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Metformin Hcl Er Tablet Extended Release 24 Hour — prescription drug image

Metformin Hcl Er

metFORMIN HCl ER 500MG

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What is Metformin Hcl Er?

Metformin HCl ER (extended-release) is an oral antihyperglycemic medication used primarily to manage type 2 diabetes. It functions by improving glucose tolerance and lowering basal and postprandial plasma glucose levels by decreasing intestinal absorption of glucose, enhancing insulin sensitivity, and inhibiting hepatic gluconeogenesis. Metformin HCl ER's extended-release formulation allows for once-daily dosing to maintain steady blood glucose levels over a prolonged period.

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What is Metformin Hcl Er ?

Metformin HCl ER (extended-release) is an oral antihyperglycemic medication used primarily to manage type 2 diabetes. It functions by improving glucose tolerance and lowering basal and postprandial plasma glucose levels by decreasing intestinal absorption of glucose, enhancing insulin sensitivity, and inhibiting hepatic gluconeogenesis. Metformin HCl ER's extended-release formulation allows for once-daily dosing to maintain steady blood glucose levels over a prolonged period.
  • Confusion, fast heartbeat, increased hunger, shakiness
  • Trouble breathing, slow heartbeat, lightheadedness, dizziness
  • Stomach pain, nausea, vomiting, muscle pain or cramping
  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Fever or chills
  • Unusual tiredness or weakness
  • Keep all medicine out of the reach of children. Never share your medicine with anyone.
  • Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, heart or blood vessel disease, heart failure, blood circulation problems, anemia, metabolic acidosis, an adrenal gland or pituitary gland disorder, vitamin B12 deficiency, or had a heart attack. Tell your doctor if you drink alcohol.
  • Too much of this medicine can cause a rare, but serious condition called lactic acidosis.
  • Part of the extended-release tablet may pass in your stool. This is normal.
  • Make sure any doctor or dentist who treats you knows that you are using this medicine. You may need to stop using this medicine before you have surgery, an x-ray, CT scan, or other medical test.
  • This medicine may cause some premenopausal women who do not have regular monthly periods to ovulate. This can increase the chance of pregnancy. If you are a woman of childbearing potential, discuss birth control options with your doctor.
  • Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
What is metformin HCl ER used for?
Metformin HCl ER is FDA-approved as an adjunct to diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus. The extended-release form is taken once daily. It is a biguanide antidiabetic medicine that works mainly by lowering the sugar your liver makes and helping your body use insulin better.
What is the difference between metformin ER and regular (immediate-release) metformin?
Both contain the same active medicine. The extended-release (ER) form releases it slowly over the day, so it is usually taken once daily, while immediate-release metformin is typically taken more than once a day. Some people find the ER form easier on the stomach. Your provider decides which form and schedule is best for you.
What are the most common side effects of metformin extended-release?
The most common side effects are diarrhea, nausea, upset stomach, and flatulence (gas). These often improve over time and when the medicine is taken with meals. Long-term use may also lower vitamin B12 levels. Contact your provider if side effects are severe or do not go away.
Can metformin ER be crushed or split?
Extended-release tablets are generally meant to be swallowed whole so the medicine releases slowly as intended; crushing or splitting can interfere with that. Do not crush, split, or chew metformin ER unless your provider or pharmacist tells you it is okay, and follow the specific instructions for your product.
Why do I see a tablet shell (ghost tablet) in my stool after taking metformin ER?
With some extended-release metformin products, the medicine is slowly released and the empty tablet shell can pass through and appear in your stool. This is expected and does not mean the medicine did not work. If you have questions, ask your provider or pharmacist.
How much does Metformin Hcl Er cost without insurance?
The price of Metformin Hcl Er without insurance varies by pharmacy, dosage, and quantity. Rx.com compares cash prices at more than 60,000 US pharmacies so you can find the lowest price near you.
What are the common side effects of Metformin Hcl Er?
Common side effects of Metformin Hcl Er may include: Confusion, fast heartbeat, increased hunger, shakiness, Trouble breathing, slow heartbeat, lightheadedness, dizziness, Stomach pain, nausea, vomiting, muscle pain or cramping, Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing, Fever or chills. This is not a complete list — consult your pharmacist or doctor for full side effect information.
Is there a generic version of Metformin Hcl Er?
Generic versions may be available for Metformin Hcl Er. Generics contain the same active ingredients as brand-name drugs and are typically 80–90% cheaper. Search Metformin Hcl Er on Rx.com to compare generic and brand prices at pharmacies near you.
What is the cheapest pharmacy for Metformin Hcl Er?
The cheapest pharmacy for Metformin Hcl Er depends on your location and dosage. Rx.com compares prices at CVS, Walgreens, Walmart, Kroger, Costco, and thousands of independent pharmacies. Enter your ZIP code on Rx.com to find the lowest price for Metformin Hcl Er near you.

Metformin Hcl Er Coupons & Prices

metFORMIN HCl ER 500MG

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Metformin Hcl Er Tablet Extended Release 24 Hour — prescription drug image
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Metformin Hcl Er 500mg (30)
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Looking for a metformin HCl ER coupon? Metformin hydrochloride extended-release is the once-daily generic form of a widely used type 2 diabetes medicine, and because it is generic it is already one of the lower-cost prescriptions at the pharmacy. Even so, the cash price can vary a lot from one pharmacy to the next, so comparing before you fill can make a real difference. Rx.com compares prices across more than 60,000 pharmacies so you can find a low price near you. Enter your ZIP above to see today's price on metformin HCl ER.

What is metformin HCl ER and how does it work?

Metformin hydrochloride extended-release (ER) is a biguanide antidiabetic (antihyperglycemic) medicine. It is FDA-approved as an adjunct to diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus. The extended-release form releases the medicine slowly over the day, so it is taken once daily. Brand-name versions include Glucophage XR, Glumetza, and Fortamet.

Metformin works mainly by lowering the amount of sugar your liver makes and helping your body respond better to its own insulin. It is often the first medicine chosen for type 2 diabetes. This page is for general information and is not medical advice; talk with your provider about whether metformin ER is right for you.

Metformin HCl ER cost and coupons without insurance

Metformin HCl ER is available as a generic, which is one of the reasons it is typically an affordable prescription. But "affordable" is not the same at every pharmacy: the cash price for the exact same tablets can differ widely depending on where you fill. That is why comparing matters, even on a low-cost generic. If you do not have insurance, a Rx.com coupon can help you pay a lower cash price at the pharmacy.

Because prices change and depend on your location, dose, and quantity, we show them live rather than quoting a fixed figure. Enter your ZIP above to see today's price on metformin HCl ER across the pharmacies near you and pick the lowest one.

Related medicines and alternatives

Metformin ER is the once-daily extended-release version of metformin. If you are looking at other options, these related medicines may be helpful to compare:

  • Immediate-release metformin: metformin and metformin HCl, usually taken more than once a day.
  • Brand-name extended-release: Glucophage XR, Glumetza, and Fortamet; the standard brand is Glucophage.
  • Combination products that pair metformin with another diabetes medicine: Janumet and Invokamet.

Your provider can help you decide which form or combination fits your treatment plan. Prices for each can be compared right here on Rx.com.

Important safety information

Metformin carries a boxed warning for lactic acidosis, a rare but serious and potentially fatal build-up of acid in the blood. The risk goes up with kidney problems, certain other medicines, age 65 and older, imaging tests that use contrast dye, surgery, low-oxygen conditions, heavy alcohol use, and liver problems. Warning signs can be subtle and include feeling unwell, muscle aches, trouble breathing, unusual sleepiness, and stomach pain. If you notice these, stop the medicine and seek medical care right away.

Metformin ER should not be used by people with severe kidney impairment (eGFR below 30) or with acute or chronic metabolic acidosis, including diabetic ketoacidosis. Your provider should check your kidney function before you start and from time to time after. Long-term use may lower vitamin B12 levels. The most common side effects are diarrhea, nausea, upset stomach, and gas; these often improve over time and when the medicine is taken with meals. This is general information, not medical advice, so discuss your full health history with your provider or pharmacist.

Sources & accuracy

This Metformin Hcl Er information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.

Verify the official label: Metformin Hcl Er on DailyMed (FDA)

Reviewed against FDA labeling · Last reviewed July 2026

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Medical disclaimer: This information is provided for general educational purposes only and is not medical advice. It is not a substitute for professional diagnosis or treatment. Always consult a licensed physician, pharmacist, or other qualified healthcare provider before starting, stopping, or changing any medication or treatment. Never disregard professional medical advice or delay seeking it because of something you read here. If you think you may have a medical emergency, call your doctor or 911 immediately.


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