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Perioperative management of metformin: is there something new?


Authors: Alena Linhartová 1;  Irena Murínová 2,3;  Michaela Kovačič 2;  Jana Gregorová 3,4
Authors‘ workplace: oddělení klinické farmacie Thomayerovy nemocnice, Praha 1;  oddělení klinické farmacie ÚVN – VoFN Praha 2;  Ústav aplikované farmacie FaF MU, Brno 3;  oddělení klinické farmacie Nemocnice Na Bulovce, Praha 4
Published in: Čas. Lék. čes. 2020; 159: 210-212
Category: Review Article

Overview

Metformin is the drug of choice in the treatment of type 2 diabetes mellitus. Diabetic patients treated with metformin, who are scheduled for surgery, have always been subjects to discussion regarding the perioperative management of metformin because of the risk of developing lactic acidosis. The article presents the basic informations about this adverse event, describes new approach to the metformin treatment in the perioperative period, and summarizes the recommendations of professional societies and expert groups.

Keywords:

metformin – perioperative medication management – lactic acidosis


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Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management
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