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. 2024 Jun 15;15(6):1178–1186. doi: 10.4239/wjd.v15.i6.1178

Table 2.

Risk factors for metformin-associated lactic acidosis

Risk factors
Mechanism
Kidney failure (any cause) Reduced renal elimination of metformin[45]
Cimetidine Reduced renal elimination of metformin[51]
Ribociclib Reduced renal elimination of metformin[52]
Excessive alcohol consumption Ethanol oxidation consumes nicotinamide adenine dinucleotides that are also required for lactate metabolism[50]