| Literature DB >> 812582 |
P H Wise, M Chapman, D W Thomas, A R Clarkson, P E Harding, J B Edwards.
Abstract
Thirty-eight patients who presented with diabetes and a changed state of consciousness satisfied the criteria for lactic acidosis. Sixteen patients were non-ketotic, and 15 of these were receiving phenformin on admission. In all but one of these 15 patients, however, additional renal or cardiovascular abnormalities, or both, could be identified, which supported a multifactorial aetiology for lactic acidosis. Advanced age and cardiovascular and renal disease are absolute contraindications to the use of phenformin in diabetics.Entities:
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Year: 1976 PMID: 812582 PMCID: PMC1638317 DOI: 10.1136/bmj.1.6001.70
Source DB: PubMed Journal: Br Med J ISSN: 0007-1447