{"id":631609,"date":"2025-03-11T19:00:00","date_gmt":"2025-03-11T23:00:00","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=631609"},"modified":"2025-10-08T12:11:01","modified_gmt":"2025-10-08T16:11:01","slug":"metformin-for-cats","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/metformin-for-cats\/","title":{"rendered":"Can cats take metformin?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/metformin-hcl\"><span style=\"font-weight: 400;\">Metformin hydrochloride<\/span><\/a><span style=\"font-weight: 400;\"> treats <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/type-2-diabetes-treatment-and-medications\"><span style=\"font-weight: 400;\">Type 2 diabetes mellitus<\/span><\/a><span style=\"font-weight: 400;\">, the most common type of diabetes in people and cats. Although metformin is typically the first drug doctors use to treat Type 2 diabetes in people, veterinarians avoid it because it\u2019s considered ineffective in most cats. <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/insulins\"><span style=\"font-weight: 400;\">Insulin<\/span><\/a><span style=\"font-weight: 400;\"> and dietary management is the treatment of choice for all types of feline diabetes, though a few oral hypoglycemics can be used. It is possible that a veterinarian may try metformin, but the caregiver should ask about possible side effects and better treatment options.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/prescription\/metformin-hcl\"><b>Save up to 80% on metformin<\/b><\/a><\/p>\n<h2 id=\"what-is-metformin-used-for-in-cats\"><span style=\"font-weight: 400;\">What is metformin used for in cats?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Metformin has been studied for use in cats with Type 2 diabetes. Veterinarians usually avoid metformin in cats.\u00a0<\/span><\/p>\n<h3 id=\"diabetes\"><span style=\"font-weight: 400;\">Diabetes<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">About <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6053045\/\"><span style=\"font-weight: 400;\">0.2% to 1%<\/span><\/a><span style=\"font-weight: 400;\"> of cats are diagnosed with diabetes, a condition in which the cat loses the ability to produce or respond to insulin, a hormone that tells cells in the body to pull sugar (glucose) from the bloodstream. In cats with diabetes, blood sugar levels rise and stay high, the defining characteristic of diabetes. When blood sugar levels get high enough, the excess sugar starts to damage blood vessels. Over time, this damage slowly damages vital organs such as the kidneys, liver, pancreas, and eyes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In humans, most diabetic patients have Type 2 diabetes, a condition in which the body loses the ability to respond to insulin. A minority of people have Type 1 diabetes, a condition that reduces the body\u2019s ability to produce insulin. This is true in cats: most (<\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6053045\/\"><span style=\"font-weight: 400;\">90% of diabetic cats<\/span><\/a><span style=\"font-weight: 400;\">) have Type 2 diabetes, which veterinarians usually call \u201cinsulin-resistant diabetes.\u201d Cats most at risk for developing insulin-resistant diabetes are those that are older, overweight, physically inactive, kept indoors, or treated with <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/corticosteroids\"><span style=\"font-weight: 400;\">corticosteroids<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Most people with Type 2 diabetes are treated with oral hypoglycemics, drugs that lower blood sugar. Metformin is typically the first drug used. It works with minimal side effects. It\u2019s a unique oral antidiabetic drug. As a biguanide, it increases the insulin sensitivity of the body\u2019s cells.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Veterinarians treat Type 2 feline diabetes with insulin and dietary changes. They don\u2019t use metformin or most other oral antihyperglycemic drugs used in people. Instead, the treatment of choice is insulin and dietary changes. Although commonly used in people, metformin doesn\u2019t work in most cats even though <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10376904\/\"><span style=\"font-weight: 400;\">it has similar bioavailability and plasma concentrations that it has in people<\/span><\/a><span style=\"font-weight: 400;\">. For example, metformin achieved glycemic control in only 1 out of 5 cats <\/span><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1111\/j.1939-1676.2004.tb00130.x?sid=nlm%3Apubmed\"><span style=\"font-weight: 400;\">in one key study<\/span><\/a><span style=\"font-weight: 400;\">,\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A veterinarian can prescribe metformin to cat owners who want to avoid insulin injections, but this is unlikely. If metformin is prescribed, ask the veterinarian about alternative oral medications and what to do if metformin doesn\u2019t succeed.<\/span><\/p>\n<h2 id=\"is-metformin-safe-for-cats\"><span style=\"font-weight: 400;\">Is metformin safe for cats?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Metformin is not usually prescribed to cats. It won\u2019t work for most cats with Type 2 diabetes. There are also concerns about its safety.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Metformin is contraindicated in cats with:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Metabolic acidosis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kidney dysfunction<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Known allergies to metformin<\/span><\/li>\n<\/ul>\n<h3 id=\"side-effects-of-metformin-in-cats\"><span style=\"font-weight: 400;\">Side effects of metformin in cats<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The most common side effects of metformin in cats are:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Inappetence<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weight loss<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Low energy<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vomiting<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If these adverse effects persist or worsen, talk to the veterinarian.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The most serious reported side effects in cats include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Severe vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Severe diarrhea<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Call a veterinarian or animal hospital if the cat has any of these side effects.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Because of metformin\u2019s mechanism of action, hypoglycemia (low blood glucose) is uncommon with metformin therapy unless insulin is being used, as well.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In people, the most serious and potentially life-threatening side effect of metformin is lactic acidosis. Lactate builds up in the blood. As lactate concentrations rise, the blood becomes more acidic. Lactic acidosis usually results from prolonged metformin use at high doses, so it could happen if a cat is taking metformin over the long-term.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pet owners dosing their cat with metformin should call the veterinarian or a veterinary hospital if they notice clinical signs of lactic acidosis, such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fast breathing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lethargy<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weakness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Confusion<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Collapse\u00a0<\/span><\/li>\n<\/ul>\n<h3 id=\"interactions-of-metformin-with-other-pet-meds\"><span style=\"font-weight: 400;\">Interactions of metformin with other pet meds<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Metformin dosing has significant drug interactions, including:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blood pressure drugs called <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/ace-inhibitors\"><span style=\"font-weight: 400;\">ACE inhibitors<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/drug-classes\/thiazide-diuretics\"><span style=\"font-weight: 400;\">Thiazide diuretics<\/span><\/a><span style=\"font-weight: 400;\"> or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/furosemide\"><span style=\"font-weight: 400;\">furosemide<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/drug-classes\/corticosteroids\"><span style=\"font-weight: 400;\">Corticosteroids<\/span><\/a><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If a veterinarian needs to take X-rays or similar images that require a contrast agent, metformin doses must stop at least two days before the procedure.<\/span><\/p>\n<p id=\"&quot;order-drug-&quot;24000035008720\" class=\"order-presc-name heading-font\"><strong>RELATED: <a href=\"https:\/\/www.singlecare.com\/blog\/metformin-for-dogs\/\">Metformin for dogs: Uses and safety<\/a><\/strong><\/p>\n<h2 id=\"metformin-dosage-for-cats\"><span style=\"font-weight: 400;\">Metformin dosage for cats<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Metformin has been studied in cats, although it\u2019s not commonly used in clinical practice. Published research has documented two possible dosages for feline insulin-resistant diabetes:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>For insulin-resistant diabetes:<\/b><span style=\"font-weight: 400;\"> 50 mg daily given in two divided doses OR 2 mg\/kg given every 12 hours<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Human formulations of metformin come in much larger dosage strengths than this. The smallest metformin tablet for people is 500 mg. These dosage strengths are too large to allow for accurate dosing. A veterinarian will have to supply a lower-dose tablet prepared by a compounding pharmacy.<\/span><\/p>\n<h3 id=\"can-cats-overdose-on-metformin\"><span style=\"font-weight: 400;\">Can cats overdose on metformin?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Cats can overdose on metformin, but there have been no reported fatalities. Most cats who overdose on metformin will show some symptoms, such as vomiting, stomach upset, or diarrhea. The most severe side effects of a metformin overdose are severe vomiting and diarrhea.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In case of accidental ingestion or an overdose, call an animal poison control center or take the cat to a veterinary hospital.<\/span><\/p>\n<h3 id=\"can-i-give-my-cat-metformin-every-day\"><span style=\"font-weight: 400;\">Can I give my cat metformin every day?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Veterinarians do not usually consider metformin a viable treatment in diabetic cats. If it is prescribed, pet owners will give their cat metformin twice daily every day. In people, metformin is a long-term and even lifelong treatment. Veterinarians have not studied long-term metformin use in cats.<\/span><\/p>\n<h3 id=\"how-to-give-your-cat-metformin\"><span style=\"font-weight: 400;\">How to give your cat metformin<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Metformin is not commonly given to cats, so there are few resources available to guide pet owners when giving doses. With little information, pet owners should strive to closely follow all the veterinarian\u2019s instructions.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Doses will probably be given twice a day, 12 hours apart.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do not give the cat doses that are larger than prescribed or give doses more frequently than prescribed.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If giving a tablet to your cat is difficult, ask a veterinary assistant to demonstrate the most effective procedure.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do not miss doses. Ask the veterinarian what to do if a dose is missed.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Store metformin tablets at room temperature. Keep the tablets in a closed, light-resistant container.<\/span><\/li>\n<\/ul>\n<h2 id=\"metformin-alternatives-for-cats\"><span style=\"font-weight: 400;\">Metformin alternatives for cats<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Veterinarians rarely prescribe metformin for cats. When they do, it may not work.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The first-line treatments for feline diabetes are dietary changes and insulin treatment. Unfortunately, insulin treatment is difficult and often frustrating. About <\/span><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jvim.16625\"><span style=\"font-weight: 400;\">1 in 10<\/span><\/a><span style=\"font-weight: 400;\"> pet owners choose to euthanize their cat before starting treatment. Another 1 in 3 diabetic cats are euthanized in the first year.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Fortunately, there are alternatives to insulin. Metformin may not be an option, but other oral hypoglycemics do work. The FDA has approved two oral hypoglycemics for cats that can be used instead of insulin: Bexacat (bexagliflozin), a tablet, and Senvelgo (velagliflozin), an oral liquid. Both are administered once daily.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Bexacat and Senvelgo are sodium-glucose cotransporter 2 inhibitors (SGLT2 inhibitors). They work by increasing the amount of blood sugar excreted through the urine. They are both highly effective. In clinical trials, Bexacat successfully controlled blood sugar in 84% of treated cats. Senvelgo successfully controlled blood sugar in 89% of treated cats by day 30.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Both drugs are safe for otherwise healthy cats that have never been treated with insulin. Neither drug is appropriate for cats with insulin-dependent diabetes mellitus. The most serious side effects include diabetic ketoacidosis and low blood sugar (hypoglycemia).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Glipizide is <\/span><a href=\"https:\/\/www.vin.com\/apputil\/content\/defaultadv1.aspx?id=3847280\"><span style=\"font-weight: 400;\">another possible treatment option<\/span><\/a><span style=\"font-weight: 400;\">. It is a sulfonylurea drug that works by increasing the body\u2019s production of insulin. Glipizide is only appropriate if the cat is mildly hyperglycemic and producing insulin.<\/span><\/p>\n<h2 id=\"summary\"><span style=\"font-weight: 400;\">Summary<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Veterinary literature discourages veterinarians from using metformin in cats. It\u2019s not dangerous, but it\u2019s rarely successful at treating blood sugar in insulin-resistant diabetic cats. If a veterinarian prescribes metformin, discuss possible side effects and next steps if the drug doesn\u2019t work. There are other options besides insulin or metformin for treating Type 2 diabetes in cats.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Metformin hydrochloride treats Type 2 diabetes mellitus, the most common type of diabetes in people and cats. Although metformin is typically the first drug doctors use to treat Type 2 diabetes in people, veterinarians avoid it because it\u2019s considered ineffective in most cats. Insulin and dietary management is the treatment of choice for all types [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":631610,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[7956],"tags":[15095,10298],"coauthors":[8861],"class_list":["post-631609","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pets","tag-cats","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 for cats: Dosage and safety<\/title>\n<meta name=\"description\" content=\"Metformin is used to treat diabetes in cats. The standard dose of metformin for cats is 2 mg\/kg of body weight. 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