Feel More Comfortable Dispensing Metformin in STABLE Kidney Disease

March 2015

"Please see the April 2016 FDA statement concerning revised recommendations for use of metformin-containing products in patients with reduced kidney function."

You'll see metformin used more in patients with kidney disease.

Only half of all type 2 diabetes patients take metformin...partly due to concerns about renal function and lactic acidosis.

Metformin is currently contraindicated when serum creatinine (SCr) is ≥ 1.5 mg/dL in men or ≥ 1.4 mg/dL in women.

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Table of Contents

Vaccines Point Out One Child Will Die for Every 10 That Get Tetanus
Diabetes Suggest Saving Afrezza for Patients Who Balk at Mealtime Insulin Injections
Diabetes Feel More Comfortable Dispensing Metformin in STABLE Kidney Disease
Women's Health Suggest Saving Opioids for Severe Pain During Pregnancy
Respiratory & Allergy Tell Patients All OTC and Rx Nasal Steroids Work About the Same
Anticoagulants Suggest Avoiding Savaysa for A Fib if CrCl is OVER 95 mL/min
Rosacea Suggest Soolantra for Rosacea if Metronidazole Isn't Enough
Psoriasis Explain Otezla May Be Safer Than Methotrexate for Plaque Psoriasis
Eating Disorders Suggest Vyvanse for Adults Who Binge Eat More Than 3 Days Per Week
Readmissions Ask for Discharge Orders to Understand Med Changes During Hospitalization
Kidney Stones Suggest Doxazosin for Kidney Stones if Tamsulosin Isn't Available
New Drugs Watch for Dosing Confusion with Ceftolozane/Tazobactam
Infectious Diseases Consider Steroids for CAP Patients on the Floor