Use Metformin in STABLE Kidney Disease

March 2015

"Please see the April 2016 FDA statement concerning revised recommendations for use of metformin-containing products in patients with reduced kidney function."

You'll see metformin used more in patients with kidney disease.

Only half of all type 2 diabetes patients take metformin...partly due to concerns about renal function and lactic acidosis.

Metformin is currently contraindicated when serum creatinine (SCr) is ≥ 1.5 mg/dL in men or ≥ 1.4 mg/dL in women.

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Table of Contents

Vaccines Ask Parents to Sign a "Refusal to Vaccinate" Form
Insulin Consider Afrezza as an Alternative to Mealtime Insulin Injections
Kidney Stones Use Doxazosin for Kidney Stones if Tamsulosin Isn't Available
Women's Health Save Opioids for Severe Pain During Pregnancy
Respiratory & Allergy Tell Patients All OTC and Rx Nasal Steroids Work About the Same
Anticoagulants Avoid Savaysa for A Fib if CrCl is OVER 95 mL/min
Rosacea Consider Soolantra for Rosacea if Metronidazole Isn't Enough
Psoriasis Be Aware Otezla May Be Safer Than Methotrexate for Plaque Psoriasis
Eating Disorders Consider Vyvanse for Adults Who Binge Eat More Than 3 Days Per Week
Readmissions See Patients Within 7 to 14 Days of Discharge to Prevent Readmissions
Diabetes Use Metformin in STABLE Kidney Disease
New Drugs Save Ceftolozane/Tazobactam for Resistant E. coli or Pseudomonas
Infectious Diseases Consider Steroids for CAP Patients on the Floor