Caution to use in patients with impaired renal function.
Not recommended for use in conditions where it causes dehydration or in patients who are recovering from serious infections or trauma.
Periodic checks of vitamin B12 levels on long-term use is fully recommended.
Due to the possibility of hypoglycemia in combination treatment with Sulfonylurea, blood sugar levels should be monitored periodically.
Combination of metformin and insulin treatment should be done in hospital to achieve a steady combination ratio of both drugs.
Careful of usage in elderly patients with impaired renal function.
Not recommended for children.