Diabetes Drug Metformin Linked to Vitamin B-12 Deficiency
May 24, 2010, 12:05 pm
According to results from a new study published in the British Medical Journal, metformin, a medication used in the treatment of type 2 diabetes, may cause vitamin B-12 deficiency.
The study examined 390 patients with type 2 diabetes. Metformin was provided to 196 patients, while 194 patients received a placebo. The patients took the medication or the placebo three times daily for more than four years.
Those who took metformin experienced a 19 percent decrease in vitamin B-12 levels, when compared to the patients who took the placebo. The reduction in vitamin B-12 levels became more prominent as treatment with metformin progressed.
"Our study shows that it is reasonable to assume harm will eventually occur in some patients with metformin-induced low vitamin B-12 levels," said study researchers. "Our data provide a strong case for routine assessment of vitamin B-12 levels during long-term treatment with metformin."
The new report suggests that patients who take metformin should have vitamin B-12 levels checked regularly. Symptoms of vitamin B-12 deficiency may include diarrhea, shortness of breath, pale skin, loss of appetite, fatigue, constipation, difficulty concentrating and swollen gums.
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