Q. Does Melmet clear acne?
Melmet is not indicated specifically to clear acne. However, in women with polycystic ovarian syndrome (PCOS), it helps clear acne along with other problems like facial hair, abdominal obesity, and irregular menstruation.
Q. Can I take Melmet forever?
Melmet is generally a safe and well-tolerated drug even on long-term use. However, it should be used for the duration prescribed by your doctor.
Q. Does Melmet cause weight gain?
No, weight gain has not been reported with Melmet. Rather, it helps in decreasing weight especially in abdominal fat patients of type 2 diabetes mellitus. In women with polycystic ovarian syndrome (PCOS), it helps in losing weight along with relieving other problems like facial hair, acne, and irregular menstruation.
Q. Can the use of Melmet cause vitamin B12 deficiency?
Yes, long-term use of Melmet can cause vitamin B12 deficiency. long-term use interferes with the absorption of vitamin B12 in the stomach. If untreated, it may cause anemia and nerve problems and the patient can have tingling sensation and numbness in hands and feet, weakness, urinary problems, change in mental status and difficulty in making balance (ataxia). To avoid these problems, doctors usually suggest an intake of vitamin B12 from outside at least once every year.
Q. Is Melmet helpful in patients with polycystic ovarian syndrome (PCOS)?
Yes. Melmet is used off-label in the treatment of PCOS. It may be used along with other medicines to induce ovulation and regularize menstrual cycles.
Q. How does Melmet help in weight loss?
Melmet helps in weight loss by decreasing the hunger (appetite), and hence, the food intake. It makes the insulin already available in your body to work more effectively. This leads to a decrease in glucose production, increase the glucose use and decrease the fat deposits which further helps to lower the body weight.
Q. Does Melmet cause bloating?
Yes, the use of Melmet can cause bloating. To minimize this side effect, it is advised to take it after your meals.
Q. Is Melmet useful in the treatment of infertility?
Melmet is prescribed to improve the insulin resistance in the body. Proper insulin resistance regulates ovulation, maintains proper androgen levels in the body, and improves menstrual regularity. This increases the pregnancy rates and outcomes and indirectly treats the infertility associated with polycystic ovary syndrome (PCOS).
Q. Is Melmet useful in the treatment of prediabetes?
Melmet is seen to be useful in the management of prediabetes, a condition with blood glucose levels higher than normal but not high enough to label you as diabetic. Melmet makes the insulin already available in your body to work more effectively, decreases glucose production by liver and increases use of glucose by the muscles and lowers body weight. However, lifestyle modifications like a change in diet and exercise should be tried first as they are seen to be more effective than Melmet.
Q. Does Melmet cause blurry vision?
Melmet is not known to cause blurred vision. Change in vision in a patient with diabetes could be due to multiple reasons. Please consult your doctor if blurred vision occurs.
Q. Does Melmet use leads to anemia?
Melmet may decrease the levels of vitamin B12 on long term use which may rarely cause a type of anemia in which blood cells are larger than normal (megaloblastic anemia). You may need to take foods rich in vitamin B12 like eggs, dairy products, and meat or a supplement from outside.
Q. How beneficial is it to take Melmet with linagliptin?
Both Melmet and linagliptin are anti-diabetic drugs and can be used together. Their fixed dose combinations are also available and commonly advised once Melmet is unable to control blood sugar levels even after giving the maximum tolerated dose. As they work by different mechanisms, they help in better control of blood sugar levels compared to either drug taken alone.