Chronic Conditions

Metformin ER

starting at $24.99

Metformin is a medication used to help lower blood sugar for Type 2 diabetes, typically in addition to lifestyle intervention of diet and exercise.

Used for the treatment of Type 2 diabetes in patients who need additional support to diet and exercise modification

Typical starting dose is 500 mg once daily with dinner, and may be increased gradually to minimize side effects

Extended-release formulation allows for once daily dosing, with typical maintenance dose of 500 mg to 1 g (1,000 mg) once daily

May be taken with food and must not split, crush, or chew tablets

Metformin requires adequate kidney function so it must be used with caution in those with kidney impairment or 65 years and older

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Metformin ER

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Metformin ER

Metformin is a medication used to help lower blood sugar for Type 2 diabetes, typically in addition to lifestyle intervention of diet and exercise.

By clicking the “I Agree” button below, you certify under penalty of perjury that the following statements are true and correct and understand that a medical provider will rely on the truthfulness of your statements when determining whether a prescription is warranted and appropriate.

I agree that I:

am 18 years or older
have not had a hypersensitivity reaction to metformin or any component of the formulation
have a diagnosis of Type 2 diabetes mellitus and have already been taking metformin as prescribed by an authorized healthcare provider
do not have Type 1 diabetes mellitus
will not take more than 2,000mg per day
do not have acute or chronic metabolic acidosis, including diabetic acidosis (DKA)
understand the risk of lactic acidosis while taking this medication, which may be characterized by fast breathing or heart rate, weakness, muscle soreness, abdominal pain, and severe loss of energy. If suspected lactic acidosis occurs, I will discontinue the medication immediately and seek medical attention.
understand this medication may interact with medications being metabolized similarly or share similar side effects, including beta blockers, non-steroidal anti-inflammatory drugs (NSAIDs e.g. ibuprofen), salicylates, and topiramate
have not had bariatric surgery
understand the risk of low blood sugar and dizziness
do not have a history of severe liver (hepatic, Child Pugh class C) or severe kidney (renal) impairment (eGFR < 30 mL/min)
am not pregnant or breastfeeding
understand this is not a comprehensive list of precautions, risks, side effects, or details about taking this medication
understand that only major drug interactions are listed and have not been reviewed against the other medications, supplements, or herbal products I may be taking unless also filled by TelyRx

understand that TelyRx LLC does not provide medical care and the providers who use TelyRx to provide telehealth services (“Telehealth Providers”) should not replace your primary provider.
understand that the Telehealth Providers are not able to: (1) monitor ongoing health or lab values for side effects or efficacy, (2) observe how you (or your pet) tolerate any prescribed treatment, or (3) determine if the prescribed treatment is working as intended and assume any risks associated with this modality of care and waive any claim I may have in the future against TelyRx and/or the Telehealth Providers.
understand that by using this site, I have created a patient-client-doctor relationship and I am being directed by the Telehealth Providers to consult my primary provider soon after beginning any treatment prescribed by the Telehealth Providers.
understand that this is a supplemental mode of care for your convenience and the Telehealth Providers are not to be used, or relied on, as a replacement for in-person follow-up visits or interactions with your primary provider.

I agree that all statements above are true and my physician visit is complete.

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Metformin ER Medication Description

Metformin Extended-Release (ER) is a once-daily oral prescription medication used to manage blood glucose levels in individuals with Type 2 diabetes. It works by reducing hepatic glucose production, increasing insulin sensitivity, and improving peripheral glucose uptake. The extended-release formulation offers the benefit of convenient dosing and may help reduce gastrointestinal side effects compared to regular-release metformin.

Metformin ER is often prescribed alongside lifestyle interventions such as diet, exercise, and weight management to help achieve glycemic control. It is also considered a first-line treatment and may be used alone or in combination with other diabetes medications.

How To Use: Tablets must be swallowed whole and should not be split, crushed, or chewed. Improvements in blood glucose may begin within days of starting therapy, though full effects may take 1–2 weeks or longer. Regular blood glucose and HbA1c monitoring is recommended.

Warnings:

Requires adequate kidney function and should be used cautiously in patients over 65 or those with renal impairment. Routine renal function assessments are recommended. Vitamin B12 levels may decrease with long-term use.
Metformin ER Side Effects

Side effects may include diarrhea, which may occur at any time during the treatment but will be tolerated over time and usually stop occurring. Other side effects may include nausea, vomiting, heartburn, and gas.
Consumer Information Use and Disclaimer

This information should not be used to decide whether or not to take this medicine or any other medicine. Only a healthcare provider has the knowledge and training to decide which medicines are right for you. TelyRx does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a limited summary of general information about the medicine’s uses from the patient education materials and is not intended to be comprehensive. This limited summary does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not intended to provide medical advice, diagnosis or treatment and does not replace information you may receive from your healthcare provider. For a more detailed summary of information about the risks and benefits of using this medicine, please review the entire patient education information you receive with the medication.