Fig. 1From: Metformin reverse minocycline to inhibit minocycline-resistant Acinetobacter baumannii by destroy the outer membrane and enhance membrane potential in vitroDiagrammatic representation depicting hypothetical view of the metformin and minocycline combination in culminating lactic acidosis. Metformin can inhibit liver mitochondrial respiration, thus increasing plasma lactate levels. Metformin-associated lactic acidosis (MALA) can be caused by elevated plasma metformin concentrations and disrupted lactate production or clearance. A decrease antihyperglycemic effect of metformin maybe observed after concomitant administration with minocycline because of gut microbiome change, and may cause a decrease production of lactate. This hypothetical need more research to proveBack to article page