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I likes to stop Pedwin tablet using for last 15 years.
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Nervous System Disorders
Question #11072
301 days ago
321

I likes to stop Pedwin tablet using for last 15 years.

Gopi Sribhashyam

Doctor, respects. I am taking Pedwin tablet for last 15 years. I am diabetic and hypertension patient taking medicines. I am trying for diabetic remission for last one year. I reduced my weight from 83 kilos to 64 kilos which is ideal for my height. I stopped taking glimepiride 1 mg and Metformin 500 mg twice a day. Now only on Metformin 500 mg once in afternoon. Now I would like to stop Metformin. Guide me the process and alternative suggest which are better, less side effects. Present I am ok. All symptoms are under control.

Age: 59
Chronic illnesses: Diabetic and hypertension
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Doctors' responses

Considering your desire to stop Metformin and the remarkable weight reduction you’ve achieved, there’s some essential points to remember. It’s great that you’ve been able to manage your diabetes and hypertension effectively, but stopping Metformin should be approached cautiously, particularly given your history. Since Metformin is often a cornerstone medication for controlling blood sugar, ceasing it suddenly can sometimes lead to blood sugar instability. The best first step would be to consult closely with your healthcare provider to evaluate your current HbA1c levels and any other relevant indicators to ensure that your diabetes is well-controlled without the medication.

If your healthcare provider feels it’s appropriate, a gradual reduction under medical supervision would be advisable. They may suggest monitoring your blood sugar levels more frequently during this time to ensure they remain within target range. Also, continue with lifestyle interventions such as a balanced diet rich in fiber and low in processed sugars, and regular exercise, which are key in maintaining diabetes control.

There are no widely recommended alternative medications to Metformin with less side effects in terms of safety and efficacy; thus re-evaluating whether long-term low-dose continuation might still be beneficial is wise. However, should medication still be required, possibly medications like SGLT2 inhibitors or GLP-1 receptor agonists can be considered, as they come with cardiovascular and weight benefits, but these should be discussed in detail with your doctor to consider the benefit-risk profile in your case given your history of hypertension. Monitoring regularly and keeping all symptoms under control remains crucial as you make any changes.

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