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Phenformin-associated lactic acidosis: pathogenesis and treatment. Ann Intern Med. Igualmente, se han descrito casos de insuficiencia renal aguda y acidosis láctica3–5. OR repaglinide OR nateglinide OR acarbose OR miglitol OR gliquidona OR tolbutamide OR. Metformin lactic acidosis, acute renal failure and rofecoxib. Tratamiento de acidosis del rumen con inhibidores de alfa-amilasa. S.J. y Harmon, D.L. Effect of ionophore antibiotics on experimentially induced lactic acidosis in cattle American. Se prefieren especialmente la acarbosa y la Trestatina C. cuestionado el papel de la metformina en la acidosis láctica llegandose a. dosis elevadas de acarbosa y que desaparecen al suspender el fármaco, por lo que. 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