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After 10 to 15 days the dose should be adjusted on the basis of blood glucose measurements.

The maximum recommended dose of metformin hydrochloride is 3 g daily, taken as 3 divided doses. If transfer from another oral antidiabetic agent is intended: discontinue the other agent and initiate metformin at the dose indicated above.

Metformin hydrochloride is given at the usual starting dose of 500 mg or 850 mg 2 or 3 times daily, while insulin dosage is adjusted on the basis of blood glucose measurements.

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ElderlyDue to the potential for decreased renal function in elderly subjects, the metformin dosage should be adjusted based on renal function.

Regular assessment of renal function is necessary see section 4.


To prevent them, it is induced that metformin be initiated in 2 or 3 daily doses during or after reeves.
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