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

Metformax Sr 500

Active Ingredient:
Metformin Hydrochloride
Origin:
EU

Metformax Sr 500 (Metformin Hydrochloride)

Metformin Hydrochloride, the active ingredient in Metformax Sr 500, is a biguanide presented as a 500 mg oral tablet for oral use. It is indicated for the management of type 2 diabetes mellitus and works by improving insulin sensitivity and reducing hepatic glucose output.

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

Manufacturer / TM Owner

Teva Pharmaceuticals Polska Sp. Z O.O.

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Indications & Clinical Uses

Metformax Sr 500 (metformin) is used in the management of type 2 diabetes mellitus, a disorder of glucose metabolism.

  • Type 2 diabetes mellitus: improves glycemic control and lowers fasting blood glucose.
  • Prediabetes (impaired glucose tolerance): helps delay progression to overt diabetes.
  • Polycystic ovary syndrome: may improve insulin resistance and menstrual regularity.

How It Works

  • Metformin Hydrochloride acts primarily by inhibiting hepatic gluconeogenesis, thereby decreasing hepatic glucose production. It also enhances peripheral insulin sensitivity in muscle and adipose tissue, increases glucose uptake, and modestly reduces intestinal glucose absorption, collectively contributing to lower plasma glucose levels without stimulating insulin secretion.

Side Effects

Metformax Sr 500 may be associated with a range of adverse reactions. Patients should be aware of both common and serious possibilities.

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Diarrhea: frequent loose stools, often transient.
  • Abdominal discomfort: cramping or bloating.
  • Metallic taste: transient alteration in taste perception.
  • Loss of appetite: reduced desire to eat.
  • Flatulence: increased intestinal gas.

Serious or Rare Side Effects

  • Lactic acidosis: rare but life‑threatening metabolic disturbance.
  • Severe hypoglycemia: especially when combined with insulin or sulfonylureas.
  • Vitamin B12 deficiency: may develop with long‑term use.
  • Skin rash or hypersensitivity: including Stevens‑Johnson syndrome.
  • Hepatic dysfunction: elevated liver enzymes or hepatitis.
  • Acute pancreatitis: rare inflammatory condition of the pancreas.

Precautions & Warnings

Before initiating Metformax Sr 500, clinicians should evaluate patient‑specific factors and monitor therapy appropriately.

  • Renal function: assess creatinine clearance and avoid use in severe renal impairment.
  • Hepatic disease: contraindicated in severe liver dysfunction.
  • Cardiac failure: use with caution due to lactic acidosis risk.
  • Alcohol consumption: limit intake to reduce metabolic complications.
  • Pregnancy and lactation: evaluate risk‑benefit; use only if clearly needed.
  • Store at ambient temperature: keep in original container, protect from moisture and heat.

Avoid Interactions

Metformax Sr 500 can interact with several medicines, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Iodinated contrast agents: increase risk of renal impairment and lactic acidosis.
  • Cimetidine: may raise metformin plasma concentrations.
  • Alcohol: potentiates lactic acidosis risk.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers: may mask hypoglycemia symptoms.
  • Diuretics: affect renal clearance of metformin.
  • ACE inhibitors or ARBs: monitor renal function and electrolytes.
  • NSAIDs: may reduce renal perfusion, increasing metformin exposure.
  • Thyroid hormones: may alter glucose metabolism, requiring glycemic monitoring.

Frequently Asked Questions

Metformax Sr 500 contains metformin hydrochloride and is prescribed to improve blood glucose control in adults with type 2 diabetes mellitus. It may also be used in certain cases of prediabetes or polycystic ovary syndrome to address insulin resistance, always under the guidance of a qualified healthcare professional.

Metformin reduces hepatic glucose production by inhibiting gluconeogenesis and enhances peripheral insulin sensitivity, which facilitates glucose uptake by muscles and adipose tissue. It also modestly decreases intestinal glucose absorption, leading to lower circulating glucose levels without directly stimulating insulin secretion.

The specific dose of Metformax Sr 500 is determined by the prescribing clinician based on the individual’s medical condition, renal function, and response to therapy. Dosage adjustments are made according to clinical guidelines and patient tolerance, and patients should follow the prescriber’s instructions precisely.

Safety of metformin during pregnancy or lactation is evaluated case by case. While some guidelines allow limited use when benefits outweigh risks, the decision rests with the treating physician. Women who are pregnant, planning pregnancy, or breastfeeding should discuss potential risks and alternatives with their healthcare provider.

To place an order, 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 Sr 500 (metformin) belongs to the biguanide class and is often first‑line therapy for type 2 diabetes because of its efficacy, low risk of hypoglycemia, and favorable impact on weight. Compared with sulfonylureas or insulin, metformin does not stimulate insulin release, reducing hypoglycemia risk, but may be combined with other agents when monotherapy is insufficient.

Metformax Sr 500 should be stored at ambient temperature, below 25 °C, in its original packaging to protect it from moisture and light. Keep the product out of reach of children and do not use it after the expiry date printed on the label.

Metformax Sr 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 professional and not crush or split the tablet unless instructed.

The most serious adverse reaction 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 unexplained fatigue, rapid breathing, or abdominal pain develop.

Metformax Sr 500 is contraindicated in patients with known hypersensitivity to metformin, severe renal impairment (eGFR <30 mL/min/1.73 m²), severe hepatic disease, or acute conditions that predispose to hypoxia. It should also be used with caution in individuals with heart failure, alcohol dependence, or those undergoing radiographic contrast studies.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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