What Causes Difficulty In Swallowing Along With Dizziness While On Metformin?
Can you give me an idea as to what is going on, how metformin fits into the picture, where I might be headed. Thank you very much.
Let me know if you have any questions.
Extremely high doses of metformin.
Detailed Answer:
Hello,
Thanks for asking query on HCM.
Have gone theough your detailed narration my dear patient.
Metformin is contraindicated in patients with Hepatic and Renal problems.
Fluid accumulation in body also termed as congestion can be either due to the involvement of heart or kidney or liver.
Firstly Metformin2000 mg per day is overdosing.
Maximum optimal dose of metformin per day should not exceed 1000 mg.
Most likely due to such high doses of metformin your kidney or kiver functions might have detoriated hence your nurse asked you to stop it immediately.
For a patient in acute phase of congestion its better to use insulin initially and once patient is stable we can shift patient on optimal doses of glimeperide or metformin.Much safer options like gliptins are also available now.
I would like to go through the reports of your 2d echo.
What is you ejection fraction?
Is there any RWMA?
Which walls are hypo or akinetic?
Any valvualr leakage?
Waiting.