metformin is no longer contraindicated in patients with heart failure

February 2008

Many clinicians are not aware that metformin is no longer contraindicated in patients with heart failure.

The concern was that decreased kidney perfusion in patients with worsening heart failure could cause lactic acid accumulation.

But we know now that metformin is beneficial in STABLE heart failure patients...and does NOT increase lactate levels.

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Table of Contents

Patients are asking if they should stop Vytorin
Cardiology STOPPING all NSAIDs except aspirin in heart attack patients
Cardiology new beta-blocker called Bystolic (buy-STOL-ic)
Respiratory & Allergy Having pseudoephedrine "behind-the-counter" in stores to reduce diversion to meth labs is leaving people with congestion
Infectious Diseases plan to IMMEDIATELY minimize HIV or hep B risk from an accidental stick
Diabetes WelChol (colesevelam) for type 2 diabetes to lower GLUCOSE
Diabetes metformin is no longer contraindicated in patients with heart failure
More controversy is brewing over "bioidentical" hormones
genetically test many Asians BEFORE starting carbamazepine
Neurology & Pain new lower-strength Soma (carisoprodol) tablet
Men's Health Cialis (tadalafil) every day for erectile dysfunction
Supplements Rx Essentials, a new line of over-the-counter supplements promoted for "drug-induced nutrient depletion"
Anticoagulants how to dose low-molecular-weight heparin (Lovenox, etc) in very obese patients
Practice significant new drugs approved by the FDA in 2007 is enclosed
Ophthalmology "flip, whip, and drip" method for administering AzaSite (azithromycin) ophthalmic drops
Psychiatry the new Dilantin 100 mg capsules