Reported Reactions

Drugs

Product name as reported

Metformine: adverse event reports filed with FDA

1,785 reports list it as a suspect or interacting product, 2005–2021. Also reported as Metformine /00082701/, Metformine /00082702/, Metformine Nos.

1,785
reports as suspect product
0% of all reports · about 86 a year
0
reports, 12 months to June 2026
0 in the 12 months before
99.7%
marked serious by the reporter
57.4% across all reports
15.7%
record death among outcomes, as reported
280 reports · not verified by FDA

Between October 2005 and September 2021, 1,785 adverse event reports received by FDA list the product name "Metformine" as reporters wrote it as a suspect or interacting product. Reports that mention it only as a concomitant medication (3,150) are left out of every figure here.

In the 12 months to June 2026, 0 reports listed it, and none in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 86 reports a year and 0% of the 20,646,523 reports in the database. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded lactic acidosis (31.8%), acute kidney injury (28.1%) and hyperkalaemia (9.5%). A report can list several reactions, so shares add to more than 100%; 314 different terms appear across these reports. Lactic acidosis is recorded in 31.8% of these reports, against 0.2% of all reports in the database.

99.7% of the reports are marked serious by the reporter; 15.7% record death among the outcomes and 59.8% record hospitalisation, as reported. 42.5% of the reports came from physicians, and the largest patient age group is 65 to 74 (31%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

01835Jul 2021: 35Aug 2021: 23Sep 2021: 7Oct 2021: 0Nov 2021: 0Dec 2021: 02022Jan 2022: 0Feb 2022: 0Mar 2022: 0Apr 2022: 0May 2022: 0Jun 2022: 0Jul 2022: 0Aug 2022: 0Sep 2022: 0Oct 2022: 0Nov 2022: 0Dec 2022: 02023Jan 2023: 0Feb 2023: 0Mar 2023: 0Apr 2023: 0May 2023: 0Jun 2023: 0Jul 2023: 0Aug 2023: 0Sep 2023: 0Oct 2023: 0Nov 2023: 0Dec 2023: 02024Jan 2024: 0Feb 2024: 0Mar 2024: 0Apr 2024: 0May 2024: 0Jun 2024: 0Jul 2024: 0Aug 2024: 0Sep 2024: 0Oct 2024: 0Nov 2024: 0Dec 2024: 02025Jan 2025: 0Feb 2025: 0Mar 2025: 0Apr 2025: 0May 2025: 0Jun 2025: 0Jul 2025: 0Aug 2025: 0Sep 2025: 0Oct 2025: 0Nov 2025: 0Dec 2025: 02026Jan 2026: 0Feb 2026: 0Mar 2026: 0Apr 2026: 0May 2026: 0Jun 2026: 0

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

02805602005: 220052007: 32008: 420082011: 42012: 920122013: 502014: 4820142015: 442016: 8520162017: 522018: 38820182019: 3512020: 56020202021: 185

Reactions recorded in the reports

share of Metformine reports recording the termall reports in the database

  1. Lactic acidosisa build-up of lactic acid in the blood31.8%568
  2. Acute kidney injurysudden loss of kidney function28.1%501
  3. Hyperkalaemiahigh blood potassium9.5%170
  4. Metabolic acidosistoo much acid in the body fluids8%143
  5. Diarrhoealoose or frequent stools6.9%124
  6. Overdosea dose above the recommended amount4.9%88
  7. Vomitingbeing sick4.9%87
  8. Hypoglycaemialow blood sugar3.7%66
  9. Renal failurekidney failure3%53
  10. Nauseafeeling sick2.7%48
  11. Coma2.5%45
  12. Dehydrationdehydration2.4%43
  13. Hyperlactacidaemia1.8%32
  14. Drug interactionan interaction between medicines1.7%30
  15. Dyspnoeashortness of breath1.5%26
  16. Anaemialow red blood cells1.4%25
  17. Cardio-respiratory arrestthe heart and breathing stopped1.4%25
  18. Confusional stateconfusion1.4%25
  19. Pruritusitching1.4%25
  20. Malaisegeneral feeling of being unwell1.3%24
  21. Drug level increaseda raised blood level of the medicine1.3%23
  22. Falla fall1.3%23
  23. Hyponatraemialow blood sodium1.3%23
  24. Hypotensionlow blood pressure1.3%23
  25. Interstitial lung diseasescarring or inflammation of lung tissue1.3%23

Top 30 of 314 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the share of all reports in the database; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death15.7%280
Life-threatening20.7%369
Hospitalisation (initial or prolonged)59.8%1,067
Disability1%17
Congenital anomaly0.8%15
Other serious20.7%369
Not serious0.3%6

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 20,646,523 reports. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.6%10
2 to 110%0
12 to 170.3%6
18 to 443.6%65
45 to 6425.3%452
65 to 7431%553
75 and over27.3%487
Age not given11.9%212

Patient sex

Female43.7%780
Male47.3%844
Not given9%161

Who reported

Physician42.5%758
Pharmacist23.8%425
Other health professional27.6%493
Lawyer0.1%1
Consumer or non-health professional4.7%84
Not given1.3%24

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 0.8% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Type 2 diabetes mellitus89049.9%
Diabetes mellitus53830.1%
Insulin-requiring type 2 diabetes mellitus171%
Poisoning deliberate110.6%
Suicide attempt110.6%
Type 1 diabetes mellitus60.3%

The indication field is filled in by the reporter and is often blank; shares are of all 1,785 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Metformine reports
Kardegic27815.6%
Bisoprolol1548.6%
Furosemide1458.1%
Atorvastatine1267.1%
Tahor1226.8%
Pantoprazole1176.6%
Ramipril1176.6%
Gliclazide1136.3%
Allopurinol1065.9%
Levothyrox1065.9%

Other products listed in reports where Metformine is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureMetformineAll reports
Reports as suspect product1,78520,646,523
Share of that pool—0%
Reports, latest 12 months01,332,454
Marked serious99.7%57.4%
Death recorded among outcomes, per 1,000 reports15791
Hospitalisation recorded, per 1,000 reports598213
Consumer-filed share4.7%45.8%
Top term, share of reportsLactic acidosis 31.8%0.2%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Questions about Metformine reports

How many adverse event reports has FDA received for Metformine?

1,785 reports list Metformine as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 0 of them arrived in the latest 12 months. Another 3,150 list it only as a concomitant medication.

What reactions are recorded in Metformine reports?

lactic acidosis (31.8%), acute kidney injury (28.1%), hyperkalaemia (9.5%), metabolic acidosis (8%) and diarrhoea (6.9%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Metformine was responsible.

How serious are the reports?

99.7% are marked serious by the reporter. Among the outcomes recorded, 15.7% of reports include death and 59.8% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

physician (42.5%), other health professional (27.6%) and pharmacist (23.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Metformine rising?

0 reports in the 12 months to June 2026, and none in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Metformine was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Metformine?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Metformine as a suspect or interacting product; reports listing it only as a concomitant medication (3,150) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.