Tell your doctor if you have kidney or liver problems, heart failure, or a history of pancreatitis, or if you drink a lot of alcohol. Metformin is usually paused around scans that use contrast dye, and during serious illness, dehydration or surgery. Ask your doctor. On its own this combination rarely causes low blood sugar, but the risk rises when combined with other diabetes medicines; learn the warning signs (shakiness, sweating, confusion). Seek urgent help for severe abdominal pain, or unusual muscle pain with breathing difficulty. Store below 30°C. This product information is for general guidance only and does not replace professional medical advice. Always consult a qualified healthcare provider before starting any new medication or supplement. Keep all medicines out of reach of children.