If you are experiencing any of the following, it may be a side effect of metformin: Abdominal distension, Abdominal distress, Abdominal pain, Abnormal stools, Asthenia, Chest discomfort, Chills, Diaphoresis, Diarrhea, Dizziness, Dyspepsia, Dyspnea, Encephalopathy, Fixed drug eruption, Flatulence, Flu-like symptoms, Flushing, Headache, Heartburn, Hemolytic anemia, Hepatic injury, Hypoglycemia, Lactic acidosis, Lichen planus, Myalgia, Nail disease, Nausea and vomiting, Palpitations, Upper respiratory tract infection, Vitamin B12 deficiency