Metformin intoksikasyonuna sekonder gelişen akut böbrek hasarı ve laktik asidoz

Yıl 2022, Cilt 15, Sayı 2, 379 - 382, 01.04.2022

Halil AYDAR Neslihan TEZCAN Rüya MUTLUAY

https://doi.org/10.31362/patd.900939

Öz

Metformin biguanid sınıfına ait bir oral antidiyabetik ajandır. Hepatik glukoneogenezi inhibe ederek glukoz üretimini azaltır; periferal dokularda insulin duyarlılığını düzeltir. Bilinen en korkulan yan etkisi laktik asidoz ve akut böbrek hasarıdır. Metformin gerek ucuz olması gerek ise diyabet tedavi kılavuzlarında ilk sıralarda yer alması nedeniyle diyabet tanılı hastalarda oldukça sık kullanılan bir ilaçtır. Bu olgu sunusunda bilinen hipertansif bir hastada yeni diyabet tanısı ile metformin tedavisine başlanmasından bir kaç ay sonra intihar amaçlı yüksek doz metformin alımına sekonder gelişen laktik asidoz ve akut böbrek hasarlı bir olgu anlatılmaktadır.

Anahtar Kelimeler

Metformin intoksikasyonu, akut böbrek hasarı, laktik asidoz

Acute renal failure and lactic acidosis seconder to metformin intoxication

Öz

Metformin is a oral antidiabetic drug being class of biguanid. It reduces hepatic glucose production by inhibiting gluconeogenesis, improves peripheral insulin sensivity. The well known serious side effects are acute renal failure and lactic asidosis. Metformin is the most commonly prescribed drug because of its cost-effectiveness and existing in first line theraphy in guidelines for type 2 diabetes mellitus. We report a case a patient with known hypertension and new diagnosis diabetes mellitus, presenting acute renal failure and lactic acidosis seconder to taking overdose metformin in suicide attempt.

Anahtar Kelimeler

Metformin intoxication, acute renal failure, lactic acidosis

Kaynakça

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