Product image of Metformine Zentiva K.S. (Metformin Hydrochloride) supplied by GNH India

Metformine Zentiva K.S.

Active Ingredient:
Metformin Hydrochloride
Origin:
EU

Metformine Zentiva K.S. (Metformin Hydrochloride)

Metformin Hydrochloride, the active ingredient in Metformine Zentiva K.S., is a biguanide presented as an oral tablet for oral administration. It reduces hepatic glucose production and improves peripheral insulin sensitivity, providing long‑term glycaemic control for adults with type 2 diabetes mellitus.

GNH India supplies Metformine Zentiva K.S. as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, adhering to EU GMP standards and offering reliable logistics for bulk and retail packaging.

Manufacturer / TM Owner

Zentiva France

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Indications & Clinical Uses

Metformine Zentiva K.S. (metformin) is used in the management of disorders related to impaired glucose regulation.

  • Type 2 diabetes mellitus: improves glycaemic control and lowers HbA1c levels.
  • Prediabetes (impaired fasting glucose): delays progression to type 2 diabetes when combined with lifestyle modification.
  • Polycystic ovary syndrome (off‑label): may improve insulin resistance and menstrual regularity.

How It Works

  • Metformin Hydrochloride primarily inhibits hepatic gluconeogenesis by activating AMP‑activated protein kinase (AMPK), which reduces glucose output. It also enhances peripheral glucose uptake in muscle and adipose tissue by improving insulin receptor signaling, thereby lowering circulating blood glucose without stimulating insulin secretion.

Side Effects

Metformine Zentiva K.S. may cause a range of adverse reactions.

Common Side Effects

  • Gastrointestinal upset: nausea, abdominal discomfort, or dyspepsia.
  • Diarrhea: frequent loose stools, especially during treatment initiation.
  • Metallic taste: transient alteration in taste perception.
  • Loss of appetite: reduced desire to eat.
  • Mild skin rash: occasional pruritic eruptions.

Serious or Rare Side Effects

  • Lactic acidosis: a rare but potentially fatal accumulation of lactate.
  • Severe hypoglycaemia: usually when combined with insulin or secretagogues.
  • Vitamin B12 deficiency: may develop with long‑term use.
  • Hepatic dysfunction: abnormal liver enzymes or hepatitis.
  • Pancreatitis: inflammation of the pancreas.
  • Severe skin reactions: such as Stevens‑Johnson syndrome.

Precautions & Warnings

When prescribing Metformine Zentiva K.S., clinicians should consider several safety measures.

  • Renal function assessment: avoid use in patients with severe renal impairment.
  • Hepatic function monitoring: caution in patients with liver disease.
  • Lactic acidosis risk: discontinue if signs of metabolic acidosis appear.
  • Elderly patients: start at lower doses and monitor tolerance.
  • Alcohol consumption: advise limiting intake to reduce acidosis risk.
  • Store at ambient temperature: keep below 25°C in the original packaging, protected from moisture.

Avoid Interactions

Metformine Zentiva K.S. interacts with several medicines that may alter its efficacy or safety.

Major Interactions (Avoid)

  • Iodinated contrast agents: can precipitate acute renal failure and lactic acidosis.
  • Cimetidine: may increase metformin plasma concentrations.
  • Alcohol: potentiates risk of lactic acidosis.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers: may mask hypoglycaemia symptoms.
  • ACE inhibitors or ARBs: can affect renal function, requiring dose adjustment.
  • Thiazide diuretics: may increase risk of hypoglycaemia.

Frequently Asked Questions

Metformine Zentiva K.S. contains metformin hydrochloride and is indicated for the treatment of type 2 diabetes mellitus. It helps lower elevated blood glucose levels by improving the body’s response to insulin and reducing glucose production in the liver.

Metformin Hydrochloride activates AMP‑activated protein kinase (AMPK), which suppresses hepatic gluconeogenesis and enhances peripheral glucose uptake. By doing so, it lowers fasting and post‑prandial blood glucose without directly stimulating insulin secretion.

The appropriate dose of Metformine Zentiva K.S. is individualized by the prescribing healthcare professional based on the patient’s glycaemic targets, renal function, age, and tolerance. Dosage adjustments are made according to clinical response and safety monitoring.

The safety of Metformine Zentiva K.S. in pregnancy and lactation has not been definitively established. Physicians should weigh potential benefits against possible risks and discuss alternative options with pregnant or nursing patients.

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.

Metformine Zentiva K.S. belongs to the biguanide class, which improves insulin sensitivity without causing hypoglycaemia when used alone. Compared with sulfonylureas, it does not stimulate insulin release, and unlike insulin therapy, it is administered orally and has a lower risk of weight gain.

Store Metformine Zentiva K.S. at ambient temperature, preferably below 25 °C. Keep the tablets in the original blister pack or container, protect them from moisture and direct sunlight, and ensure the packaging remains tightly closed.

Metformine Zentiva K.S. is taken orally, usually with meals to reduce gastrointestinal discomfort. The tablet should be swallowed whole with a full glass of water; it is not intended for crushing, chewing, or dissolving.

The most critical safety concerns are lactic acidosis—a rare but life‑threatening condition—and severe hypoglycaemia when combined with insulin or secretagogues. Patients should seek immediate medical attention for symptoms such as unexplained muscle pain, rapid breathing, abdominal discomfort, or marked fatigue.

Metformine Zentiva K.S. is contraindicated in individuals with severe renal impairment (eGFR < 30 mL/min/1.73 m²), acute or chronic metabolic acidosis, known hypersensitivity to metformin, and in patients with severe hepatic disease. Caution is also advised for the elderly and those with unstable heart failure.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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