metformin is no longer contraindicated in patients with heart failure

February 2008

Many clinicians are not aware that metformin is no longer contraindicated in patients with heart failure.

The concern was that decreased kidney perfusion in patients with worsening heart failure could cause lactic acid accumulation.

But we know now that metformin is beneficial in STABLE heart failure patients...and does NOT increase lactate levels.

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Table of Contents

Patients are asking if they should stop Vytorin
Cardiology STOPPING all NSAIDs except aspirin in heart attack patients
Cardiology new beta-blocker called Bystolic (buy-STOL-ic)
Men's Health Cialis (tadalafil) EVERY DAY for erectile dysfunction
Respiratory & Allergy Putting pseudoephedrine behind the counter might reduce diversion to meth labs, but it leaves people with congestion
Infectious Diseases plan to IMMEDIATELY minimize the risk of HIV or hep B from an accidental stick
Diabetes WelChol (colesevelam) for type 2 diabetes to lower GLUCOSE
Diabetes metformin is no longer contraindicated in patients with heart failure
Compounding Controversy is brewing over compounding "bioidentical" hormones
Neurology & Pain new lower-strength Soma (carisoprodol) tablet
Many Asians should now get a genetic test BEFORE starting carbamazepine
Anticoagulants how to dose low-molecular-weight heparin (Lovenox, etc) in patients who are obese
Supplements Rx Essentials, a new line of over-the- counter supplements promoted for "drug-induced nutrient depletion"
Practice new DEA rules forbid pharmacists from changing a C-II Rx is correct
Ophthalmology "flip, whip, and drip" method for administering AzaSite (azithromycin) ophthalmic drops
Psychiatry the new Dilantin 100 mg capsules