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Metformin Hydrochloride 125 mg/mL Oral Suspension

FDA-approved generic
Dose form
Suspension
Active ingredients
Metformin Hydrochloride

Metformin Hydrochloride 125 mg/mL Oral Suspension is a liquid dosage form where the active ingredient, Metformin Hydrochloride, is uniformly dispersed in a liquid medium, ensuring a homogeneous mixture for easy administration. This formulation is primarily used to manage and treat type 2 diabetes mellitus by improving blood sugar control in adults and children.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Metformin Hydrochloride
Suspension
Service area

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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Metformin Hydrochloride 125 mg/mL Oral Suspension is a compounded liquid formulation designed to provide an alternative dosing option for patients requiring metformin therapy who may have difficulty swallowing traditional tablets or require precise dosing adjustments. Metformin is a biguanide class medication primarily used in the management of type 2 diabetes mellitus to improve glycemic control.

This oral suspension offers a uniform dispersion of Metformin Hydrochloride throughout the liquid medium, ensuring consistent dosing with each administration. The compounded formulation allows for flexibility in dosing, which can be particularly beneficial for pediatric patients, geriatric patients, or those with swallowing difficulties (dysphagia).

Metformin works by decreasing hepatic glucose production, decreasing intestinal absorption of glucose, and improving insulin sensitivity by increasing peripheral glucose uptake and utilization. It does not cause insulin release from the pancreas and does not usually cause hypoglycemia when used alone. This makes it a cornerstone in the management of type 2 diabetes mellitus, especially in overweight patients.

For prescribers, this formulation allows for individualized dosing regimens tailored to the patient's specific needs. It may also be useful in patients with gastroparesis or other gastrointestinal conditions where tablets may not be adequately dissolved or absorbed. The liquid form ensures rapid and uniform availability of the active drug.

Patients using this formulation should be aware of the potential side effects of metformin, which may include gastrointestinal disturbances such as diarrhea, nausea, vomiting, and abdominal discomfort. These side effects are often transient and may decrease over time. Starting with a lower dose and gradually increasing as tolerated may help minimize these effects.

It is important to monitor renal function before initiating therapy and periodically thereafter, as metformin is contraindicated in patients with severe renal impairment due to the risk of lactic acidosis, a rare but serious complication. Patients should also inform their healthcare provider of any history of liver disease, alcohol abuse, or other conditions that may increase the risk of lactic acidosis.

Administration of the oral suspension should be done with care to ensure accurate dosing. Patients or caregivers should use an appropriate measuring device (such as an oral syringe or dosing cup) to measure each dose accurately. Shaking the bottle well before each use ensures the medication is evenly dispersed.

As with all medications, adherence to prescribed dosing schedules is crucial for optimal therapeutic outcomes. Patients should maintain regular follow-up appointments with their healthcare provider to monitor blood glucose levels and adjust dosing as necessary.

If you have any questions or require further information about Metformin Hydrochloride 125 mg/mL Oral Suspension, please do not hesitate to reach out to us.

Drug Interactions

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Metformin Hydrochloride 125 mg/mL Oral Suspension is a liquid dosage form designed to provide a homogeneous mixture for administration, ensuring consistent dosing and ease of use, particularly for patients who may have difficulty swallowing tablets. This formulation is primarily used in the management of type 2 diabetes mellitus, where it helps to control blood glucose levels by decreasing hepatic glucose production, decreasing intestinal absorption of glucose, and improving insulin sensitivity by increasing peripheral glucose uptake and utilization.

When considering the use of Metformin Hydrochloride Oral Suspension, it is crucial to be aware of potential drug interactions that may affect its efficacy or increase the risk of adverse effects. One significant interaction is with cationic drugs that are eliminated by renal tubular secretion, such as amiloride, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamterene, trimethoprim, and vancomycin. These drugs may compete for common renal tubular transport systems, potentially leading to increased plasma concentrations of metformin and an elevated risk of lactic acidosis.

Concomitant use of metformin with other antidiabetic medications, such as insulin or sulfonylureas, may enhance the glucose-lowering effect, increasing the risk of hypoglycemia. Patients should be monitored closely for signs of low blood sugar, and dosage adjustments may be necessary to maintain optimal glycemic control while minimizing the risk of hypoglycemia.

Alcohol consumption can potentiate the effect of metformin on lactate metabolism, increasing the risk of lactic acidosis. Patients should be advised to limit alcohol intake while using this medication. Additionally, iodinated contrast agents used in radiologic studies can lead to acute alteration of renal function, increasing the risk of metformin accumulation and lactic acidosis. It is recommended to discontinue metformin prior to or at the time of the imaging procedure and to withhold it for 48 hours after the procedure, resuming only once renal function has been re-evaluated and found to be normal.

Other medications that may interact with metformin include beta-blockers, which can mask the symptoms of hypoglycemia, and diuretics, which can affect renal function and potentially alter metformin clearance. Patients and prescribers should be vigilant in monitoring for any signs of adverse interactions and adjust treatment regimens accordingly.

For any questions or concerns regarding the use of Metformin Hydrochloride 125 mg/mL Oral Suspension and its potential interactions, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you in ensuring safe and appropriate use of this medication.

How Does it Work

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Metformin Hydrochloride 125 mg/mL Oral Suspension is a liquid dosage form designed to provide a uniform dispersion of metformin hydrochloride, an active pharmaceutical ingredient, throughout a liquid medium. This formulation ensures a homogeneous mixture, allowing for precise dosing and ease of administration, particularly beneficial for patients who may have difficulty swallowing tablets or require tailored dosing adjustments. The liquid suspension is carefully compounded to maintain stability and efficacy, ensuring that each milliliter contains an accurate concentration of the active ingredient.

Metformin is a biguanide class medication primarily used to manage type 2 diabetes mellitus. It works by decreasing hepatic glucose production, reducing intestinal absorption of glucose, and enhancing insulin sensitivity by increasing peripheral glucose uptake and utilization. This multifaceted mechanism of action helps to lower blood glucose levels, thereby improving glycemic control in patients with type 2 diabetes. By improving insulin sensitivity, metformin also aids in reducing insulin resistance, a common issue in type 2 diabetes, which can help in managing associated metabolic conditions.

The oral suspension form of metformin hydrochloride is particularly advantageous for pediatric patients, elderly patients, or those with dysphagia, as it allows for easier swallowing and the ability to adjust doses more precisely than with solid dosage forms. This flexibility can be crucial in achieving optimal therapeutic outcomes, as it enables healthcare providers to tailor the dosage to the individual needs of the patient, taking into account factors such as age, weight, renal function, and response to therapy.

For prescribers, the metformin hydrochloride oral suspension offers a versatile option for managing type 2 diabetes, especially in patients who require a non-standard dose or have specific administration challenges. It is important to monitor patients regularly to assess the effectiveness of the treatment and make any necessary adjustments to the dosage. Additionally, prescribers should educate patients on the importance of adhering to their prescribed regimen and maintaining a balanced diet and regular exercise to enhance the therapeutic effects of metformin.

Patients using this formulation should be aware of potential side effects, such as gastrointestinal disturbances, which are common with metformin therapy. These can often be minimized by starting with a lower dose and gradually increasing it as tolerated. Patients should also be informed about the signs of lactic acidosis, a rare but serious side effect, and advised to seek medical attention if they experience symptoms such as unusual muscle pain, difficulty breathing, or severe fatigue.

If you have any questions or require further information about Metformin Hydrochloride 125 mg/mL Oral Suspension, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation or its use in managing type 2 diabetes.

Frequently Asked Questions

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What is Metformin Hydrochloride 125 mg/mL Oral Suspension?

Metformin Hydrochloride 125 mg/mL Oral Suspension is a liquid dosage form of the medication metformin, where the active ingredient is uniformly dispersed throughout a liquid medium, providing a homogeneous mixture for easy administration.

What is the purpose of Metformin Hydrochloride Oral Suspension?

This oral suspension is used to manage blood sugar levels in individuals with type 2 diabetes, helping to improve glycemic control as part of a comprehensive treatment plan that includes diet and exercise.

How should I store Metformin Hydrochloride Oral Suspension?

Store the suspension at room temperature, away from direct sunlight and moisture. Ensure the bottle is tightly closed when not in use, and keep it out of reach of children.

How do I take Metformin Hydrochloride Oral Suspension?

Shake the bottle well before each use to ensure the medication is evenly distributed. Measure the prescribed dose using a proper measuring device or spoon, and take it as directed by your healthcare provider.

Can I take Metformin Hydrochloride Oral Suspension with food?

Yes, it is generally recommended to take metformin with meals to reduce the risk of gastrointestinal side effects such as nausea and diarrhea.

What should I do if I miss a dose of Metformin Hydrochloride Oral Suspension?

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Metformin Hydrochloride Oral Suspension?

Common side effects may include gastrointestinal symptoms such as nausea, vomiting, diarrhea, and abdominal discomfort. If you experience severe side effects or signs of lactic acidosis, seek medical attention immediately.

Can Metformin Hydrochloride Oral Suspension be used in children?

The use of metformin in children should be determined by a healthcare provider. It is important to follow the prescribed dosage and administration guidelines provided by the healthcare professional.

Is Metformin Hydrochloride Oral Suspension suitable for individuals with kidney problems?

Metformin should be used with caution in individuals with kidney problems. Your healthcare provider will assess your kidney function before prescribing this medication and may adjust the dosage accordingly.

Can I drink alcohol while taking Metformin Hydrochloride Oral Suspension?

It is advisable to limit alcohol consumption while taking metformin, as alcohol can increase the risk of lactic acidosis and affect blood sugar control. Consult your healthcare provider for specific recommendations.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Metformin Hydrochloride 125 mg/mL Oral Suspension
Suspension
30 mL
controlled

Take orally

Twice daily