≥ 2 mmol/L at any point during hospital admission and, (2) metformin associated lactic acidosis (MALA), defined as a lactate concentration ≥ 5 mmol/L and pH <7."3.91Incidence and risk factors for hyperlactatemia in ED patients with acute metformin overdose. ( Hoffman, RS; Manini, AF; Taub, ES, 2019)
"Chronic metformin treatment mildly increases lactate level, but does not induce hyperlactatemia or lactic acidosis in acute illness on the first day of admission to an internal medicine ward."3.85Metformin Does Not Induce Hyperlactatemia in Patients Admitted to Internal Medicine Ward. ( Doenyas-Barak, K; Golik, A; Koren, R; Koren, S; Zilberman-Itskovich, S, 2017)
" There was no difference in prevalence of hyperlactatemia and lactic acidosis between the patients with and without metformin use (18."3.85Association between Metformin Use and Risk of Lactic Acidosis or Elevated Lactate Concentration in Type 2 Diabetes. ( Cha, BS; Han, E; Hwang, S; Kang, ES; Kang, HP; Lee, BW; Lee, EY; Lee, HC; Lee, SH; Lee, W; Lee, YH; Lee, YM, 2017)
"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)
"Metformin is a biguanaide antidiabetic drug used worldwide, and its effectiveness and benefits have already been established."1.43Investigation of Risk Factors Affecting Lactate Levels in Japanese Patients Treated with Metformin. ( Hiraoka, S; Nishihara, M; Tsuji, H; Yokoyama, S, 2016)

Research

Studies (11)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's9 (81.82)24.3611
2020's2 (18.18)2.80

Authors

AuthorsStudies
Mueller, L1
Moser, M1
Prazak, J1
Fuster, DG1
Schefold, JC1
Zuercher, P1
Gosmanova, EO1
Shahzad, SR1
Sumida, K1
Kovesdy, CP1
Gosmanov, AR1
Koren, S1
Zilberman-Itskovich, S1
Koren, R1
Doenyas-Barak, K1
Golik, A1
Naccarato, M1
Yoong, D1
Fong, IW1
Cattaneo, D1
Resnati, C1
Rizzardini, G1
Gervasoni, C1
Taub, ES1
Hoffman, RS1
Manini, AF1
Lalau, JD1
Azzoug, ML1
Kajbaf, F1
Briet, C1
Desailloud, R1
McNamara, K1
Isbister, GK1
Yokoyama, S1
Tsuji, H1
Hiraoka, S1
Nishihara, M1
Lee, EY1
Hwang, S1
Lee, YH1
Lee, SH1
Lee, YM1
Kang, HP1
Han, E1
Lee, W1
Lee, BW1
Kang, ES1
Cha, BS1
Lee, HC1
van den Nouland, DP1
Brouwers, MC1
Stassen, PM1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Prospective, Randomized Open-Label Phase II Study of the Safety and Tolerability of Metformin in Combination With Standard Antimicrobial Treatment of Pulmonary Tuberculosis in People With TB and Co-infected With HIV[NCT04930744]Phase 2112 participants (Anticipated)Interventional2021-08-03Recruiting
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
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

1 review available for metformin and Hyperlactatemia

ArticleYear
Metformin's Role in Hyperlactatemia and Lactic Acidosis in ICU Patients: A Systematic Review.
    Pharmacology, 2023, Volume: 108, Issue:3

    Topics: Acidosis, Lactic; Creatinine; Humans; Hyperlactatemia; Hypoglycemic Agents; Intensive Care Units; La

2023

Other Studies

10 other studies available for metformin and Hyperlactatemia

ArticleYear
Metformin is associated with increase in lactate level in elderly patients with type 2 diabetes and CKD stage 3: A case-control study.
    Journal of diabetes and its complications, 2020, Volume: 34, Issue:1

    Topics: Age Factors; Aged; Aged, 80 and over; Case-Control Studies; Diabetes Mellitus, Type 2; Diabetic Neph

2020
Metformin Does Not Induce Hyperlactatemia in Patients Admitted to Internal Medicine Ward.
    The Israel Medical Association journal : IMAJ, 2017, Volume: 19, Issue:5

    Topics: Acidosis, Lactic; Contraindications, Drug; Diabetes Mellitus; Hospitalization; Humans; Hyperlactatem

2017
Dolutegravir and metformin: a case of hyperlactatemia.
    AIDS (London, England), 2017, Sep-24, Volume: 31, Issue:15

    Topics: Aged; Drug Interactions; Drug Therapy, Combination; Female; Heterocyclic Compounds, 3-Ring; HIV Infe

2017
Dolutegravir and metformin: a clinically relevant or just a pharmacokinetic interaction?
    AIDS (London, England), 2018, 02-20, Volume: 32, Issue:4

    Topics: Heterocyclic Compounds, 3-Ring; HIV Infections; Humans; Hyperlactatemia; Metformin; Oxazines; Pipera

2018
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 accumulation without hyperlactataemia and metformin-induced hyperlactataemia without metformin accumulation.
    Diabetes & metabolism, 2014, Volume: 40, Issue:3

    Topics: Acidosis, Lactic; Aged; Diabetes Mellitus, Type 2; Drug Administration Schedule; Drug Hypersensitivi

2014
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
Investigation of Risk Factors Affecting Lactate Levels in Japanese Patients Treated with Metformin.
    Biological & pharmaceutical bulletin, 2016, Volume: 39, Issue:12

    Topics: Adult; Aged; Asian People; Blood Urea Nitrogen; Creatinine; Diabetes Mellitus, Type 2; Female; Glyca

2016
Association between Metformin Use and Risk of Lactic Acidosis or Elevated Lactate Concentration in Type 2 Diabetes.
    Yonsei medical journal, 2017, Volume: 58, Issue:2

    Topics: Acidosis, Lactic; Adult; Aged; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Female; Humans; H

2017
Prognostic value of plasma lactate levels in a retrospective cohort presenting at a university hospital emergency department.
    BMJ open, 2017, 01-30, Volume: 7, Issue:1

    Topics: Aged; Aged, 80 and over; Comorbidity; Diabetes Mellitus; Emergency Service, Hospital; Female; Hospit

2017