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Metformin

SACAA Part 67 assessment

Acceptable with conditions / grounding period

Active ingredient(s)

Metformin

Oral antidiabetic (biguanide)

Stabilisation period

At least 4 weeks on a stable dose with documented glycaemic control (HbA1c) before return to duty.

Guidance notes

Not covered by SA-CATS 67 Table A1, so it must be verified with your DAME/SACAA — Table A1 requires all drugs not published in SA-CATS 67 to be verified before prescribing. Metformin alone carries no hypoglycaemia risk, but the diabetes itself must be certified with documented control.

Known SA brand names

GlucophageGlucometBigsensDiaphageGlucare

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SACAA Aviation Medicine (official reference)