Metformin is a biguanide antihyperglycemic agent and first-line pharmacotherapy used in the management of type II diabetes.[L12207,A176173] Metformin is considered an antihyperglycemic drug because it lowers blood glucose concentrations in type II diabetes without causing hypoglycemia. It is commonly described as an "insulin sensitizer", leading to a decrease in insulin resistance and a clinically significant reduction of plasma fasting insulin levels.[A176173] Another well-known benefit of this drug is modest weight loss, making it an effective choice for obese patients type II diabetes.[A36559] Metformin was first approved in Canada in 1972,[A36552] and received subsequent FDA approval in the US in 1995.[L12207]
Synonyms
Metformin hydrochloride
1,1-Dimethylbiguanide
Metformina
Metforminum
Metformin
Dimethylbiguanid
Metformine
Brand Names
PHL-metformin
Trijardy XR
Metformin Hydrochoride
Pioglitazone and Metformin Hydrochloride
Riomet
Bci Metformin
Metformin Hydrochloride
Acc-metformin
Apo-metformin
Metfomin Hydrochloride
Komboglyze
Kombiglyze XR
Riomet ER
Prz-metformin
Ava-metformin
Glipizide and Metformin Hydrochloride
Sitagliptin Phosphate/Metformin Hydrochloride
Zomarist
Metformin
Velmetia
Jamp Metformin
Sandoz Metformin XR
PMS-metformin - Tab 500mg
Mylan-metformin
Pioglitazone HCL and Metformin HCL
Appformin-D
Competact
Metformin Hydrochloride ER
GlipiZIDE and Metformin Hydrochloride
Glyburide-Metformin Hydrochloride
Q-metformin
Pioglitazone and metformin
Efficib
Ntp-metformin
Avandamet
Mint-metformin
Auro-metformin
Glyburide and Metformin
Metformin hydrochloride
Janumet
Sitagliptin Metformin Hydrochloride Mylan
Glyburide and Metformin Hydrochloride
Apo-sitagliptin/metformin XR
Kazano
METFORMIN Hydrochloride
Jentadueto XR
Invokamet
Invokamet XR
Metformin Hydrochloride Extended-Release
Metformin HCl ER
Glyburide Micronized and Metformin Hydrochloride
Pioglitazole and metformin hydrochloride
Glumetza (sb)
Ipg-metformin
Septa-metformin
Metformin-500 - Tab 500mg
Metformin ER 750 mg
Metformin Tablets 500mg
Ach-metformin
Dom-metformin
Dm2
Sandoz Metformin Fc
Metaglip
Appformin
Vildagliptin/metformin Hydrochloride Accord
Van-metformin
GLIPIZIDE and METFORMIN HYDROCHLORIDE
PMS-rosiglitazone-metformin
Act Metformin
Metformin HCl
Glyburide-metformin Hydrochloride
Segluromet
Jamp-metformin Blackberry
Actoplus Met
Pioglitazone and Metformin Hydrocholride
Ratio-metformin
Bio-metformin
Xigduo XR
Sitagliptin/metfor Min Hydrochloride Mylan
Sitagliptin/metfo Rmin Hydrochloride Mylan
Glubrava
Glucophage
Priva-metformin
Glucophage XR
Ecl-metformin
Vokanamet
Fortamet
Prandimet
Apo-metformin ER
Glumetza
Metformin-850
Ran-metformin
Glyburide (micronized) and Metformin Hydrochloride
Ebymect
Jentadueto
Metformin Hydrochloride Oral Solution
Glipizide and Metformin HCl
Metformin Hydrochloride Extended Release
Synjardy XR
Glycon
Repaglinide and Metformin Hydrochloride
Riva-metformin
Mar-metformin
Qternmet XR
Gpc-metformin XR
Vipdomet
Icandra
Janumet XR
Rhoxal-metformin
Glucovance
Metformin Fc
Actoplus Met XR
Alogliptin and Metformin Hydrochloride
Teva-metformin
Metformin Tablets
Metformin hydrochloride ER
Orb-metformin
Ag-metformin
Xigduo
Ristfor
Apo-sitagliptin-metformin
Metformin ER 500 mg
Pmsc-metformin
Pro-metformin
Metformin Hydrochloride E/r
Pg-metformin
Synjardy
Med Metformin Tablets 500mg
Eucreas
Pioglitazone Hydrochloride and Metformin Hydrochloride
PMS-metformin
Indication
**Metformin immediate-release formulations** Metformin is indicated as an adjunct to diet and exercise to improve glycemic control in adults and pediatric patients ≥10 years old with type 2 diabetes mellitus.[L40243] **Metformin extended-release tablet (XR)** The extended-release formulation of metformin is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. Safety in children has not been determined to this date.[L12207] **Metformin combination products** Metformin is a component of a variety of combination products with other anti-diabetic agents. It is indicated, along with diet and exercise, to improve glycemic control in adult patients with type 2 diabetes mellitus in combination with DPP-4 inhibitors ([sitagliptin], [linagliptin], [alogliptin], or [saxagliptin]),[L11479,L40248,L40253,L40258,L40263] in combination with SGLT2 inhibitors ([canagliflozin], [empagliflozin], [ertugliflozin], or [dapagliflozin]),[L11479,L30503,L1134,L13679,L38729] or in combination with [pioglitazone].[L11419]
Categories
Alimentary Tract and Metabolism
Amidines
Biguanides
Blood Glucose Lowering Agents
Drugs that are Mainly Renally Excreted
Drugs Used in Diabetes
Guanidines
MATE 1 Substrates
MATE 2 Substrates
MATE substrates
OCT1 substrates
OCT2 Inhibitors
OCT2 Substrates
Oral Hypoglycemics
ATC-Code
A10BD23
A10BD02
A10BD18
A10BD11
A10BD25
A10BA02
A10BD22
A10BD14
A10BD16
A10BD17
A10BD05
A10BD15
A10BD07
A10BD10
A10BD13
A10BD26
A10BD20
A10BD08
A10BD27
A10BD03
CAS number
657-24-9
Drug Targets
Name
Target Sequence
Pharmacological Action
Actions
Electron transfer flavoprotein-ubiquinone oxidoreductase, mitochondrial
Drug Info/Drug Targets: DrugBank 3.0: a comprehensive resource for 'omics' research on drugs. Knox C, Law V, Jewison
T, Liu P, Ly S, Frolkis A, Pon A, Banco K, Mak C, Neveu V, Djoumbou Y, Eisner R, Guo AC, Wishart DS.
Nucleic Acids Res. 2011 Jan; 39 (Database issue):D1035-41. | PMID:21059682