As it's extremely rare it is not something I have seen. I wouldn't say we
need particular systems in place to pick it up, because if we have systems
or protocols to pick up all rare events then they will never get read or
remembered.
However if a patient presents with an acidosis, then our gas machine would
pick up an elevated lactate. Clinical teaching would therefore lead you to
consider all causes including drugs.
Andy Webster
Date:30/01/2004
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Mary Dickinson
Sent: 09 June 2004 12:06
To: [log in to unmask]
Subject: Metformin induced lactic acidosis
Hi all
I'm interested to know how confident ED staff are of picking up the
(admittedly rare non-diabetic) lactic acidosis caused my metformin tx for
PCOS (especially as it is increasingly being prescribed by GPs).
Any feedback? Systems? Experiences?
Dr. Mary Dickinson
01483 686966
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