Page last updated: 2024-10-30

metformin and Renal Insufficiency

metformin has been researched along with Renal Insufficiency in 72 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.

Renal Insufficiency: Conditions in which the KIDNEYS perform below the normal level in the ability to remove wastes, concentrate URINE, and maintain ELECTROLYTE BALANCE; BLOOD PRESSURE; and CALCIUM metabolism. Renal insufficiency can be classified by the degree of kidney damage (as measured by the level of PROTEINURIA) and reduction in GLOMERULAR FILTRATION RATE.

Research Excerpts

ExcerptRelevanceReference
"Use of the oral antidiabetic drug metformin may cause lactic acidosis, a rare but life-threatening complication, especially in patients with renal function loss."8.80[Prevention of lactic acidosis due to metformin intoxication in contrast media nephropathy]. ( de Bruin, TW; de Haan, M; Landewé-Cleuren, S; van Zwam, WH, 2000)
"Metformin associated lactic acidosis may potentially occur after combination with ribocilib, an uncommon but lethal complication from the interaction of these drugs, especially in patients who had preexisting renal impairment."8.12Lactic acidosis, a potential toxicity from drug-drug interaction related to concomitant ribociclib and metformin in preexisting renal insufficiency: A case report. ( Lagampan, C; Parinyanitikul, N; Poovorawan, N, 2022)
"The aim of this case report is to specify the frequency and mortality of Metformin-Associated Lactic Acidosis (MALA) in emergency medicine, as the diagnosis seems to occur more often than estimated."8.02Metformin Associated Lactic Acidosis in Clinical Practice - A Case Series. ( Kellerer, M; Schädle, P; Tschritter, O, 2021)
"To compare the risk of lactic acidosis hospitalization between patients treated with metformin versus sulfonylureas following development of reduced kidney function."7.96Hospitalization for Lactic Acidosis Among Patients With Reduced Kidney Function Treated With Metformin or Sulfonylureas. ( Chipman, J; Chu, PY; Elasy, T; Greevy, RA; Griffin, MR; Grijalva, CG; Hackstadt, AJ; Hung, AM; Roumie, CL, 2020)
"To investigate whether the use of metformin during computed tomography (CT) with radiocontrast agents increases the risk of contrast-induced nephropathy (CIN) and metabolic acidosis after CT in type 2 diabetes patients with mild to moderate renal failure."7.91Are patients with mild to moderate renal impairment on metformin or other oral anti-hyperglycaemic agents at increased risk of contrast-induced nephropathy and metabolic acidosis after radiocontrast exposure? ( Baek, JH; Cho, HS; Cho, YY; Hahm, JR; Jung, J; Jung, JH; Kim, HS; Kim, KY; Kim, SK, 2019)
"Metformin-associated lactic acidosis (MALA) is a rare complication among patients who are diabetic, commonly presenting with non-specific findings, and developing mostly among those with other risk factors for lactic acidosis."7.88Metformin-associated lactic acidosis mimicking ischaemic bowel. ( Ali, S; Azarov, N; Hindi, Z; Labuschagne, H; Oud, L, 2018)
" 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)
" Of 43 580 metformin and 37 788 other glucose-lowering agent users in northern Denmark and 102 688 metformin and 28 788 other glucose-lowering agent users in the UK during 2001-2011, we identified lactic acidosis using diagnostic codes."7.85Metformin use and risk of lactic acidosis in people with diabetes with and without renal impairment: a cohort study in Denmark and the UK. ( Christiansen, CF; Ehrenstein, V; Gopalakrishnan, C; Heide-Jørgensen, U; Jick, S; Li, L; Nørrelund, H; Sørensen, HT, 2017)
"In conclusion, our findings support the low risk of MALA among patients with mild-to-moderate renal impairment and the likelihood of metformin to be an innocent bystander without a pathogenic role in the lactic acidosis in most cases."7.83Retrospective analysis of lactic acidosis-related parameters upon and after metformin discontinuation in patients with diabetes and chronic kidney disease. ( Acikgoz, SB; Genc, AB; Nalbant, A; Sipahi, S; Solak, Y; Tamer, A; Yildirim, M; Yilmaz, U, 2016)
"The crude incidence of lactic acidosis or elevated lactate concentrations in current metformin users was 7."7.80Risk of lactic acidosis or elevated lactate concentrations in metformin users with renal impairment: a population-based cohort study. ( De Smet, PA; de Vries, F; Derijks, HJ; Egberts, A; Eppenga, WL; Geerts, AF; Lalmohamed, A; Wensing, M, 2014)
"To determine whether the use of metformin in type 2 diabetic patients with various kidney functions is associated with an increased risk of lactic acidosis (LA)."7.80Incidence of lactic acidosis in patients with type 2 diabetes with and without renal impairment treated with metformin: a retrospective cohort study. ( Corvino, FA; Gottwald-Hostalek, U; Guedes, S; Richy, FF; Sabidó-Espin, M, 2014)
"The reported incidence of metformin associated lactic acidosis (MALA) in type 2 diabetes mellitus (DM) is 3-9 cases per 100,000 patient-years."7.77Metformin associated lactic acidosis: incidence and clinical correlation with metformin serum concentration measurements. ( Doorenbos, CJ; van Berlo-van de Laar, IR; Vermeij, CG, 2011)
"Our data indicate that the incidence of metformin-associated lactic acidosis solely due to metformin accumulation is possible and underestimated."7.74Metformin-associated lactic acidosis in patients with renal impairment solely due to drug accumulation? ( Felix, SB; Friesecke, S; Mayerle, J; Robinson, D; Roser, M; Runge, S; Warnke, C, 2008)
"We suspect that lactic acidosis may have been related to the use of metformin, the presence of heart and renal failure (contributing to metformin toxicity), and previous use of diclofenac sodium."7.73Metformin-associated lactic acidosis treated with continuous renal replacement therapy. ( Alivanis, P; Arvanitis, A; Giannikouris, I; Paliuras, C; Volanaki, M; Zervos, A, 2006)
" Doubling the metformin dose resulted in a 10-fold increase in mean blood levels and toxicity suggesting that the dosage range between therapeutic and toxic is narrow."5.91Metformin does not slow cyst growth in the PCK rat model of polycystic kidney disease. ( Atwood, DJ; Chaudhary, A; Edelstein, CL; He, Z; Li, AS; Oto, OA; Wempe, MF, 2023)
"Metformin is a basic drug used for the treatment of type 2 diabetes mellitus."5.43[Chronic kidney diseases, metformin and lactic acidosis]. ( Borbély, Z, 2016)
"Numerous patients with type 2 diabetes have renal impairment, especially in the elderly population."5.39[How I treat ... with metformin a diabetic patient with moderate renal insufficiency]. ( Scheen, AJ, 2013)
"There is no evidence that the use of contrast media (CM) in diabetic patients with serum creatinine <130 μmole/L leads to metformin accumulation and subsequent lactic acidosis."5.15Monitoring metformin in cardiac patients exposed to contrast media using ultra-high-performance liquid chromatography tandem mass-spectrometry. ( Al Babtain, MA; Al Taweel, ES; Al-Amri, HS; Al-Moghairi, AM; Aloudah, NM; Radwan, MA, 2011)
"Metformin has been associated with lactic acidosis."4.95Lactate Levels with Chronic Metformin Use: A Narrative Review. ( Castelino, RL; Huang, W; Peterson, GM, 2017)
"For fear of lactic acidosis the currently listed contraindications to the use of metformin exclude a large number of people with type 2 diabetes from efficacious anti-hyperglycemic and cardioprotective treatment."4.83[Traditional contraindications to the use of metformin -- more harmful than beneficial?]. ( Egberts, EH; Holstein, A, 2006)
"Use of the oral antidiabetic drug metformin may cause lactic acidosis, a rare but life-threatening complication, especially in patients with renal function loss."4.80[Prevention of lactic acidosis due to metformin intoxication in contrast media nephropathy]. ( de Bruin, TW; de Haan, M; Landewé-Cleuren, S; van Zwam, WH, 2000)
" We sought to determine the effect of metformin, dipeptidyl peptidase-4 inhibitors (DPP-4i), and insulin on admission to the intensive care unit (ICU), need for assisted ventilation, development of renal insufficiency, and mortality in patients admitted with COVID-19 infection after controlling for clinical variables and other relevant diabetes-related medications in patients with type 2 diabetes mellitus (DM)."4.31Association of Metformin, Dipeptidyl Dipeptidase-4 Inhibitors, and Insulin with Coronavirus Disease 2019-Related Hospital Outcomes in Patients with Type 2 Diabetes. ( Alwakeel, M; Bena, J; Buehler, L; Lansang, MC; Makin, V; Obiri-Yeboah, D; Pantalone, KM; Zhou, K, 2023)
"Metformin associated lactic acidosis may potentially occur after combination with ribocilib, an uncommon but lethal complication from the interaction of these drugs, especially in patients who had preexisting renal impairment."4.12Lactic acidosis, a potential toxicity from drug-drug interaction related to concomitant ribociclib and metformin in preexisting renal insufficiency: A case report. ( Lagampan, C; Parinyanitikul, N; Poovorawan, N, 2022)
"The aim of this case report is to specify the frequency and mortality of Metformin-Associated Lactic Acidosis (MALA) in emergency medicine, as the diagnosis seems to occur more often than estimated."4.02Metformin Associated Lactic Acidosis in Clinical Practice - A Case Series. ( Kellerer, M; Schädle, P; Tschritter, O, 2021)
"To compare the risk of lactic acidosis hospitalization between patients treated with metformin versus sulfonylureas following development of reduced kidney function."3.96Hospitalization for Lactic Acidosis Among Patients With Reduced Kidney Function Treated With Metformin or Sulfonylureas. ( Chipman, J; Chu, PY; Elasy, T; Greevy, RA; Griffin, MR; Grijalva, CG; Hackstadt, AJ; Hung, AM; Roumie, CL, 2020)
"To investigate whether the use of metformin during computed tomography (CT) with radiocontrast agents increases the risk of contrast-induced nephropathy (CIN) and metabolic acidosis after CT in type 2 diabetes patients with mild to moderate renal failure."3.91Are patients with mild to moderate renal impairment on metformin or other oral anti-hyperglycaemic agents at increased risk of contrast-induced nephropathy and metabolic acidosis after radiocontrast exposure? ( Baek, JH; Cho, HS; Cho, YY; Hahm, JR; Jung, J; Jung, JH; Kim, HS; Kim, KY; Kim, SK, 2019)
"Metformin-associated lactic acidosis (MALA) is a rare complication among patients who are diabetic, commonly presenting with non-specific findings, and developing mostly among those with other risk factors for lactic acidosis."3.88Metformin-associated lactic acidosis mimicking ischaemic bowel. ( Ali, S; Azarov, N; Hindi, Z; Labuschagne, H; Oud, L, 2018)
" As the risk of inducing lactic acidosis is very low in connection with administration of iodine contrast media, new recommendations in Sweden say that metformin must be stopped only when GFR is below 45 mL/min."3.88[Treatment with metformin in type 2 diabetes mellitus - new routines when renal function is reduced and in connection with administration of iodine contrast media]. ( Frid, A; Sterner, G, 2018)
" Of 43 580 metformin and 37 788 other glucose-lowering agent users in northern Denmark and 102 688 metformin and 28 788 other glucose-lowering agent users in the UK during 2001-2011, we identified lactic acidosis using diagnostic codes."3.85Metformin use and risk of lactic acidosis in people with diabetes with and without renal impairment: a cohort study in Denmark and the UK. ( Christiansen, CF; Ehrenstein, V; Gopalakrishnan, C; Heide-Jørgensen, U; Jick, S; Li, L; Nørrelund, H; Sørensen, HT, 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)
"In conclusion, our findings support the low risk of MALA among patients with mild-to-moderate renal impairment and the likelihood of metformin to be an innocent bystander without a pathogenic role in the lactic acidosis in most cases."3.83Retrospective analysis of lactic acidosis-related parameters upon and after metformin discontinuation in patients with diabetes and chronic kidney disease. ( Acikgoz, SB; Genc, AB; Nalbant, A; Sipahi, S; Solak, Y; Tamer, A; Yildirim, M; Yilmaz, U, 2016)
"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)
"To determine whether the use of metformin in type 2 diabetic patients with various kidney functions is associated with an increased risk of lactic acidosis (LA)."3.80Incidence of lactic acidosis in patients with type 2 diabetes with and without renal impairment treated with metformin: a retrospective cohort study. ( Corvino, FA; Gottwald-Hostalek, U; Guedes, S; Richy, FF; Sabidó-Espin, M, 2014)
"The crude incidence of lactic acidosis or elevated lactate concentrations in current metformin users was 7."3.80Risk of lactic acidosis or elevated lactate concentrations in metformin users with renal impairment: a population-based cohort study. ( De Smet, PA; de Vries, F; Derijks, HJ; Egberts, A; Eppenga, WL; Geerts, AF; Lalmohamed, A; Wensing, M, 2014)
"The reported incidence of metformin associated lactic acidosis (MALA) in type 2 diabetes mellitus (DM) is 3-9 cases per 100,000 patient-years."3.77Metformin associated lactic acidosis: incidence and clinical correlation with metformin serum concentration measurements. ( Doorenbos, CJ; van Berlo-van de Laar, IR; Vermeij, CG, 2011)
"Our data indicate that the incidence of metformin-associated lactic acidosis solely due to metformin accumulation is possible and underestimated."3.74Metformin-associated lactic acidosis in patients with renal impairment solely due to drug accumulation? ( Felix, SB; Friesecke, S; Mayerle, J; Robinson, D; Roser, M; Runge, S; Warnke, C, 2008)
" This is largely due to the historical experience of lactic acidosis with phenformin, despite the fact that metformin does not predispose to this when compared with other therapies."3.73Contraindications can damage your health--is metformin a case in point? ( Holstein, A; Stumvoll, M, 2005)
"We suspect that lactic acidosis may have been related to the use of metformin, the presence of heart and renal failure (contributing to metformin toxicity), and previous use of diclofenac sodium."3.73Metformin-associated lactic acidosis treated with continuous renal replacement therapy. ( Alivanis, P; Arvanitis, A; Giannikouris, I; Paliuras, C; Volanaki, M; Zervos, A, 2006)
"Intravascular administration of iodinated contrast media to patients who are receiving metformin, an oral antidiabetic agent, can result in lactic acidosis."3.70Metformin and contrast media: where is the conflict? ( Hammond, DI; Rasuli, P, 1998)
"Metformin is contraindicated in patients with renal impairment; however, there is poor adherence to current dosing guidelines."2.78Population pharmacokinetics of metformin in healthy subjects and patients with type 2 diabetes mellitus: simulation of doses according to renal function. ( Arora, M; Day, RO; Duong, JK; Furlong, TJ; Graham, GG; Greenfield, JR; Greenup, LC; Kirkpatrick, CM; Kumar, SS; Lee, TC; Timmins, P; Williams, KM, 2013)
"Hypoglycemia is a frequent adverse effect of treatment with sulfonylurea, glinides, or insulin in older adults with diabetes."2.49[Attention to the use of oral anti-diabetic medication in older adults with type 2 diabetes]. ( Aso, Y; Jojima, T, 2013)
" The elimination half-life (t(½)) of metformin during multiple dosages in patients with good renal function is approximately 5 hours."2.47Clinical pharmacokinetics of metformin. ( Arora, M; Day, RO; Doogue, MP; Duong, JK; Furlong, TJ; Graham, GG; Greenfield, JR; Greenup, LC; Kirkpatrick, CM; Punt, J; Ray, JE; Timmins, P; Williams, KM, 2011)
" Metformin has an absolute oral bioavailability of 40 to 60%, and gastrointestinal absorption is apparently complete within 6 hours of ingestion."2.39Clinical pharmacokinetics of metformin. ( Scheen, AJ, 1996)
" Doubling the metformin dose resulted in a 10-fold increase in mean blood levels and toxicity suggesting that the dosage range between therapeutic and toxic is narrow."1.91Metformin does not slow cyst growth in the PCK rat model of polycystic kidney disease. ( Atwood, DJ; Chaudhary, A; Edelstein, CL; He, Z; Li, AS; Oto, OA; Wempe, MF, 2023)
"A total of 1086 patients with type 2 diabetes were included."1.72Gaps of Medication Treatment Management Between Guidelines and Real-World for Inpatients With Type 2 Diabetes in China From Pharmacist's Perspective. ( Bai, J; Cheng, X; Dong, LM; Liu, J; Luo, SQ; Song, ZH; Wang, XF; Wang, XL; Xu, SS; Zhang, C; Zhou, JB, 2022)
"Metformin has both hypoglycaemic effects and reno-protection ability."1.48Metabolic profiling of metformin treatment for low-level Pb-induced nephrotoxicity in rat urine. ( Chen, SM; Huang, YS; Lee, JA; Wang, SH, 2018)
"Metformin is a basic drug used for the treatment of type 2 diabetes mellitus."1.43[Chronic kidney diseases, metformin and lactic acidosis]. ( Borbély, Z, 2016)
" Metformin may be used safely when renal function is poor provided dosage is appropriately reduced."1.43Trends in metformin utilisation and dose appropriateness in Australia. ( Baysari, MT; Chen, W; Day, RO; Graham, GG; Greenfield, JR; Kumar, SS; Moon, J; Viardot, A; Williams, KM, 2016)
"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)
"Incidence of recurrences was high (38%), and increasing body mass index was the only predictor of relapse."1.42Incidence and risk factors of postpericardiotomy syndrome requiring medical attention: The Finland postpericardiotomy syndrome study. ( Airaksinen, J; Gunn, J; Karjalainen, P; Kiviniemi, T; Lehto, J, 2015)
"A model that incorporates HbA1c and diabetes complications can serve as a useful clinical decision tool for selection of treatment options."1.40Second-line agents for glycemic control for type 2 diabetes: are newer agents better? ( Denton, BT; Mason, JE; McCoy, RG; Shah, ND; Smith, SA; Zhang, Y, 2014)
"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)
" Almost 5 years after its launch in Belgium, the present review summarizes the most recent data regarding the clinical efficacy of this antidiabetic agent, the controversy about its safety profile, its use at lower dosage in case of moderate to severe renal insufficiency, the various indications that have been successively accepted and reimbursed, and, finally, the perspectives offered by a large ongoing cardiovascular outcome trial (TECOS)."1.39[Sitagliptin in the treatment of type 2 diabetes: insights five years after commercialisation]. ( Scheen, AJ; Van Gaal, LF, 2013)
"Numerous patients with type 2 diabetes have renal impairment, especially in the elderly population."1.39[How I treat ... with metformin a diabetic patient with moderate renal insufficiency]. ( Scheen, AJ, 2013)
" Pharmacokinetic studies have demonstrated a similar bioavailability of M-ER administered once daily to immediate-release metformin given twice daily."1.35Clinical development of metformin extended-release tablets for type 2 diabetes: an overview. ( Cowles, VE; Cramer, M; Gordi, T; Heritier, M; Hou, E; Schwartz, SL, 2008)

Research

Studies (72)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's4 (5.56)18.2507
2000's19 (26.39)29.6817
2010's35 (48.61)24.3611
2020's14 (19.44)2.80

Authors

AuthorsStudies
Lagampan, C1
Poovorawan, N1
Parinyanitikul, N1
Slahor, L2
Theurey, P1
Vial, G1
Fontaine, E1
Monternier, PA1
Fouqueray, P1
Bolze, S1
Moller, DE1
Hallakou-Bozec, S1
Song, ZH1
Wang, XL1
Wang, XF1
Liu, J1
Luo, SQ1
Xu, SS1
Cheng, X1
Bai, J1
Dong, LM1
Zhang, C1
Zhou, JB1
Hai, PD3
Thu, NT3
Phuong, LL3
Manh, NV3
Hoa, LTV3
Obiri-Yeboah, D1
Bena, J1
Alwakeel, M1
Buehler, L1
Makin, V1
Zhou, K1
Pantalone, KM1
Lansang, MC1
Oto, OA1
Atwood, DJ1
Chaudhary, A1
He, Z1
Li, AS1
Wempe, MF1
Edelstein, CL1
Mordi, IR1
Mohan, M1
Lang, CC1
Bergmark, BA1
Bhatt, DL1
McGuire, DK1
Scirica, BM1
Chu, PY1
Hackstadt, AJ1
Chipman, J1
Griffin, MR1
Hung, AM1
Greevy, RA1
Grijalva, CG1
Elasy, T1
Roumie, CL1
Elsisi, GH1
Anwar, MM1
Khattab, M1
Elebrashy, I1
Wafa, A1
Elhadad, H1
Awad, M1
Carapinha, JL1
Schädle, P1
Tschritter, O1
Kellerer, M1
Posma, RA1
Hulman, A1
Thomsen, RW1
Jespersen, B1
Nijsten, MW1
Christiansen, CF2
Huang, W1
Castelino, RL1
Peterson, GM1
Khan, M1
Siddiqui, N1
Oktay, V1
Calpar Çıralı, İ1
Sinan, ÜY1
Yıldız, A1
Ersanlı, MK1
Ali, S1
Labuschagne, H1
Azarov, N1
Hindi, Z1
Oud, L1
Sterner, G1
Frid, A1
Huang, YS1
Wang, SH1
Chen, SM1
Lee, JA1
Scheen, AJ4
Lefèbvre, PJ1
Paquot, N1
Jung, J1
Cho, YY1
Jung, JH1
Kim, KY1
Kim, HS1
Baek, JH1
Hahm, JR1
Cho, HS1
Kim, SK1
Duong, JK2
Kumar, SS2
Kirkpatrick, CM2
Greenup, LC2
Arora, M2
Lee, TC1
Timmins, P2
Graham, GG3
Furlong, TJ2
Greenfield, JR3
Williams, KM3
Day, RO3
Bonsignore, A1
Pozzi, F1
Fraternali Orcioni, G1
Ventura, F1
Palmiere, C1
Van Gaal, LF1
Jojima, T1
Aso, Y1
Zhang, Y1
McCoy, RG1
Mason, JE1
Smith, SA1
Shah, ND1
Denton, BT1
Lalau, JD1
Arnouts, P1
Sharif, A2
De Broe, ME1
Eppenga, WL1
Lalmohamed, A1
Geerts, AF1
Derijks, HJ1
Wensing, M1
Egberts, A1
De Smet, PA1
de Vries, F1
Richy, FF1
Sabidó-Espin, M1
Guedes, S1
Corvino, FA1
Gottwald-Hostalek, U1
Flory, JH1
Hennessy, S1
Lehto, J1
Gunn, J1
Karjalainen, P1
Airaksinen, J1
Kiviniemi, T1
Weinrauch, LA1
D'Elia, JA1
Finn, P1
Lewis, EF1
Desai, AS1
Claggett, BL1
Cooper, ME1
McGill, JB1
Sipahi, S1
Solak, Y1
Acikgoz, SB1
Genc, AB1
Yildirim, M1
Yilmaz, U1
Nalbant, A1
Tamer, A1
Wright, JJ1
Tylee, TS1
Borbély, Z1
Niedrig, D1
Krattinger, R1
Jödicke, A1
Gött, C1
Bucklar, G1
Russmann, S1
Li, L1
Jick, S1
Gopalakrishnan, C1
Heide-Jørgensen, U1
Nørrelund, H1
Sørensen, HT1
Ehrenstein, V1
Moon, J1
Baysari, MT1
Chen, W1
Viardot, A1
Visconti, L1
Cernaro, V1
Ferrara, D1
Costantino, G1
Aloisi, C1
Amico, L1
Chirico, V1
Santoro, D1
Noto, A1
David, A1
Buemi, M1
Lacquaniti, A1
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
Schwartz, SL1
Gordi, T1
Hou, E1
Cramer, M1
Heritier, M1
Cowles, VE1
Molina Infante, J1
Prieto Bermejo, AB1
Pérez Gallardo, B1
Fernández Bermejo, M1
Punt, J1
Doogue, MP1
Ray, JE1
van Berlo-van de Laar, IR1
Vermeij, CG1
Doorenbos, CJ1
Lipska, KJ1
Bailey, CJ1
Inzucchi, SE1
Radwan, MA1
Al Taweel, ES1
Al-Moghairi, AM1
Aloudah, NM1
Al Babtain, MA1
Al-Amri, HS1
Phillips, P1
Braddon, J1
Cayley, WE1
Heine, RJ1
Nisbet, JC1
Sturtevant, JM1
Prins, JB1
King, JE1
McCormack, J1
Johns, K1
Tildesley, H1
Holstein, A2
Stumvoll, M1
Egberts, EH1
Hemmelder, MH1
Hoogendoorn, M1
Halma, C1
Alivanis, P1
Giannikouris, I1
Paliuras, C1
Arvanitis, A1
Volanaki, M1
Zervos, A1
Rigalleau, V1
Lasseur, C1
Beauvieux, MC1
Chauveau, P1
Raffaitin, C1
Perlemoine, C1
Barthe, N1
Combe, C1
Gin, H1
Runge, S1
Mayerle, J1
Warnke, C1
Robinson, D1
Roser, M1
Felix, SB1
Friesecke, S1
Jain, V1
Sharma, D1
Prabhakar, H1
Dash, HH1
Chen, J1
Alemao, E1
Yin, D1
Cook, J1
Connolly, V1
Kesson, CM1
Harrower, AD1
Rasuli, P1
Hammond, DI1
Landewé-Cleuren, S1
van Zwam, WH1
de Bruin, TW1
de Haan, M1
Henry, WD1
Horlen, C1
Malone, R1
Bryant, B1
Dennis, B1
Carey, T1
Pignone, M1
Rothman, R1

Clinical Trials (10)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Safety and Efficacy of Adding Dapagliflozin and Furosemide in Diabetic Patients (Type 2) With Decompensated Heart Failure With Reduced Ejection Fraction (HFrEF)[NCT04385589]Phase 4100 participants (Actual)Interventional2020-05-01Completed
Metformin Continuation Versus Interruption Following Coronary Angiography: a Pilot Randomized Controlled Trial[NCT03980990]Phase 4500 participants (Anticipated)Interventional2019-06-17Recruiting
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
Effect of the Administration of Melatonin and Metformin on Glycemic Control, Genotoxicity and Cytotoxicity Markers in Patients With Prediabetes: Pilot Study[NCT03848533]Phase 242 participants (Anticipated)Interventional2019-08-22Recruiting
A Clinical Trial to Evaluate the Effect of Nilotinib on the Pharmacokinetics and Pharmacodynamics of Metformin in Healthy Male Adults[NCT04448821]Phase 116 participants (Actual)Interventional2020-07-23Completed
Metformin Pharmacology in Human Cancers[NCT03477162]Early Phase 118 participants (Actual)Interventional2018-05-15Terminated (stopped due to Enrollment was closed as efforts had become more challenging, and the lab indicated that they were able to obtain their primary objective with the number that had already been enrolled.)
A Randomized Phase 3 Trial of Metformin in Patients Initiating Androgen Deprivation Therapy as Prevention and Intervention of Metabolic Syndrome: The Prime Study[NCT03031821]Phase 3168 participants (Actual)Interventional2018-07-12Terminated (stopped due to Manufacturer discontinued the production of study drugs.)
Use of Metformin in Prevention and Treatment of Cardiac Fibrosis in PAI-1 Deficient Population[NCT05317806]Phase 415 participants (Anticipated)Interventional2022-10-10Active, not recruiting
Efficacy and Safety of Metformin Glycinate Compared to Metformin Hydrochloride on the Progression of Type 2 Diabetes[NCT04943692]Phase 3500 participants (Anticipated)Interventional2021-08-31Suspended (stopped due to Administrative decision of the investigation direction)
A Combined Single Dose Study Under Fasting Condition And Multiple Doses Study Under Normal Diabetic Meal Comparing the Bioavailability of Two Formulations of 500 mg Metformin Hydrochloride Extended Release Tablets.[NCT01677260]38 participants (Actual)Interventional2009-10-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Concentration of Metformin in Adipose Tissue

To determine the concentration of metformin in adipose tissue. (NCT03477162)
Timeframe: Within 7 days from surgery

Interventionng/g (Median)
Metformin70

Concentration of Metformin in Plasma.

To determine the concentration of metformin in plasma. (NCT03477162)
Timeframe: Within 7 days from surgery

Interventionng/mL (Median)
Metformin450

Concentration of Metformin in Tumor-adjacent Normal Tissue

To determine the concentration of metformin in tumor-adjacent normal tissue. (NCT03477162)
Timeframe: Within 7 days from surgery

Interventionng/g (Median)
Metformin749

Concentration of Metformin in Whole Blood.

To determine the concentration of metformin in whole blood. (NCT03477162)
Timeframe: Within 7 days from surgery

Interventionng/mL (Median)
Metformin514

Lung Tumor Tissue Concentration of Metformin

To determine the intra-tumor concentrations of metformin, with a standard deviation ≤25% of the mean, in patients with solid tumors of thoracic origin administered metformin extended release. (NCT03477162)
Timeframe: Within 7 days from surgery

Interventionng/g (Median)
Metformin1290

Reviews

14 reviews available for metformin and Renal Insufficiency

ArticleYear
Lactate Levels with Chronic Metformin Use: A Narrative Review.
    Clinical drug investigation, 2017, Volume: 37, Issue:11

    Topics: Acidosis, Lactic; Humans; Hypoglycemic Agents; Incidence; Lactic Acid; Metformin; Renal Insufficienc

2017
[Attention to the use of oral anti-diabetic medication in older adults with type 2 diabetes].
    Nihon rinsho. Japanese journal of clinical medicine, 2013, Volume: 71, Issue:11

    Topics: Cognition Disorders; Diabetes Mellitus, Type 2; Dipeptidyl-Peptidase IV Inhibitors; Humans; Hypoglyc

2013
Metformin and other antidiabetic agents in renal failure patients.
    Kidney international, 2015, Volume: 87, Issue:2

    Topics: Acidosis, Lactic; Diabetes Mellitus, Type 2; Diabetic Nephropathies; Dipeptidyl-Peptidase IV Inhibit

2015
In brief: New recommendations for use of metformin in renal impairment.
    The Medical letter on drugs and therapeutics, 2016, Apr-25, Volume: 58, Issue:1493

    Topics: Animals; Drug Labeling; Glomerular Filtration Rate; Humans; Hypoglycemic Agents; Metformin; Renal In

2016
Pharmacologic Therapy of Type 2 Diabetes.
    The Medical clinics of North America, 2016, Volume: 100, Issue:4

    Topics: Aging; Blood Glucose; Body Weight; Diabetes Mellitus, Type 2; Dipeptidyl-Peptidase IV Inhibitors; Dr

2016
Metformin-related lactic acidosis: is it a myth or an underestimated reality?
    Renal failure, 2016, Volume: 38, Issue:9

    Topics: Acidosis, Lactic; Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Renal Insuffici

2016
Clinical pharmacokinetics of metformin.
    Clinical pharmacokinetics, 2011, Volume: 50, Issue:2

    Topics: Administration, Oral; Biological Availability; Blood Glucose; Diabetes Mellitus, Type 2; Half-Life;

2011
Clinical pharmacokinetics of metformin.
    Clinical pharmacokinetics, 2011, Volume: 50, Issue:2

    Topics: Administration, Oral; Biological Availability; Blood Glucose; Diabetes Mellitus, Type 2; Half-Life;

2011
Clinical pharmacokinetics of metformin.
    Clinical pharmacokinetics, 2011, Volume: 50, Issue:2

    Topics: Administration, Oral; Biological Availability; Blood Glucose; Diabetes Mellitus, Type 2; Half-Life;

2011
Clinical pharmacokinetics of metformin.
    Clinical pharmacokinetics, 2011, Volume: 50, Issue:2

    Topics: Administration, Oral; Biological Availability; Blood Glucose; Diabetes Mellitus, Type 2; Half-Life;

2011
Clinical pharmacokinetics of metformin.
    Clinical pharmacokinetics, 2011, Volume: 50, Issue:2

    Topics: Administration, Oral; Biological Availability; Blood Glucose; Diabetes Mellitus, Type 2; Half-Life;

2011
Clinical pharmacokinetics of metformin.
    Clinical pharmacokinetics, 2011, Volume: 50, Issue:2

    Topics: Administration, Oral; Biological Availability; Blood Glucose; Diabetes Mellitus, Type 2; Half-Life;

2011
Clinical pharmacokinetics of metformin.
    Clinical pharmacokinetics, 2011, Volume: 50, Issue:2

    Topics: Administration, Oral; Biological Availability; Blood Glucose; Diabetes Mellitus, Type 2; Half-Life;

2011
Clinical pharmacokinetics of metformin.
    Clinical pharmacokinetics, 2011, Volume: 50, Issue:2

    Topics: Administration, Oral; Biological Availability; Blood Glucose; Diabetes Mellitus, Type 2; Half-Life;

2011
Clinical pharmacokinetics of metformin.
    Clinical pharmacokinetics, 2011, Volume: 50, Issue:2

    Topics: Administration, Oral; Biological Availability; Blood Glucose; Diabetes Mellitus, Type 2; Half-Life;

2011
Clinical pharmacokinetics of metformin.
    Clinical pharmacokinetics, 2011, Volume: 50, Issue:2

    Topics: Administration, Oral; Biological Availability; Blood Glucose; Diabetes Mellitus, Type 2; Half-Life;

2011
Clinical pharmacokinetics of metformin.
    Clinical pharmacokinetics, 2011, Volume: 50, Issue:2

    Topics: Administration, Oral; Biological Availability; Blood Glucose; Diabetes Mellitus, Type 2; Half-Life;

2011
Clinical pharmacokinetics of metformin.
    Clinical pharmacokinetics, 2011, Volume: 50, Issue:2

    Topics: Administration, Oral; Biological Availability; Blood Glucose; Diabetes Mellitus, Type 2; Half-Life;

2011
Clinical pharmacokinetics of metformin.
    Clinical pharmacokinetics, 2011, Volume: 50, Issue:2

    Topics: Administration, Oral; Biological Availability; Blood Glucose; Diabetes Mellitus, Type 2; Half-Life;

2011
Clinical pharmacokinetics of metformin.
    Clinical pharmacokinetics, 2011, Volume: 50, Issue:2

    Topics: Administration, Oral; Biological Availability; Blood Glucose; Diabetes Mellitus, Type 2; Half-Life;

2011
Clinical pharmacokinetics of metformin.
    Clinical pharmacokinetics, 2011, Volume: 50, Issue:2

    Topics: Administration, Oral; Biological Availability; Blood Glucose; Diabetes Mellitus, Type 2; Half-Life;

2011
Clinical pharmacokinetics of metformin.
    Clinical pharmacokinetics, 2011, Volume: 50, Issue:2

    Topics: Administration, Oral; Biological Availability; Blood Glucose; Diabetes Mellitus, Type 2; Half-Life;

2011
Use of metformin in the setting of mild-to-moderate renal insufficiency.
    Diabetes care, 2011, Volume: 34, Issue:6

    Topics: Acidosis, Lactic; Contraindications; Creatinine; Diabetes Mellitus, Type 2; Female; Glomerular Filtr

2011
Use of metformin in the setting of mild-to-moderate renal insufficiency.
    Diabetes care, 2011, Volume: 34, Issue:6

    Topics: Acidosis, Lactic; Contraindications; Creatinine; Diabetes Mellitus, Type 2; Female; Glomerular Filtr

2011
Use of metformin in the setting of mild-to-moderate renal insufficiency.
    Diabetes care, 2011, Volume: 34, Issue:6

    Topics: Acidosis, Lactic; Contraindications; Creatinine; Diabetes Mellitus, Type 2; Female; Glomerular Filtr

2011
Use of metformin in the setting of mild-to-moderate renal insufficiency.
    Diabetes care, 2011, Volume: 34, Issue:6

    Topics: Acidosis, Lactic; Contraindications; Creatinine; Diabetes Mellitus, Type 2; Female; Glomerular Filtr

2011
Use of metformin in the setting of mild-to-moderate renal insufficiency.
    Diabetes care, 2011, Volume: 34, Issue:6

    Topics: Acidosis, Lactic; Contraindications; Creatinine; Diabetes Mellitus, Type 2; Female; Glomerular Filtr

2011
Use of metformin in the setting of mild-to-moderate renal insufficiency.
    Diabetes care, 2011, Volume: 34, Issue:6

    Topics: Acidosis, Lactic; Contraindications; Creatinine; Diabetes Mellitus, Type 2; Female; Glomerular Filtr

2011
Use of metformin in the setting of mild-to-moderate renal insufficiency.
    Diabetes care, 2011, Volume: 34, Issue:6

    Topics: Acidosis, Lactic; Contraindications; Creatinine; Diabetes Mellitus, Type 2; Female; Glomerular Filtr

2011
Use of metformin in the setting of mild-to-moderate renal insufficiency.
    Diabetes care, 2011, Volume: 34, Issue:6

    Topics: Acidosis, Lactic; Contraindications; Creatinine; Diabetes Mellitus, Type 2; Female; Glomerular Filtr

2011
Use of metformin in the setting of mild-to-moderate renal insufficiency.
    Diabetes care, 2011, Volume: 34, Issue:6

    Topics: Acidosis, Lactic; Contraindications; Creatinine; Diabetes Mellitus, Type 2; Female; Glomerular Filtr

2011
Oral hypoglycaemics. When not to use what.
    Australian family physician, 2002, Volume: 31, Issue:7

    Topics: Acarbose; Acidosis, Lactic; Aged; Contraindications; Diabetes Mellitus, Type 2; Female; Glyburide; H

2002
Metformin's contraindications should be contraindicated.
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2005, Aug-30, Volume: 173, Issue:5

    Topics: Acidosis, Lactic; Age Factors; Aged; Aged, 80 and over; Contraindications; Diabetes Mellitus, Type 2

2005
[Traditional contraindications to the use of metformin -- more harmful than beneficial?].
    Deutsche medizinische Wochenschrift (1946), 2006, Jan-20, Volume: 131, Issue:3

    Topics: Acidosis, Lactic; Age Factors; Contraindications; Diabetes Mellitus, Type 2; Drug Interactions; Hear

2006
Clinical pharmacokinetics of metformin.
    Clinical pharmacokinetics, 1996, Volume: 30, Issue:5

    Topics: Administration, Oral; Diabetes Mellitus, Type 2; Drug Interactions; Humans; Hypoglycemic Agents; Inj

1996
Clinical pharmacokinetics of metformin.
    Clinical pharmacokinetics, 1996, Volume: 30, Issue:5

    Topics: Administration, Oral; Diabetes Mellitus, Type 2; Drug Interactions; Humans; Hypoglycemic Agents; Inj

1996
Clinical pharmacokinetics of metformin.
    Clinical pharmacokinetics, 1996, Volume: 30, Issue:5

    Topics: Administration, Oral; Diabetes Mellitus, Type 2; Drug Interactions; Humans; Hypoglycemic Agents; Inj

1996
Clinical pharmacokinetics of metformin.
    Clinical pharmacokinetics, 1996, Volume: 30, Issue:5

    Topics: Administration, Oral; Diabetes Mellitus, Type 2; Drug Interactions; Humans; Hypoglycemic Agents; Inj

1996
Pharmacokinetics of oral antihyperglycaemic agents in patients with renal insufficiency.
    Clinical pharmacokinetics, 1996, Volume: 31, Issue:2

    Topics: Acarbose; Administration, Oral; Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; R

1996
[Prevention of lactic acidosis due to metformin intoxication in contrast media nephropathy].
    Nederlands tijdschrift voor geneeskunde, 2000, Sep-30, Volume: 144, Issue:40

    Topics: Acidosis, Lactic; Clinical Protocols; Contraindications; Contrast Media; Creatinine; Diabetes Mellit

2000

Trials

4 trials available for metformin and Renal Insufficiency

ArticleYear
Impact of continuation of metformin prior to elective coronary angiography on acute contrast nephropathy in patients with normal or mildly impaired renal functions.
    Anatolian journal of cardiology, 2017, Volume: 18, Issue:5

    Topics: Contrast Media; Coronary Angiography; Creatinine; Diabetes Mellitus, Type 2; Drug Administration Sch

2017
Population pharmacokinetics of metformin in healthy subjects and patients with type 2 diabetes mellitus: simulation of doses according to renal function.
    Clinical pharmacokinetics, 2013, Volume: 52, Issue:5

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Delayed-Action Preparations; Diabetes Mellitus, Type 2;

2013
Strategies for glucose control in a study population with diabetes, renal disease and anemia (Treat study).
    Diabetes research and clinical practice, 2016, Volume: 113

    Topics: Aged; Anemia; Australia; Blood Glucose; Diabetes Mellitus, Type 2; Europe; Female; Humans; Hypoglyce

2016
Monitoring metformin in cardiac patients exposed to contrast media using ultra-high-performance liquid chromatography tandem mass-spectrometry.
    Therapeutic drug monitoring, 2011, Volume: 33, Issue:6

    Topics: Acidosis, Lactic; Cardiac Catheterization; Chromatography, High Pressure Liquid; Contrast Media; Cre

2011

Other Studies

54 other studies available for metformin and Renal Insufficiency

ArticleYear
Lactic acidosis, a potential toxicity from drug-drug interaction related to concomitant ribociclib and metformin in preexisting renal insufficiency: A case report.
    Cancer reports (Hoboken, N.J.), 2022, Volume: 5, Issue:8

    Topics: Acidosis, Lactic; Aminopyridines; Breast Neoplasms; Drug Interactions; Female; Fulvestrant; Humans;

2022
[CME: Metformin - Dos and Don'ts].
    Praxis, 2021, Volume: 110, Issue:16

    Topics: Acidosis, Lactic; Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Renal Insuffici

2021
[CME/Answers: Metformin - Dos and Don'ts].
    Praxis, 2022, Volume: 110, Issue:1

    Topics: Acidosis, Lactic; Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Renal Insuffici

2022
Reduced lactic acidosis risk with Imeglimin: Comparison with Metformin.
    Physiological reports, 2022, Volume: 10, Issue:5

    Topics: Acidosis, Lactic; Animals; Diabetes Mellitus, Type 2; Dogs; Humans; Hypoglycemic Agents; Lactic Acid

2022
Gaps of Medication Treatment Management Between Guidelines and Real-World for Inpatients With Type 2 Diabetes in China From Pharmacist's Perspective.
    Frontiers in endocrinology, 2022, Volume: 13

    Topics: Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Cholesterol, LDL; Cross-

2022
Unusual Case of Metformin-Associated Lactic Acidosis in Patient with Type 2 Diabetes Mellitus.
    The American journal of case reports, 2022, Nov-17, Volume: 23

    Topics: Acidosis, Lactic; Aged; Diabetes Mellitus, Type 2; Humans; Male; Metformin; Renal Dialysis; Renal In

2022
Unusual Case of Metformin-Associated Lactic Acidosis in Patient with Type 2 Diabetes Mellitus.
    The American journal of case reports, 2022, Nov-17, Volume: 23

    Topics: Acidosis, Lactic; Aged; Diabetes Mellitus, Type 2; Humans; Male; Metformin; Renal Dialysis; Renal In

2022
Unusual Case of Metformin-Associated Lactic Acidosis in Patient with Type 2 Diabetes Mellitus.
    The American journal of case reports, 2022, Nov-17, Volume: 23

    Topics: Acidosis, Lactic; Aged; Diabetes Mellitus, Type 2; Humans; Male; Metformin; Renal Dialysis; Renal In

2022
Unusual Case of Metformin-Associated Lactic Acidosis in Patient with Type 2 Diabetes Mellitus.
    The American journal of case reports, 2022, Nov-17, Volume: 23

    Topics: Acidosis, Lactic; Aged; Diabetes Mellitus, Type 2; Humans; Male; Metformin; Renal Dialysis; Renal In

2022
Unusual Case of Metformin-Associated Lactic Acidosis in Patient with Type 2 Diabetes Mellitus.
    The American journal of case reports, 2022, Nov-17, Volume: 23

    Topics: Acidosis, Lactic; Aged; Diabetes Mellitus, Type 2; Humans; Male; Metformin; Renal Dialysis; Renal In

2022
Unusual Case of Metformin-Associated Lactic Acidosis in Patient with Type 2 Diabetes Mellitus.
    The American journal of case reports, 2022, Nov-17, Volume: 23

    Topics: Acidosis, Lactic; Aged; Diabetes Mellitus, Type 2; Humans; Male; Metformin; Renal Dialysis; Renal In

2022
Unusual Case of Metformin-Associated Lactic Acidosis in Patient with Type 2 Diabetes Mellitus.
    The American journal of case reports, 2022, Nov-17, Volume: 23

    Topics: Acidosis, Lactic; Aged; Diabetes Mellitus, Type 2; Humans; Male; Metformin; Renal Dialysis; Renal In

2022
Unusual Case of Metformin-Associated Lactic Acidosis in Patient with Type 2 Diabetes Mellitus.
    The American journal of case reports, 2022, Nov-17, Volume: 23

    Topics: Acidosis, Lactic; Aged; Diabetes Mellitus, Type 2; Humans; Male; Metformin; Renal Dialysis; Renal In

2022
Unusual Case of Metformin-Associated Lactic Acidosis in Patient with Type 2 Diabetes Mellitus.
    The American journal of case reports, 2022, Nov-17, Volume: 23

    Topics: Acidosis, Lactic; Aged; Diabetes Mellitus, Type 2; Humans; Male; Metformin; Renal Dialysis; Renal In

2022
Association of Metformin, Dipeptidyl Dipeptidase-4 Inhibitors, and Insulin with Coronavirus Disease 2019-Related Hospital Outcomes in Patients with Type 2 Diabetes.
    Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists, 2023, Volume: 29, Issue:9

    Topics: COVID-19; Diabetes Mellitus, Type 2; Dipeptidases; Dipeptidyl-Peptidase IV Inhibitors; Glycated Hemo

2023
Metformin does not slow cyst growth in the PCK rat model of polycystic kidney disease.
    Physiological reports, 2023, Volume: 11, Issue:17

    Topics: AMP-Activated Protein Kinases; Animals; Cysts; Humans; Lactates; Male; Metformin; Polycystic Kidney

2023
Letter by Mordi et al Regarding Article, "Metformin Use and Clinical Outcomes Among Patients With Diabetes Mellitus With or Without Heart Failure or Kidney Dysfunction: Observations From the SAVOR-TIMI 53 Trial".
    Circulation, 2020, 01-28, Volume: 141, Issue:4

    Topics: Diabetes Mellitus; Heart Failure; Humans; Metformin; Renal Insufficiency

2020
Response by Bergmark et al to Letter Regarding Article, "Metformin Use and Clinical Outcomes Among Patients With Diabetes Mellitus With or Without Heart Failure or Kidney Dysfunction: Observations From the SAVOR-TIMI 53 Trial".
    Circulation, 2020, 01-28, Volume: 141, Issue:4

    Topics: Diabetes Mellitus; Heart Failure; Humans; Metformin; Renal Insufficiency

2020
Hospitalization for Lactic Acidosis Among Patients With Reduced Kidney Function Treated With Metformin or Sulfonylureas.
    Diabetes care, 2020, Volume: 43, Issue:7

    Topics: Acidosis, Lactic; Aged; Cohort Studies; Diabetes Mellitus, Type 2; Diabetic Nephropathies; Female; G

2020
Budget impact analysis for dapagliflozin in type 2 diabetes in Egypt.
    Journal of medical economics, 2020, Volume: 23, Issue:8

    Topics: Benzhydryl Compounds; Budgets; Cardiovascular Diseases; Cost-Benefit Analysis; Diabetes Mellitus, Ty

2020
Metformin Associated Lactic Acidosis in Clinical Practice - A Case Series.
    Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association, 2021, Volume: 129, Issue:11

    Topics: Acidosis, Lactic; Aged; Comorbidity; Diabetes Mellitus, Type 2; Female; Follow-Up Studies; Humans; H

2021
Metformin use and early lactate levels in critically ill patients according to chronic and acute renal impairment.
    Critical care (London, England), 2020, 09-29, Volume: 24, Issue:1

    Topics: Aged; Critical Illness; Denmark; Female; Humans; Hypoglycemic Agents; Lactic Acid; Male; Metformin;

2020
Metformin use in renal disease.
    JPMA. The Journal of the Pakistan Medical Association, 2017, Volume: 67, Issue:8

    Topics: Acidosis, Lactic; Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Renal Insuffici

2017
Metformin-associated lactic acidosis mimicking ischaemic bowel.
    BMJ case reports, 2018, Feb-01, Volume: 2018

    Topics: Abdominal Pain; Acidosis, Lactic; Aged; Diabetes Mellitus; Diagnosis, Differential; Emergency Medica

2018
[Treatment with metformin in type 2 diabetes mellitus - new routines when renal function is reduced and in connection with administration of iodine contrast media].
    Lakartidningen, 2018, 04-03, Volume: 115

    Topics: Acidosis, Lactic; Body Size; Contrast Media; Diabetes Mellitus, Type 2; Female; Glomerular Filtratio

2018
Metabolic profiling of metformin treatment for low-level Pb-induced nephrotoxicity in rat urine.
    Scientific reports, 2018, 10-01, Volume: 8, Issue:1

    Topics: Administration, Oral; Animals; Biological Factors; Disease Models, Animal; Environmental Pollutants;

2018
[Reappraisal of metformin : less restrictions and more potential indications].
    Revue medicale de Liege, 2018, Volume: 73, Issue:11

    Topics: Contraindications, Drug; Diabetes Mellitus, Type 2; Heart Diseases; Humans; Hypoglycemic Agents; Met

2018
Are patients with mild to moderate renal impairment on metformin or other oral anti-hyperglycaemic agents at increased risk of contrast-induced nephropathy and metabolic acidosis after radiocontrast exposure?
    Clinical radiology, 2019, Volume: 74, Issue:8

    Topics: Acidosis; Administration, Oral; Aged; Contrast Media; Diabetes Mellitus, Type 2; Female; Humans; Hyp

2019
[How I treat ... with metformin a diabetic patient with moderate renal insufficiency].
    Revue medicale de Liege, 2013, Volume: 68, Issue:4

    Topics: Contraindications; Diabetes Mellitus, Type 2; Diabetic Nephropathies; Humans; Hypoglycemic Agents; M

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
[Sitagliptin in the treatment of type 2 diabetes: insights five years after commercialisation].
    Revue medicale de Liege, 2013, Volume: 68, Issue:10

    Topics: Belgium; Diabetes Mellitus, Type 2; Dipeptidyl-Peptidase IV Inhibitors; Dose-Response Relationship,

2013
Second-line agents for glycemic control for type 2 diabetes: are newer agents better?
    Diabetes care, 2014, Volume: 37, Issue:5

    Topics: Amputation, Surgical; Blood Glucose; Coronary Artery Disease; Diabetes Complications; Diabetes Melli

2014
Risk of lactic acidosis or elevated lactate concentrations in metformin users with renal impairment: a population-based cohort study.
    Diabetes care, 2014, Volume: 37, Issue:8

    Topics: Acidosis, Lactic; Adult; Aged; Cohort Studies; Comorbidity; Diabetes Mellitus, Type 2; Female; Human

2014
Incidence of lactic acidosis in patients with type 2 diabetes with and without renal impairment treated with metformin: a retrospective cohort study.
    Diabetes care, 2014, Volume: 37, Issue:8

    Topics: Acidosis, Lactic; Adolescent; Adult; Aged; Aged, 80 and over; Databases, Factual; Diabetes Mellitus,

2014
Metformin use reduction in mild to moderate renal impairment: possible inappropriate curbing of use based on food and drug administration contraindications.
    JAMA internal medicine, 2015, Volume: 175, Issue:3

    Topics: Contraindications; Creatinine; Female; Glomerular Filtration Rate; Humans; Hypoglycemic Agents; Male

2015
Incidence and risk factors of postpericardiotomy syndrome requiring medical attention: The Finland postpericardiotomy syndrome study.
    The Journal of thoracic and cardiovascular surgery, 2015, Volume: 149, Issue:5

    Topics: Aged; Body Mass Index; Chi-Square Distribution; Comorbidity; Diabetes Mellitus; Drainage; Erythrocyt

2015
Retrospective analysis of lactic acidosis-related parameters upon and after metformin discontinuation in patients with diabetes and chronic kidney disease.
    International urology and nephrology, 2016, Volume: 48, Issue:8

    Topics: Acidosis, Lactic; Adult; Aged; Cohort Studies; Comorbidity; Creatinine; Diabetes Mellitus, Type 2; F

2016
[Chronic kidney diseases, metformin and lactic acidosis].
    Vnitrni lekarstvi, 2016, Volume: 62, Issue:4

    Topics: Acidosis, Lactic; Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Renal Insuffici

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
Metformin use and risk of lactic acidosis in people with diabetes with and without renal impairment: a cohort study in Denmark and the UK.
    Diabetic medicine : a journal of the British Diabetic Association, 2017, Volume: 34, Issue:4

    Topics: Acidosis, Lactic; Aged; Aged, 80 and over; Case-Control Studies; Cohort Studies; Databases, Factual;

2017
Trends in metformin utilisation and dose appropriateness in Australia.
    European journal of clinical pharmacology, 2016, Volume: 72, Issue:12

    Topics: Diabetes Mellitus, Type 2; Drug Utilization; Glomerular Filtration Rate; Hospitals, Teaching; Humans

2016
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
Clinical development of metformin extended-release tablets for type 2 diabetes: an overview.
    Expert opinion on drug metabolism & toxicology, 2008, Volume: 4, Issue:9

    Topics: Biological Availability; Clinical Trials as Topic; Delayed-Action Preparations; Diabetes Mellitus, T

2008
[Toxic metformin-associated acute pancreatitis without kidney failure].
    Medicina clinica, 2008, Oct-18, Volume: 131, Issue:13

    Topics: Acute Disease; Female; Humans; Hypoglycemic Agents; Metformin; Pancreatitis; Renal Insufficiency; Yo

2008
Metformin associated lactic acidosis: incidence and clinical correlation with metformin serum concentration measurements.
    Journal of clinical pharmacy and therapeutics, 2011, Volume: 36, Issue:3

    Topics: Acidosis, Lactic; Aged; Aged, 80 and over; Diabetes Mellitus, Type 2; Diabetic Nephropathies; Early

2011
Metformin for patients with diabetes and concomitant renal restrictions--is there an evidence base?
    QJM : monthly journal of the Association of Physicians, 2013, Volume: 106, Issue:3

    Topics: Diabetes Mellitus, Type 2; Evidence-Based Medicine; Humans; Hypoglycemic Agents; Metformin; Renal In

2013
Inappropriate prescription for metformin.
    JAMA, 2002, Aug-14, Volume: 288, Issue:6

    Topics: Acidosis, Lactic; Contraindications; Diabetes Mellitus, Type 2; Health Services Misuse; Heart Failur

2002
[Does a reduced kidney function (creatinine clearance 10-15 ml/min), without acidosis, increase the risk for the rise of lactic acidosis caused by metformin?].
    Nederlands tijdschrift voor geneeskunde, 2002, Nov-16, Volume: 146, Issue:46

    Topics: Acidosis, Lactic; Contraindications; Diabetes Mellitus, Type 2; Diabetic Ketoacidosis; Diabetic Neph

2002
Metformin and serious adverse effects.
    The Medical journal of Australia, 2004, Jan-19, Volume: 180, Issue:2

    Topics: Acidosis, Lactic; Adverse Drug Reaction Reporting Systems; Aged; Australia; Creatinine; Diabetes Mel

2004
Why hold the metformin?
    Nursing, 2004, Volume: 34, Issue:7

    Topics: Acidosis, Lactic; Age Factors; Aged; Contrast Media; Diabetes Mellitus, Type 2; Humans; Hypoglycemic

2004
Contraindications can damage your health--is metformin a case in point?
    Diabetologia, 2005, Volume: 48, Issue:12

    Topics: Acidosis, Lactic; Aging; Contraindications; Diabetes Mellitus, Type 2; Heart Diseases; Humans; Hypog

2005
[Prevention of contrast nephropathy; guidelines from the Department Nephrology of the University Medical Centre Groningen].
    Nederlands tijdschrift voor geneeskunde, 2006, Feb-04, Volume: 150, Issue:5

    Topics: Acidosis, Lactic; Contrast Media; Humans; Metformin; Netherlands; Rehydration Solutions; Renal Insuf

2006
Metformin-associated lactic acidosis treated with continuous renal replacement therapy.
    Clinical therapeutics, 2006, Volume: 28, Issue:3

    Topics: Acidosis, Lactic; Aged; Diabetes Mellitus; Hemodiafiltration; Humans; Hypoglycemic Agents; Male; Met

2006
Use of metformin according to estimated glomerular filtration rate: the threshold and the equation are important.
    Diabetic medicine : a journal of the British Diabetic Association, 2007, Volume: 24, Issue:12

    Topics: Aged; Creatinine; Diabetes Mellitus, Type 2; Female; Glomerular Filtration Rate; Humans; Metformin;

2007
Metformin-associated lactic acidosis in patients with renal impairment solely due to drug accumulation?
    Diabetes, obesity & metabolism, 2008, Volume: 10, Issue:1

    Topics: Acidosis, Lactic; Aged; Diabetic Nephropathies; Female; Humans; Hypoglycemic Agents; Male; Metformin

2008
Metformin-associated lactic acidosis following contrast media-induced nephrotoxicity.
    European journal of anaesthesiology, 2008, Volume: 25, Issue:2

    Topics: Acidosis, Lactic; Angiography, Digital Subtraction; Blood Gas Analysis; Contrast Media; Diabetes Mel

2008
Development of a diabetes treatment simulation model: with application to assessing alternative treatment intensification strategies on survival and diabetes-related complications.
    Diabetes, obesity & metabolism, 2008, Volume: 10 Suppl 1

    Topics: Amputation, Surgical; Blindness; Cardiovascular Diseases; Computer Simulation; Diabetes Complication

2008
Metformin treatment in NIDDM patients with mild renal impairment.
    Postgraduate medical journal, 1996, Volume: 72, Issue:848

    Topics: Aged; Case-Control Studies; Creatinine; Diabetes Mellitus, Type 2; Female; Humans; Hypoglycemic Agen

1996
Metformin and contrast media: where is the conflict?
    Canadian Association of Radiologists journal = Journal l'Association canadienne des radiologistes, 1998, Volume: 49, Issue:3

    Topics: Acidosis, Lactic; Contraindications; Contrast Media; Diabetes Mellitus, Type 2; Drug Interactions; H

1998
Metformin hydrochloride in patients undergoing myelography.
    AJR. American journal of roentgenology, 2002, Volume: 178, Issue:5

    Topics: Contrast Media; Drug Interactions; Humans; Hypoglycemic Agents; Metformin; Myelography; Renal Insuff

2002
Frequency of inappropriate metformin prescriptions.
    JAMA, 2002, May-15, Volume: 287, Issue:19

    Topics: Contraindications; Drug Utilization Review; Heart Failure; Humans; Hypoglycemic Agents; Metformin; R

2002