• Nefrologia · Jan 2011

    Case Reports

    The nephrologist's role in metformin-induced lactic acidosis.

    • L Gómez-Navarro, G de Arriba, M Sánchez-Heras, K M Pérez del Valle, B Hernández-Sevillano, M A Basterrechea, S Tallón, M Torres-Guinea, and J R Rodríguez-Palomares.
    • Nephrology Department, University Hospital of Guadalajara, Spain.
    • Nefrologia. 2011 Jan 1; 31 (5): 587-90.

    AbstractMetformin is an antihyperglycemic agent commonly used in diabetic patients. It is very effective and is able to reduce the plasma glucose and HbA1C. However, in some patients, specially those with comorbidities, metformin can provoke severe lactic acidosis with high morbimortality. Treatment of the lactic acidosis induced by metformin is based on the use of supportive general measures; in severe cases, procedures of extrarrenal purification like hemodialysis or continuous hemodiafiltration have been successfully used.

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