Metformin (or Glucophage) for polycystic ovararian symdrome (PCOS)
Why would you be taking metformin or glucophage (metformin is the generic for glucophage)
Metformin is a diabetes medicine used for lowering insulin and blood sugar levels in women with polycystic ovary syndrome (PCOS). This helps regulate menstrual cycles, start ovulation, and lower the risk of miscarriage in women with PCOS. It is generally used in conjuction with clomid.
The most common side effects of metformin
Loss of appetite.
Increased abdominal gas.
A metallic taste.
Problems that might arise and ways to troubleshoot
I have always had pretty strong side effects (lots of nausea and always very tired) while taking metformin. It does get better as time goes on but working myself up to the maximum dosage has always been hard.
I've been to a number of different doctors who have all suggested different ways to work up to my maximum dosage (1500 mg). It is generally suggested that you start with the lowest dose and keep increasing it as you get used to it (or as the side effects start to go away). The first time I took it, I took 500 mg for about three weeks (1 pill in the morning). Then added a second pill at lunch time (so I took 1000 mg for 3 weeks). And, then I added a third pill at dinner time.
The second time that I took metformin, I increased the dosage from 500 mg to 1500 mg over the course of three weeks. I was sick a lot but I feel like I got the worst part over with faster.
My personal experience has been that it usually takes me about 1 month for the side effects to start to lessen. I will still have bouts of nausea, but after about 2 months that starts to happen less often.
My personal tips
Always take with food or a glass of milk - I always take my metformin when I am eating either breakfast, lunch or dinner.
I have heard from others that following a low carb diet helps with the side effects (I personally haven't found this to be true - or maybe I just couldn't follow the low carb life).
When increasing your dosage, just increase it as you feel ready.