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Glucophage

Metformin

The first-line oral medicine for type-2 diabetes.

Biguanide
Generic name
Metformin
Brand name
Glucophage
Marketed by
EMD Serono (Merck KGaA)
First FDA approval
3 Mar 1995

Where Metformin is approved

All regulators →

Of the three regulators tracked here, the first to approve Metformin was the US, on 3 Mar 1995. It is approved in 2 of the 3 regulators tracked here.

USUnited States (FDA)
3 Mar 1995
Glucophage
NDA020357 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
No centralised EU authorisation (it may be authorised nationally)
First centralised authorisation
CACanada (Health Canada)
29 Mar 1995
Glucophage
Notice of Compliance 5151
First new-drug NOC

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

What health systems spend on Metformin

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ENNHS England
£66.4m
27,597,345 items dispensed, Aug 2025 to Jul 2026
-27% on the previous 12 months
Net ingredient cost, community prescriptions
USUS Medicaid
$149.2m
9,291,329 prescriptions in 2025 · Metformin Hydrochloride, Metformin Hydrochloride, Metformin
-1% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Metformin works

All drug targets →
  • Mitochondrial complex I (NADH dehydrogenase) inhibitor Inhibitor
    Target: Mitochondrial complex I (NADH dehydrogenase)
    ChEMBL only
  • Mitochondrial glycerol-3-phosphate dehydrogenase inhibitor Inhibitor
    Target: GPD2 glycerol-3-phosphate dehydrogenase 2
    ChEMBL only
Diseases it has been tested for in clinical trials, by furthest phase
  • COVID-19Phase 3
  • Duchenne muscular dystrophyPhase 3
  • FatiguePhase 3
  • Huntington diseasePhase 3
  • HyperglycemiaPhase 3
  • Impaired glucose tolerancePhase 3
  • Increased body weightPhase 3
  • InfertilityPhase 3
  • Insulin resistancePhase 3
  • MiscarriagePhase 3
220 diseases in all

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL1431, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3), ligand 4503, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

Patient leaflets for Metformin

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Reference identifiers for Metformin

ATC code
A10BA02
ChEMBL
CHEMBL1431
DrugBank
DB00331
PubChem CID
155906370
CAS number
657-24-9
FDA UNII
9100L32L2N
Wikidata
Q19484
Wikipedia
Metformin

Codes that identify this medicine in other databases, from Wikidata (CC0), matched by its ChEMBL ID. The ATC code is the WHO classification of what the medicine is used for.

What Glucophage is used for

Metformin (Glucophage) is the first-line oral medicine for type-2 diabetes. It belongs to the Biguanide class.

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How this page is built

The facts on this page are pulled directly from official U.S. FDA datasets — they are not written from memory. Each field below names the dataset it came from, so you can check it yourself.

Plain-English summaries and drug-class explainers are written and reviewed by Sreepriya Prasannan (MSc Digital Transformation of Life Sciences (Innopharma Education / Griffith College); MSc & BSc Botany). Data is retrieved automatically from the sources above and cross-checked with AI-assisted verification (Anthropic's Claude) — brand and generic names are matched against the exact FDA product record so that a combination product or a different formulation cannot be mistaken for the drug on this page. An editor reviews the result before publication. We describe this in full in our editorial standards and corrections policy. The FDA data on this page was last retrieved on 10 Oct 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.