PEARL DROP: With SGAs, How Often Is Metformin Actually Used? episode artwork

EPISODE · May 4, 2026 · 5 MIN

PEARL DROP: With SGAs, How Often Is Metformin Actually Used?

from Pearls and Prep

There are two kinds of clinicians—the ones who follow algorithms, and the ones who understand the “why.”Be the second on Patreon:👉 https://www.patreon.com/PearlsandPrepAlright, folks, let’s dive into a real eye-opener about metformin and its under-prescription among patients on second-generation antipsychotics. Believe it or not, only about 2 to 3% of these patients are actually getting the help they need with this medication. Crazy, right? We’re chatting about why this is such a big deal and why we need to step up our game and start prescribing metformin more. It’s not just a cheap and effective option; it’s a lifesaver when it comes to managing weight and preventing serious health problems. Stick around as we unpack this shocking statistic and ponder why it’s falling through the cracks in the medical world. Diving headfirst into the world of mental health medications, we tackle a shocking reality: when it comes to prescribing metformin alongside second-generation antipsychotics, the stats are enough to make you raise an eyebrow. We're talking a staggering 2-3% of patients actually getting this potentially life-saving med! Yup, you heard that right. With a study from the Lancet revealing that out of 30,000 young patients treated with these antipsychotics, only 677 were co-prescribed metformin in the last month, it's clear we've got a serious issue on our hands. We chat about why metformin is a game-changer, not just for weight management but also for preventing diabetes and improving overall metabolic health. It’s cheap, effective, and ridiculously underutilized. So, why the hesitation among prescribers? Is it simply forgetfulness or a lack of comfort with the medication? We dig into these questions and more, setting the stage for a deeper dive in our upcoming episodes. Buckle up, folks, because this conversation is just getting started!Links referenced in this episode:patreon.comCompanies mentioned in this episode:LancetMetformin27PEARL DROP: With SGAs, How Often Is Metformin Actually Used?Pearls and [email protected]://patreon.com/PearlsandPrep?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLinkThis podcast uses the following third-party services for analysis: Podcorn - https://podcorn.com/privacy

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PEARL DROP: With SGAs, How Often Is Metformin Actually Used?

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