Hypoglycemia has not been seen with metformin doses of up to 85 g, although lactic acidosis has occurred in such circumstances. High overdose or concomitant risks of metformin may lead to lactic acidosis. Lactic acidosis is a medical emergency and must be treated in the hospital. The most effective method to remove lactate and metformin is hemodialysis.
Fornidd: Pancreatitis may occur in the context of metformin overdose.
Fornidd XR: Hemodialysis may be useful for the removal of accumulated drug from the patients in whom Metformin hydrochloride overdosage is suspected.