Product image of Metformax 500 (Metformin Hydrochloride) supplied by GNH India

Metformax 500

Active Ingredient:
Metformin Hydrochloride
Origin:
EU

Metformax 500 (Metformin Hydrochloride)

Metformin, the active ingredient in Metformax 500, is a biguanide presented as a 500 mg tablet for oral use. It lowers elevated blood glucose levels in adults with type 2 diabetes mellitus by decreasing hepatic glucose production and enhancing peripheral insulin sensitivity, making it a cornerstone therapy for managing hyperglycemia.

GNH India supplies Metformax 500 as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies, clinics and other healthcare providers worldwide.

Manufacturer / TM Owner

Teva Pharmaceuticals Polska Sp. Z O.O.

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Indications & Clinical Uses

Metformax 500 (metformin) is indicated for conditions where glucose regulation is impaired.

  • Type 2 diabetes mellitus: improves glycemic control and reduces HbA1c levels.
  • Prediabetes (impaired glucose tolerance): helps delay or prevent progression to type 2 diabetes.
  • Polycystic ovary syndrome: reduces insulin resistance and may improve menstrual regularity.

How It Works

  • Metformax 500 exerts its antidiabetic effect primarily by inhibiting mitochondrial respiratory-chain complex I, which reduces hepatic gluconeogenesis. It also increases peripheral glucose uptake by enhancing insulin‑mediated activation of AMP‑activated protein kinase (AMPK), thereby improving insulin sensitivity in muscle and adipose tissue.

Side Effects

Metformax 500 may cause a range of adverse reactions, which are generally classified by frequency and severity.

Common Side Effects

  • Gastrointestinal upset: nausea, abdominal discomfort, and diarrhea.
  • Metallic taste: transient metallic sensation in the mouth.
  • Weight loss: modest reduction in body weight.
  • Vitamin B12 deficiency: decreased absorption with long‑term use.

Serious or Rare Side Effects

  • Lactic acidosis: a rare but life‑threatening accumulation of lactate.
  • Severe hypersensitivity: rash, Stevens‑Johnson syndrome, or anaphylaxis.
  • Hepatic dysfunction: elevated liver enzymes or hepatitis.

Precautions & Warnings

Before initiating Metformax 500, clinicians should consider several safety factors.

  • Renal function: assess eGFR and avoid use if severely reduced.
  • Lactic acidosis risk: contraindicated in patients with significant hepatic or cardiac failure.
  • Cardiovascular disease: monitor for signs of heart failure.
  • Alcohol consumption: limit intake to reduce lactic acidosis risk.
  • Pregnancy and lactation: discuss potential risks and benefits with the prescriber.
  • Store at ambient temperature: keep in the original container, protect from moisture and heat.

Avoid Interactions

Metformax 500 can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Iodinated contrast agents: may precipitate acute renal failure; discontinue metformin temporarily.
  • Cimetidine: can increase metformin plasma concentrations, raising risk of lactic acidosis.

Moderate Interactions (Monitor Closely)

  • ACE inhibitors or ARBs: may affect renal function, requiring periodic eGFR checks.
  • Beta‑blockers: can mask hypoglycemia symptoms.
  • Corticosteroids: may increase blood glucose, necessitating dose adjustments.

Frequently Asked Questions

Metformax 500 contains metformin hydrochloride and is used to improve blood glucose control in adults with type 2 diabetes mellitus. It may also be prescribed for prediabetes to reduce the risk of progression to diabetes and for polycystic ovary syndrome to address insulin resistance.

Metformin lowers blood sugar primarily by inhibiting hepatic gluconeogenesis, which reduces the amount of glucose released by the liver. It also activates AMP‑activated protein kinase (AMPK), enhancing insulin‑mediated glucose uptake in muscle and fat tissues, thereby improving overall insulin sensitivity.

The appropriate dose of Metformax 500 is determined by the prescribing healthcare professional based on the individual’s clinical condition, renal function, and response to therapy. Patients should follow the prescriber’s instructions and not adjust the dose without medical guidance.

Metformax 500 is classified as a pregnancy‑category drug with limited data. It should only be used during pregnancy or lactation if the potential benefits outweigh the risks, and this decision must be made by a qualified prescriber after a thorough assessment.

To order Metformax 500, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Metformax 500 belongs to the biguanide class, which differs from sulfonylureas, DPP‑4 inhibitors, and SGLT2 inhibitors. It does not stimulate insulin secretion, reducing the risk of hypoglycemia, and is often used as first‑line therapy because of its efficacy, weight‑neutral profile and low cost compared with newer agents.

Metformax 500 tablets should be stored at ambient temperature, below 25 °C, in the original blister pack or container to protect them from moisture and light. Keep the product out of reach of children and do not use if the packaging is damaged.

Metformax 500 is taken orally, usually with meals to reduce gastrointestinal discomfort. The tablet should be swallowed whole with a full glass of water. Patients should follow the dosing schedule prescribed by their healthcare provider.

The most serious risk is lactic acidosis, a rare but potentially fatal condition that can occur in patients with severe renal or hepatic impairment, heart failure, or excessive alcohol intake. Prompt medical attention is required if symptoms such as rapid breathing, muscle pain, or abdominal discomfort develop.

Metformax 500 is contraindicated in individuals with severe renal impairment (eGFR <30 mL/min/1.73 m²), known hypersensitivity to metformin, acute or chronic metabolic acidosis, and those who have experienced lactic acidosis while on metformin. It should also be used with caution in patients with liver disease or heart failure.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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