{"id":10038,"date":"2020-04-06T13:00:40","date_gmt":"2020-04-06T17:00:40","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=10038"},"modified":"2025-08-25T12:56:58","modified_gmt":"2025-08-25T16:56:58","slug":"metformin-and-dementia","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/metformin-and-dementia\/","title":{"rendered":"Does metformin cause dementia?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/metformin\"><span style=\"font-weight: 400;\">Metformin<\/span><\/a><span style=\"font-weight: 400;\"> is a popular prescription medication used to treat Type 2 diabetes. The effect of metformin, a biguanide drug, is to reduce the amount of sugar in a person&#8217;s blood. Ever since metformin hit the market, there have been many myths about its connection to dementia, a disease associated with confusion, memory loss, and mood changes. In this article, we\u2019re going to take a closer look at the link between metformin and dementia. Is there a connection? If so, what is it?\u00a0<\/span><\/p>\n<h2>What is dementia?<\/h2>\n<p><span style=\"font-weight: 400;\">First, let\u2019s take a closer look at what dementia is. Dementia is a term used to describe diseases and illnesses that result in problems like memory loss and issues with speaking and thinking. One type of dementia is Alzheimer\u2019s, which typically affects older adults. <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/alzheimers-treatment-and-medications\"><span style=\"font-weight: 400;\">Alzheimer\u2019s disease<\/span><\/a><span style=\"font-weight: 400;\"> is a neurodegenerative disease that is the most common cause of dementia, followed closely by vascular dementia. Alzheimer\u2019s disease works by deteriorating the nerve cells in the brain. Like Alzheimer\u2019s, Parkinson\u2019s disease is another well-known condition that can cause incident dementia.\u00a0<\/span><\/p>\n<div style=\"background: #532B9F; padding-top: 10px; padding-bottom: 10px;\">\n<h3 style=\"text-align: center; color: #ffffff;\">Want the best price on metformin?<\/h3>\n<p style=\"text-align: center; color: #ffffff;\">Sign up for metformin price alerts and find out when the price changes!<\/p>\n<p style=\"text-align: center;\"><a style=\"display: inline-block; background: #FF407A; padding: 10px; text-align: center; border-radius: 5px; color: white; font-size: 16px;\" href=\"https:\/\/www.singlecare.com\/prescription\/metformin#price-alerts\" target=\"_blank\" rel=\"noopener noreferrer\">Get price alerts<\/a><\/p>\n<\/div>\n<h2><span style=\"font-weight: 400;\">Is metformin linked to dementia?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The simple answer is that metformin does not cause dementia and can actually help lower a person&#8217;s dementia risk, says <\/span><a href=\"https:\/\/www.providence.org\/doctors\/profile\/763866-verna-ruth-porter\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Verna R. Porter, MD<\/span><\/a><span style=\"font-weight: 400;\">, a neurologist and director of Dementia and Alzheimer\u2019s Disease Programs at Providence Saint John\u2019s Health Center in Santa Monica, California. \u201cIn fact, a <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5664297\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">recent study<\/span><\/a><span style=\"font-weight: 400;\"> of 17,000 veterans with diabetes found that taking metformin was associated with a lower risk of dementia than other diabetes drugs known as sulfonylureas (like glyburide and glipizide),\u201d Dr. Porter says.<\/span><\/p>\n<p><a href=\"http:\/\/www.annfammed.org\/content\/17\/4\/352\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Another study<\/span><\/a><span style=\"font-weight: 400;\"> also highlighted that the cognitive function of specific racial groups could benefit from metformin. It showed that metformin use was associated with reduced rates of dementia and improved cognitive function among African American patients with Type 2 diabetes (hazard ratio [HR] = 0.73; 95% confidence interval [CI], 0.6-0.89) but not white patients (HR = 0.96; 95% CI, 0.9-1.03).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That said, other <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/22458300\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">studies<\/span><\/a><span style=\"font-weight: 400;\"> indicate a different link between diabetic patients&#8217; long-term use of metformin and other insulin sensitizers and the incidence of dementia. Some cohort <\/span><a href=\"https:\/\/www.neurologyadvisor.com\/conference-highlights\/aaic-2018\/metformin-associated-with-increased-dementia-risk-in-african-americans-with-diabetes\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">studies<\/span><\/a><span style=\"font-weight: 400;\"> show an increased risk of developing dementia when using metformin.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In other words, the current research into the link between metformin use, especially as monotherapy and as a dementia diagnosis, is mixed and not yet definitive. More clinical trials and observational studies are needed.\u00a0<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/conditions\/diabetes-medications-treatments\/\"><b>Diabetes medications and treatment<\/b><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">Can metformin cause memory problems?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The research is unclear at this time whether metformin can cause memory problems, so there isn&#8217;t a definitive answer. However, many doctors still recommend metformin as a first-line treatment for Type 2 diabetes.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">What may be causing memory problems for those taking metformin is not the medication itself, but the underlying illness: diabetes. The mental health effects of diabetes can range from mild cognitive impairment to severe. In fact, a <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21297276\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">2011 clinical study<\/span><\/a><span style=\"font-weight: 400;\"> illustrated a risk factor between Type 2 diabetes mellitus and dementia, stating that Type 2 diabetes <\/span><span style=\"font-weight: 400;\">increases the risk of dementia more than two-fold.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Another <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28304291\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> from 2017 made a connection between insulin resistance\u2014a trait of diabetes\u2014and long-term cognitive decline.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The bottom line is that more research is required to get conclusive answers on how metformin contributes to memory problems; however, the underlying condition that metformin treats\u2014Type 2 diabetes\u2014certainly can lead to decreased cognitive function and memory issues.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What are the side effects of long-term metformin use?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Often when people are prescribed metformin for diabetes care, they\u2019re in it for the long haul, so there are long-term side effects to consider.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These are the most common side effects of metformin:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Gas<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Stomach pain<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Nausea\/vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Diarrhea\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Heartburn<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Weight loss<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Headache<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Unpleasant metallic taste in the mouth<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Often, these common side effects will go away within a few days or weeks, especially if they are mild. Sometimes there is a reduced risk of these mild side effects when taking metformin with a meal. However, severe side effects may require immediate medical advice from a healthcare provider. They\u2019ll advise you on the best course of action and follow up accordingly.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Below is a list of more serious side effects of metformin that require urgent medical attention.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Lactic acidosis<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">This life-threatening condition occurs when there is a dangerous build-up of lactic acid, along with decreased pH and electrolyte disturbances in the body. It happens if the kidneys are not functioning properly, and therefore are not properly excreting metformin. Long-term diabetes can lead to kidney problems, resulting in a build-up of metformin in the body, which creates lactic acidosis. The likelihood of developing lactic acidosis increases in patients with heart disease or congestive heart failure.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Symptoms of lactic acidosis to look out for include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Tiredness<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Weakness<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Unusual muscle pain<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Trouble breathing<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Unusual sleepiness<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Stomach pains, nausea, or vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Dizziness or lightheadedness<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Slow or irregular heart rate<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Hypoglycemia (low blood sugar)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">On its own, metformin will not cause hypoglycemia. However, in very rare cases, low blood sugar can occur if combined with poor diet, strenuous exercise, drinking too much alcohol, or other antidiabetic drugs. Left untreated, hypoglycemia can cause some people to pass out, have a seizure, and in worst cases, lead to permanent brain damage. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">The following are symptoms of low blood glucose levels:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Weakness<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Tiredness<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Nausea<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Stomach pain<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Dizziness<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Lightheadedness<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Abnormally fast or slow heartbeat<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Anemia\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Anemia is a low count of red blood cells, which can be caused by low levels of vitamin B12. Since metformin can cause a vitamin B12 deficiency, it\u2019s essential that patients take either a vitamin B12 supplement or ensure they&#8217;re ingesting enough through their diet.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Symptoms of anemia include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Lightheadedness<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Dizziness\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Tiredness<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pale skin<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Cold hands and feet<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Brittle nails<\/span><\/li>\n<\/ul>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/regular-health-checks-40s\/\"><b>Regular health checks you should be getting in your 40s<\/b><\/a><\/p>\n<h2>Before you stop taking metformin<\/h2>\n<p><span style=\"font-weight: 400;\">Once someone starts taking metformin, it\u2019s important to consider the risks of stopping the medication abruptly. Patients should always speak with their doctor before stopping any medication, as there is a chance their symptoms or condition could worsen. A doctor will determine the safest way to transition to another antidiabetic medication, such as a sulfonylurea,<\/span> <span style=\"font-weight: 400;\">or advise how to create necessary lifestyle changes.\u00a0<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/reversing-prediabetes\/\"><b>Your guide to reversing prediabetes with diet and treatments<\/b><\/a><\/p>\n<p><span style=\"font-weight: 400;\">To see how much you can save on your metformin or Glucophage prescription, check out SingeCare\u2019s exclusive pricing <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/metformin\"><span style=\"font-weight: 400;\">here<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Metformin is a popular prescription medication used to treat Type 2 diabetes. The effect of metformin, a biguanide drug, is to reduce the amount of sugar in a person&#8217;s blood. Ever since metformin hit the market, there have been many myths about its connection to dementia, a disease associated with confusion, memory loss, and mood [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":10039,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[10298],"coauthors":[8861],"class_list":["post-10038","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-diabetes","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Metformin and dementia: Does metformin cause dementia?<\/title>\n<meta name=\"description\" content=\"There&#039;s a myth about metformin and dementia. 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