PTCE Top 200 · #2

Metformin

Glucophage

Metformin is the generic name for the brand-name drug Glucophage. It is a biguanide (antihyperglycemic) used to treat type 2 diabetes. On the PTCE Top 200 drug list, Metformin ranks #2 and is one of the most frequently tested endocrine/diabetes medications — commonly quizzed on its brand–generic pair, drug class, and key side effects.

Generic nameMetformin
Brand name(s)Glucophage
Drug classBiguanide (antihyperglycemic)
Class groupEndocrine/Diabetes
Common usetype 2 diabetes
DEA scheduleUnscheduled
AvailabilityPrescription only (Rx)

What is Metformin used for?

Type 2 diabetes: improves blood glucose control as an adjunct to diet and exercise (alone or with other antidiabetic meds).

What drug class is Metformin?

Metformin is a Biguanide (antihyperglycemic) in the Endocrine/Diabetes group. Knowing the class is the fastest way to predict its uses, side effects, and the brand↔generic pairs the PTCE tests.

Common side effects of Metformin

Major interactions

Is Metformin a controlled substance?

No. Metformin is not a federally controlled substance (it is unscheduled by the DEA).

warning Boxed warning

BOXED WARNING: Metformin can rarely cause lactic acidosis (a medical emergency). Risk increases with significant kidney impairment, hypoxia, excessive alcohol, or iodinated contrast procedures.

How to remember Metformin (PTCE mnemonic)

GLUCO-phage 'eats' GLUCOse — METformin is the first MET for type 2. Hold for contrast/renal — lactic acidosis.
lightbulb
PTCE exam tip

Metformin is the first-line type 2 diabetes drug and, unlike sulfonylureas, rarely causes low blood sugar on its own — a distinction the PTCE likes to test.

Metformin FAQ

What is the brand name for Metformin?

The brand name for Metformin is Glucophage.

What is Metformin used for?

Metformin is used to treat type 2 diabetes. Type 2 diabetes: improves blood glucose control as an adjunct to diet and exercise (alone or with other antidiabetic meds).

What drug class is Metformin?

Metformin is a Biguanide (antihyperglycemic) (Endocrine/Diabetes group).

Is Metformin a controlled substance?

No. Metformin is not a federally controlled substance (it is unscheduled by the DEA).

Related drugs in the Endocrine/Diabetes group

Drill Metformin the way the PTCE asks it

RxReflex turns the Top 200 drugs into fast flashcard rounds, a guided Learn path, pharmacy math, and 40+ cheat sheets. Free to start.

Last reviewed June 25, 2026. Educational use only — not medical advice. Verify clinical specifics with your pharmacist or a current label source such as DailyMed. RxReflex is not affiliated with or endorsed by the Pharmacy Technician Certification Board (PTCB).