Metformin Price in Bangladesh

Metformin is usually the first tablet prescribed for type 2 diabetes. It reduces the sugar the liver releases and helps the body respond to its own insulin. On its own it rarely causes low sugar, it does not add weight, and decades of use have made it one of the most studied medicines in the world. This shelf carries plain, extended-release and long-acting metformin tablets.

Biguanides sits under Anti-Diabetic (Oral Hypoglycemic Drugs).

Plain or Extended-Release

Form	Taken	Stomach upset
Plain tablet	Two or three times daily with meals	More common at first
XR, LA or SR tablet	Once daily with the evening meal	Usually less

Starting Without Stomach Trouble

Loose stools, wind, nausea and a metallic taste are common in the first weeks. Doctors start with a low dose and raise it slowly, which avoids most of this. Always take metformin with or just after food, never on an empty stomach. If upset persists, switching to an extended-release tablet often solves it.

Why It Rarely Causes Low Sugar

Metformin does not force the pancreas to release insulin, so on its own it seldom drops sugar too low, even if a meal is late. Combined with gliclazide, glimepiride or insulin, lows become possible, and the other medicine is usually the cause. Sulfonylureas are on Sulfonylureas.

Kidneys and Lactic Acidosis

Metformin leaves the body through the kidneys. When kidney function falls, it can build up and rarely cause lactic acidosis, a serious illness with deep breathing, vomiting and drowsiness. Doctors check kidney function at least yearly and lower or stop the dose as it declines. Heavy drinking also raises the risk.

Pause Before Scans and Surgery

Before a CT scan with contrast dye, an angiogram or an operation under general anaesthesia, metformin is usually stopped for a short time and restarted when kidney function is confirmed normal. Tell the hospital you take it. The same pause often applies during severe vomiting, diarrhoea or dehydration.

Vitamin B12 Over the Years

Long-term metformin can lower vitamin B12. Tingling or numbness in the feet, tiredness or a sore tongue may be the deficiency rather than diabetic nerve damage, and is easily treated. Ask for a B12 test every year or two if you have taken metformin for a long time.

PCOS and Prediabetes

Doctors also prescribe metformin for polycystic ovary syndrome, where it can help regulate periods and insulin resistance, and sometimes for prediabetes in people at high risk. In both cases weight loss and regular exercise matter at least as much as the tablet. Metformin is also continued or started in some pregnancies with diabetes, but only under an obstetrician’s care, and many women are moved to insulin.

Food, Walking and Weight

• Smaller rice portions — fill half the plate with vegetables and dal.
• Cut sweet drinks — sugary tea, soft drinks and juices raise sugar fastest.
• Walk after meals — even a short walk lowers the after-meal spike.
• Track HbA1c — the three-month average shows whether the plan works.

When Metformin Is Not Enough

Diabetes changes over time, and most people eventually need a second medicine. Many are prescribed metformin combined with another drug in one tablet, which keeps the pill count down. Those are on Combined Oral Hypoglycemic; empagliflozin and dapagliflozin, which also protect the heart and kidneys, are on SGLT2 Inhibitors.

Metformin Price in Bangladesh

Plain metformin from local manufacturers is one of the least expensive long-term medicines on Arogga; extended-release and long-acting tablets cost a little more.

Extended-release tablets can leave an empty shell in the stool; that is only the casing, and the medicine has already been released. Mention it to your doctor only if your sugar readings are not improving.

Before You Order

• Take it with or after food.
• Swallow XR tablets whole.
• Have kidney tests as advised.
• Tell the hospital before scans or surgery.
• Ask about a B12 test after years of use.

Manufacturers Stocked Here

Makers of metformin listed on Arogga:

• Square Pharmaceuticals PLC. — Comet, Comet XR
• Renata Limited — Bigmet
• Beximco Pharmaceuticals Ltd. — Informet, Informet LA
• Opsonin Pharma Limited — Met, Met XR
• Eskayef — Glunor, Glunor XR

Popular Product Examples

Plain and extended-release tablets:

• Comet 850 Tablet
• Bigmet 500 Tablet
• Comet XR 500 Tablet
• Glunor XR 500 Tablet

Frequently Asked Questions

Should metformin be taken before or after food?

With or just after food.

Does metformin cause low sugar?

Rarely on its own; more often with other diabetes medicines.

Why do I have diarrhoea on metformin?

It is common at first; ask about a slower dose increase or an XR tablet.

Does metformin damage the kidneys?

No, but weak kidneys need a lower dose or a different medicine.

Can metformin help with weight?

It does not add weight and may help a little.

Is metformin used for PCOS?

Yes, on a doctor’s prescription.