Product image of Metformin Sr Crescent Pharma (Metformin Hydrochloride) supplied by GNH India

Metformin Sr Crescent Pharma

Active Ingredient:
Metformin Hydrochloride
Origin:
EU

Metformin Sr Crescent Pharma (Metformin Hydrochloride)

Metformin, the active ingredient in Metformin Sr Crescent Pharma, is a Biguanide presented as an unknown/unknown for oral use. It treats type 2 diabetes mellitus in adults by improving blood glucose control.

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

Manufacturer / TM Owner

Crescent Pharma Limited

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Indications & Clinical Uses

  • Metformin is indicated for conditions involving impaired glucose regulation and is used primarily in the management of type 2 diabetes.
  • Type 2 diabetes mellitus: improves glycemic control and reduces HbA1c levels.
  • Prediabetes (impaired glucose tolerance): delays progression to overt diabetes.
  • Polycystic ovary syndrome (off‑label): helps restore ovulatory cycles and reduces insulin resistance.

How It Works

  • Metformin lowers hepatic glucose production by inhibiting mitochondrial respiratory‑chain complex I, which reduces gluconeogenesis. It also decreases intestinal glucose absorption and enhances peripheral insulin sensitivity by activating AMP‑activated protein kinase (AMPK), facilitating glucose uptake in muscle and adipose tissue.

Side Effects

Metformin is generally well tolerated, but several adverse reactions have been reported.

Common Side Effects

  • Gastrointestinal upset: nausea, abdominal discomfort, and loss of appetite.
  • Diarrhea: frequent loose stools, especially during treatment initiation.
  • Metallic taste: transient alteration in taste perception.
  • Flatulence: increased intestinal gas.
  • Weight loss: modest reduction in body weight.
  • Vitamin B12 deficiency: decreased absorption with long‑term use.

Serious or Rare Side Effects

  • Lactic acidosis: rare but potentially fatal metabolic acidosis.
  • Severe skin reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Hepatic dysfunction: elevated liver enzymes or hepatitis.
  • Hypoglycemia: when combined with insulin or sulfonylureas.
  • Acute pancreatitis: infrequent inflammatory pancreatic episodes.
  • Anemia: due to reduced red‑cell production in rare cases.

Precautions & Warnings

Metformin should be used with careful clinical monitoring and patient education.

  • Renal function assessment: evaluate creatinine clearance before initiation and periodically.
  • Hepatic function monitoring: avoid use in severe liver disease.
  • Contraindicated in severe renal impairment: do not use if eGFR <30 mL/min/1.73 m².
  • Risk of lactic acidosis: discontinue before radiologic contrast studies.
  • Use with caution in elderly patients: start at lower doses and monitor tolerance.
  • Store at ambient temperature: keep in the original container, protect from moisture and heat.

Avoid Interactions

Metformin may interact with several medicines, altering its efficacy or safety profile.

Major Interactions (Avoid)

  • Iodinated contrast agents: increase risk of lactic acidosis; withhold metformin before and after imaging.
  • Cimetidine: may raise metformin plasma concentrations.
  • Alcohol: potentiates lactic acidosis, especially in patients with hepatic disease.

Moderate Interactions (Monitor Closely)

  • Thiazide diuretics: can impair renal function, raising metformin levels.
  • Beta‑blockers: may mask hypoglycemia symptoms.
  • ACE inhibitors or ARBs: monitor renal function and electrolytes.
  • NSAIDs: may reduce renal clearance of metformin.
  • Certain antiretrovirals (e.g., protease inhibitors): may increase metformin exposure.

Frequently Asked Questions

Metformin Sr Crescent Pharma contains metformin hydrochloride, a Biguanide indicated for the management of type 2 diabetes mellitus. It helps lower elevated blood glucose levels by improving the body’s response to insulin and reducing hepatic glucose output.

Metformin acts primarily by inhibiting mitochondrial respiratory‑chain complex I, which reduces hepatic gluconeogenesis. It also activates AMP‑activated protein kinase (AMPK), enhancing peripheral insulin sensitivity and decreasing intestinal glucose absorption, thereby lowering overall blood glucose.

The specific dose and dosing schedule are determined by the prescribing healthcare professional based on the patient’s clinical condition, renal function, and response to therapy. Patients should follow the prescriber’s instructions and not adjust the dose on their own.

Metformin may be prescribed during pregnancy for certain indications such as gestational diabetes, but the decision rests with the obstetrician. Limited data are available for breastfeeding; the prescriber should weigh potential benefits against any possible risks to the infant.

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.

Metformin is often preferred as first‑line therapy for type 2 diabetes because it does not cause weight gain and has a low risk of hypoglycemia when used alone. Compared with sulfonylureas or insulin, it has a different mechanism—targeting hepatic glucose production rather than stimulating insulin secretion.

Store the product at ambient temperature, below 25 °C, in the original packaging. Keep it away from moisture, direct sunlight, and heat sources to maintain stability and potency throughout its shelf life.

Metformin Sr Crescent Pharma is taken orally, usually with meals to reduce gastrointestinal discomfort. Tablets should be swallowed whole with a full 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 life‑threatening condition that can occur in patients with severe renal or hepatic impairment, or after exposure to iodinated contrast. Prompt medical attention is required if symptoms such as unexplained fatigue, rapid breathing, or abdominal pain develop.

Metformin is contraindicated in patients with severe renal impairment (eGFR <30 mL/min/1.73 m²), acute or chronic metabolic acidosis, and known hypersensitivity to metformin. Caution is also advised for individuals with significant hepatic disease, heart failure, or a history of lactic acidosis.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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