Product image of Metformin Hydrochloride Milpharm (Metformin Hydrochloride) supplied by GNH India

Metformin Hydrochloride Milpharm

Active Ingredient:
Metformin Hydrochloride
Origin:
EU

Metformin Hydrochloride Milpharm (Metformin Hydrochloride)

Metformin Hydrochloride, the active ingredient in Metformin Hydrochloride Milpharm, is a biguanide presented as a tablet for oral use. It treats type 2 diabetes mellitus in adults by improving blood‑glucose control.

GNH India supplies Metformin Hydrochloride Milpharm as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Milpharm Limited

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Indications & Clinical Uses

Metformin Hydrochloride is a biguanide that lowers blood glucose in disorders of glucose metabolism.

  • Type 2 diabetes mellitus: improves glycaemic control and reduces HbA1c levels.
  • Impaired glucose tolerance (prediabetes): helps normalise fasting and post‑prandial glucose.
  • Polycystic ovary syndrome (off‑label): may improve insulin resistance and menstrual regularity.

How It Works

  • Metformin Hydrochloride decreases hepatic gluconeogenesis, enhances peripheral glucose uptake, and improves insulin sensitivity by activating AMP‑activated protein kinase (AMPK). These actions collectively reduce circulating glucose without stimulating insulin secretion.

Side Effects

Metformin Hydrochloride is generally well tolerated, but adverse reactions can occur.

Common Side Effects

  • Gastrointestinal upset: nausea, abdominal discomfort, and loss of appetite.
  • Diarrhoea: often mild to moderate and transient.
  • Metallic taste: a transient alteration in taste perception.

Serious or Rare Side Effects

  • Lactic acidosis: a rare but life‑threatening metabolic complication.
  • Severe skin reactions: such as Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Vitamin B12 deficiency: may develop with long‑term therapy.
  • Hepatotoxicity: rare liver enzyme elevations.

Precautions & Warnings

Metformin Hydrochloride requires careful patient assessment and monitoring.

  • Renal function assessment: evaluate eGFR before initiation and periodically thereafter.
  • Lactic acidosis risk: avoid in patients with severe renal or hepatic impairment.
  • Alcohol consumption: limit intake to reduce acidosis risk.
  • Monitoring: check HbA1c and renal function regularly during therapy.
  • Pregnancy and lactation: assess risk‑benefit; generally avoided unless clearly needed.
  • Store at ambient temperature: keep in the original container, protect from moisture and heat.

Avoid Interactions

Metformin Hydrochloride can interact with several medicines, affecting safety or efficacy.

Major Interactions (Avoid)

  • Iodinated contrast agents: may precipitate acute renal failure.
  • Cimetidine: can increase metformin plasma concentrations.
  • Nitrates: combined use may raise the risk of lactic acidosis.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers: may mask symptoms of hypoglycaemia.
  • Diuretics: can affect renal clearance of metformin.
  • ACE inhibitors or ARBs: require monitoring of renal function and electrolytes.

Frequently Asked Questions

Metformin Hydrochloride Milpharm is used to improve blood‑glucose control in adults with type 2 diabetes mellitus. It may also be prescribed for impaired glucose tolerance and, off‑label, for conditions such as polycystic ovary syndrome where insulin resistance is a factor.

Metformin works by activating AMP‑activated protein kinase, which reduces hepatic glucose production, increases peripheral glucose uptake, and enhances insulin sensitivity. These actions lower circulating glucose without stimulating insulin release.

The exact dose of Metformin Hydrochloride is determined by the prescribing clinician based on the individual’s medical condition, renal function, and response to therapy. Patients should follow the prescriber’s instructions and not adjust the dose on their own.

Safety in pregnancy and lactation has not been fully established. Metformin should only be used during pregnancy or while breastfeeding if the prescriber judges that the potential benefits outweigh the possible risks to the mother and child.

To 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.

Metformin is a first‑line biguanide that lowers glucose without causing hypoglycaemia when used alone, unlike sulfonylureas. It also offers benefits such as modest weight loss and a low risk of cardiovascular events, making it a preferred initial therapy for many patients with type 2 diabetes.

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

Metformin Hydrochloride is taken orally, usually with meals to reduce gastrointestinal discomfort. The tablets are swallowed whole with a glass of water; they should not be crushed, chewed, or dissolved unless specifically instructed by a healthcare professional.

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

Metformin is contraindicated in patients with severe renal impairment (eGFR < 30 mL/min/1.73 m²), acute or chronic metabolic acidosis, known hypersensitivity to metformin, or those receiving iodinated contrast studies without adequate renal function monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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