Product image of Metformin Teva B.V. (Metformin Hydrochloride) supplied by GNH India

Metformin Teva B.V.

Active Ingredient:
Metformin Hydrochloride
Origin:
EU

Metformin Teva B.V. (Metformin Hydrochloride)

Metformin Hydrochloride, the active ingredient in Metformin Teva B.V., is a biguanide presented as an oral tablet for oral use. It helps lower elevated blood glucose levels by targeting hepatic glucose output and improving peripheral insulin sensitivity, and it is indicated for the management of type 2 diabetes mellitus as well as off‑label use in insulin‑resistant conditions.

GNH India supplies Metformin Teva B.V. as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The product conforms to EU quality standards and is manufactured under strict Good Manufacturing Practice guidelines.

Manufacturer / TM Owner

Teva B.V

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Indications & Clinical Uses

  • Metformin is an oral antidiabetic agent that acts on glucose metabolism in type 2 diabetes and related insulin‑resistant states.
  • Type 2 diabetes mellitus: improves glycemic control by reducing hepatic glucose production and enhancing peripheral glucose uptake.
  • Polycystic ovary syndrome: may improve insulin sensitivity and restore ovulatory function in affected women.
  • Impaired glucose tolerance: helps delay progression to overt diabetes by improving insulin action.

How It Works

  • Metformin primarily inhibits mitochondrial respiratory‑chain complex I, leading to reduced hepatic gluconeogenesis. The resulting decrease in ATP stimulates AMP‑activated protein kinase (AMPK), which enhances insulin‑mediated glucose uptake in muscle and adipose tissue and suppresses lipogenesis. Metformin also modestly reduces intestinal glucose absorption and may improve gut microbiota composition, contributing further to its antihyperglycemic effect.

Side Effects

Metformin may cause a range of adverse reactions, most of which are mild and transient.

Common Side Effects

  • Gastrointestinal upset: nausea, abdominal discomfort, or loss of appetite.
  • Diarrhea: watery stools occurring especially after dose initiation.
  • Metallic taste: transient alteration in taste perception.

Serious or Rare Side Effects

  • Lactic acidosis: a rare but life‑threatening accumulation of lactate.
  • Severe skin reactions: such as Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Vitamin B12 deficiency: may develop with long‑term therapy.
  • Hepatic dysfunction: rare elevation of liver enzymes or hepatitis.

Precautions & Warnings

Before initiating Metformin, several safety considerations should be evaluated.

  • Renal function assessment: ensure eGFR ≥30 mL/min/1.73 m² before starting.
  • Hepatic function monitoring: avoid use in patients with active liver disease.
  • Risk of lactic acidosis: contraindicated in conditions predisposing to hypoxia (e.g., heart failure, severe infection).
  • Concomitant alcohol use: limit intake as alcohol can increase lactic acidosis risk.
  • Dose adjustments in the elderly: start with lower doses and titrate cautiously.
  • Store at room temperature: keep in the original container, protect from moisture and heat.

Avoid Interactions

Metformin’s pharmacokinetics can be altered by several co‑administered medicines, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Iodinated contrast agents: may precipitate acute renal failure and increase lactic acidosis risk.
  • Cimetidine: can raise Metformin plasma concentrations.
  • Alcohol intoxication: heightens risk of lactic acidosis.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers: may mask hypoglycemia symptoms.
  • ACE inhibitors or ARBs: can affect renal function, requiring monitoring of eGFR.
  • Thiazide diuretics: may increase risk of hypoglycemia when combined with insulin secretagogues.

Frequently Asked Questions

Metformin Teva B.V. is used to improve blood‑sugar control in adults with type 2 diabetes mellitus. It lowers hepatic glucose production and increases peripheral insulin sensitivity, helping to achieve target glycemic levels. The product is also employed off‑label for conditions such as polycystic ovary syndrome where insulin resistance is a key factor.

Metformin works by inhibiting mitochondrial complex I, which reduces the liver’s production of glucose. This energy shift activates AMP‑activated protein kinase (AMPK), a cellular sensor that enhances glucose uptake in muscle and fat tissue while suppressing fat synthesis. The combined effect lowers circulating glucose without stimulating insulin release.

The appropriate Metformin dose is individualized by the prescribing healthcare professional based on factors such as the patient’s renal function, glycemic targets, concomitant medications, and tolerance. Dosage may be started low and gradually increased to balance efficacy with the risk of gastrointestinal side effects.

Metformin is classified as pregnancy category unknown in many regions, and its safety profile in pregnancy is not fully established. It may be used during pregnancy only when the potential benefit outweighs the risk, and under specialist supervision. Metformin is excreted in breast milk; breastfeeding mothers should discuss risks and alternatives with their clinician.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide. After the request, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details (including any cold‑chain requirements) and assist with import documentation.

Metformin belongs to the biguanide class and differs from sulfonylureas, which stimulate insulin secretion, and from insulin itself, which replaces the hormone. Metformin does not cause hypoglycemia when used alone, has a favorable effect on weight, and may improve cardiovascular outcomes, making it a first‑line therapy in most guidelines.

Metformin tablets should be stored at room temperature, below 25 °C, in the original container to protect them from moisture and light. Keep the product out of reach of children and avoid storing it in bathrooms or other humid environments.

Metformin is taken orally, usually with meals to reduce gastrointestinal discomfort. Tablets are swallowed whole with a full glass of water. The specific dosing schedule—once, twice, or thrice daily—is determined by the prescriber based on the individual’s therapeutic needs.

The most serious risk is lactic acidosis, a rare but potentially fatal condition that can occur in patients with severe renal impairment, hepatic disease, or conditions that cause tissue hypoxia. Other serious concerns include severe skin reactions such as Stevens‑Johnson syndrome and significant vitamin B12 deficiency with prolonged use.

Metformin is contraindicated in patients with known hypersensitivity to the drug, severe renal impairment (eGFR < 30 mL/min/1.73 m²), acute or chronic metabolic acidosis, and in those with conditions that predispose to hypoxia such as severe heart failure or recent myocardial infarction. Clinicians should also exercise caution in the elderly and in patients with liver disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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