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Fortamet Dosing

For most people who are just beginning to treat type 2 diabetes with Fortamet, dosing typically starts at 1000 mg, taken once a day. People who are also taking insulin usually start with a lower dose of 500 mg a day. If necessary, your Fortamet dosing may be gradually increased up to a maximum of 2500 mg a day.

Fortamet Dosing: An Overview

The dosing of Fortamet® (metformin hydrochloride extended-release) that your healthcare provider prescribes will vary, depending on a number of factors, including:
  • How well your diabetes is controlled
  • Other medical conditions you may have
  • Other medications you are currently taking.
As is always the case, do not adjust your dose unless your healthcare provider specifically instructs you do to so.

Fortamet Dosing for Type 2 Diabetes

The recommended starting dose of Fortamet for the treatment of type 2 diabetes is Fortamet 1000 mg, taken once a day with your evening meal. For some people, a lower starting dose (Fortamet 500 mg once daily) may be recommended. Your healthcare provider may slowly increase your dose (by 500 mg per week), if necessary, up to 2500 mg once daily. Increasing the dose slowly helps to avoid intestinal side effects, such as diarrhea and gas.

Fortamet Dosing With Insulin

The starting dose of Fortamet for people taking insulin is 500 mg, taken once a day. The maximum total daily dose for people taking insulin is Fortamet 2500 mg. Usually, when adding Fortamet to insulin, you should continue with your normal insulin dose.

General Fortamet Dosing Information

Considerations for people taking Fortamet include the following:
  • Fortamet should be taken once daily with your evening meal.
  • Fortamet should be taken at the same time each day to maintain an even level of the drug in your blood.
  • Do not crush or chew Fortamet tablets. Fortamet tablets must be swallowed whole.
  • If your diabetes is not under control after one month of using the maximum Fortamet dose, talk to your healthcare provider about possibly adding another diabetes medication.
  • When switching from chlorpropamide (Diabinese®) to Fortamet, special care should be taken to avoid low blood sugar (hypoglycemia). Chlorpromamide is a very long-acting medicine that may stay in your system for some time after you stop taking it.
  • Some people may notice the outer shells of Fortamet tablets in their stool. This is normal and does not change the effectiveness of Fortamet.
  • If you do not take your Fortamet as scheduled, take your next dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue on your regular schedule. Do not take a double dose of Fortamet.
  • For Fortamet to work properly, you have to take it as prescribed. Fortamet will not work if you take it differently than how your healthcare provider recommends.
  • If you are unsure about anything related to Fortamet or your Fortamet dosage, talk to your doctor, nurse, or pharmacist. Do not stop taking Fortamet without first discussing it with your healthcare provider.
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