作者danagmwad (醜胖集一身)
看板Pharmacy
標題Re: [問題] 請問metformin的藥量?
時間Wed Dec 24 17:22:28 2008
節錄Metformin for treatment of the polycystic ovary syndrome(UpToDate)
Dose — Metformin is available in a generic form as 500, 850, and 1000 mg
tablets. The target dose is 1500 to 2550 mg; clinically significant responses
are not regularly observed at doses less than 1000 mg daily. Many clinicians
begin treatment with 500 mg taken with a large meal, to reduce
gastrointestinal side effects. If tolerated, the dose can be increased to 500
mg at both lunch and dinner, and then to 500 mg at breakfast, lunch, and
dinner.
另外在Dose and side effects 中也有寫
The two best studied metformin regimens are 500 mg three times daily (1500 mg
daily) and 850 mg twice daily (1700 mg daily).Some authorities believe that women with PCOS who do not respond at these
doses should be treated with 2000 mg daily
(Medline ® Abstract for Reference 39 of
'Metformin for treatment of the polycystic ovary syndrome' )
所以依照這樣看的話,開TID應該是沒有問題的@@a
但不知道資料是否正確,如有錯誤希望前輩可以指教 謝謝
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我之前是吃500mg BID ,但吃了半年後就沒什麼成效了...~"~
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1F:推 argustin:很想知道為什麼吃了半年之後沒成效?老實說因為我的副作用 12/24 17:51
2F:→ argustin:(噁心腹瀉)嚴重,所以我沒非常固定的吃,效果也不好..> < 12/24 17:52
3F:→ danagmwad:噁心腹瀉是正常的 之前學姊告訴我是因為要藉著這個 12/24 18:17
4F:→ danagmwad:副作用而讓體重下降 我吃了半年後其實腹瀉跟噁心就沒有 12/24 18:17
5F:→ danagmwad:很嚴重= =體重就一直停滯 加上我吃了半年後開始 12/24 18:18
6F:→ danagmwad:又不來了ˋ(′_‵||)ˊ而且長達兩季 所以醫生就建議我 12/24 18:18
7F:→ danagmwad:換回服用Diane 12/24 18:18
8F:→ danagmwad:不過每個人體質都有差吧...我的醫生之前建議我吃是因為 12/24 18:20
9F:→ danagmwad:他有病人服用後MC都有照常來 而且體重回復到正常的BMI內 12/24 18:20
10F:→ danagmwad:所以我也許是特例之一吧XD 12/24 18:20
11F:推 monicae:腸胃的副作用是正常的 所以這個藥通常會開飯後吃 12/24 21:08
12F:推 fluoxetine:我在服用第三個月才出現腹瀉噁心症狀 12/25 01:06
13F:→ fluoxetine:體重完全沒有變化 月經本來一年多沒來 12/25 01:06
14F:→ fluoxetine:目前大概一個半到兩個月來一次 12/25 01:06
15F:→ fluoxetine:腹瀉症狀已經持續快六個月了 12/25 01:07
16F:推 argustin:是不是飯前吃藥副作用會比較少且 降低糖份效果更好? 12/25 10:05
17F:推 DM1984:這篇文章裡有寫到配大量食物吃會比較好 12/25 17:30
18F:→ DM1984:可減少消化系統副作用 12/25 17:30