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acto fiscal
Pioglitazone (pie oh GLIH ta zone)

What is the most important information I should know about Actos?
• Usually, liver function is monitored with blood tests at the start oftreatment, every two months for the first year of treatment, and periodicallythereafter during treatment with Actos acto fiscal. Notify your doctor immediately if youdevelop nausea, vomiting, abdominal pain, unusual fatigue, loss of appetite,yellow skin or eyes, or dark urine acto fiscal. These symptoms may be early signs of liverproblems acto fiscal.
• Notify your doctor immediately if you experience an unusually rapid increasein weight or edema (water retention), shortness of breath, or chest pain duringtreatment with Actos acto fiscal. These may be early symptoms of heart problems acto fiscal.
• Actos usually does not cause hypoglycemia (low blood sugar) acto fiscal. However,hypoglycemia may occur as a result of skipped meals, excessive exercise, oralcohol consumption while taking Actos acto fiscal. Know the signs and symptoms of hypoglycemia,which include headache, drowsiness, weakness, dizziness, fast heartbeat, sweating,tremor, and nausea acto fiscal. Carry hard candy or glucose tablets with you to treat episodesof low blood sugar acto fiscal.
• Actos may decrease the effects of some birth control pills acto fiscal. Additionalmeasures may be necessary to prevent pregnancy while taking Actos acto fiscal. Talk to yourdoctor about the use of birth control acto fiscal.


What is Actos?
• Actos is an antihyperglycemic agent acto fiscal. It helps the body respond betterto insulin and it reduces the amount of sugar produced by the liver acto fiscal. It canhelp control blood sugar levels acto fiscal.
• Actos is used, along with diet and exercise, in the treatment of non-insulin-dependentdiabetes mellitus (type II diabetes) acto fiscal. Actos may also be used with a sulfonylurea(e.g., Diabeta, Glucotrol, Micronase, others), metformin (Glucophage), or insulinwhen diet and exercise plus any one of these medicines alone do not result inadequate blood sugar control acto fiscal.
• Actos may also be used for purposes other than those listed in this medicationguide acto fiscal.


What should I discuss with my healthcare provider before taking Actos?
• Do not take Actos without first talking to your doctor if you have liverdisease acto fiscal.
• Before taking this medication, tell your doctor if you
· have heart failure or heart disease;
· have edema (water retention or swelling);
· have type 1 diabetes mellitus (insulin-dependent diabetes);
· have a serious infection, illness, or injury; or
· need surgery acto fiscal.
• You may not be able to take Actos, or you may need a dosage adjustmentor special monitoring during treatment if you have any of the conditions listedabove acto fiscal.
• Treatment with Actos may cause resumption of fertility by allowing forthe return of ovulation (production of eggs) in certain women with insulin resistancewho were not ovulating before treatment with Actos acto fiscal. Therefore, pregnancy mayoccur and birth control may be a consideration acto fiscal.
• Actos is in the FDA pregnancy category C acto fiscal. This means that it is not knownwhether Actos will be harmful to an unborn baby acto fiscal. Generally, insulin is the drugof choice for controlling diabetes during pregnancy acto fiscal. Do not take Actos withoutfirst talking to your doctor if you are pregnant or could become pregnant duringtreatment acto fiscal.
• It is not known whether Actos passes into breast milk acto fiscal. Do not take Actoswithout first talking to your doctor if you are breast-feeding a baby acto fiscal.
• The safety and effectiveness of Actos have not been established for children acto fiscal.


How should I take Actos?
• Take Actos exactly as directed by your doctor acto fiscal. If you do not understandthese instructions, ask your pharmacist, nurse, or doctor to explain them toyou acto fiscal.
• Take each dose with a full glass of water acto fiscal.
• Actos can be taken with or without food or meals acto fiscal.
• Usually, liver function is monitored with blood tests at the start oftreatment, every two months for the first year of treatment, and periodicallythereafter during treatment with Actos acto fiscal. Notify your doctor immediately if youdevelop nausea, vomiting, abdominal pain, unusual fatigue, loss of appetite,yellow skin or eyes, or dark urine acto fiscal. These symptoms may be early signs of liverproblems acto fiscal.
• Although Actos does not usually cause hypoglycemia (low blood sugar),hypoglycemia may result from skipped meals, excessive exercise, or alcohol consumption acto fiscal. Know the signs and symptoms of hypoglycemia, which include headache, drowsiness,weakness, dizziness, fast heartbeat, sweating, tremor, and nausea acto fiscal. Carry a pieceof hard candy or glucose tablets with you to treat episodes of low blood sugar acto fiscal.
• Store Actos at room temperature away from moisture and heat acto fiscal.


What happens if I miss a dose?
• Take the missed dose as soon as you remember acto fiscal. If you do not rememberuntil the next day, skip the missed dose and take only the next regularly scheduleddose acto fiscal. Do not take a double dose acto fiscal.


What happens if I overdose?
• Seek emergency medical attention acto fiscal.
• Symptoms of a Actos overdose are not known acto fiscal.


What should I avoid while taking Actos?
• Follow any diet, medication, and exercise routines closely acto fiscal. Changingany of these factors can affect blood sugar levels acto fiscal.
• Avoid alcohol acto fiscal. It lowers blood sugar and may interfere with diabetestreatment acto fiscal.
• Tell your doctor and dentist that you are taking this medication beforehaving surgery acto fiscal.
• Do not take over-the-counter or prescription cough, cold, allergy, pain,or weight-loss medications during treatment with Actos without first talkingto your doctor acto fiscal.


What are the possible side effects of Actos?
• If you experience any of the following serious side effects, stop takingActos and seek emergency medical attention or notify your doctor immediately:
· an allergic reaction (difficulty breathing; closing of the throat;swelling of the lips, tongue, or face; or hives);
· nausea, vomiting, abdominal pain, or loss of appetite;
· unusual fatigue;
· yellowing of the skin or eyes; or
· dark urine acto fiscal.
• Notify your doctor immediately if you experience an unusually rapid increasein weight or edema (swelling, water retention), shortness of breath, or chestpain during treatment with Actos acto fiscal. These may be early symptoms of heart problems acto fiscal.
• Although Actos does not usually cause hypoglycemia (low blood sugar),hypoglycemia may result from skipped meals, excessive exercise, or alcohol consumption acto fiscal. Know the signs and symptoms of hypoglycemia, which include headache, drowsiness,weakness, dizziness, fast heartbeat, sweating, tremor, and nausea acto fiscal. Carry a pieceof hard candy or glucose tablets with you to treat episodes of low blood sugar acto fiscal.
• Other less serious side effects may also occur acto fiscal. Continue to take Actosand talk to your doctor if you experience:
· headache;
· muscle aches; or
· sore throat, nasal discharge, or cold symptoms acto fiscal.
• Side effects other than those listed here may also occur acto fiscal. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome acto fiscal.


What other drugs will affect Actos?
• Actos may decrease the effects of some birth control pills acto fiscal. Additionalmeasures may be necessary to prevent pregnancy while taking Actos acto fiscal. Talk to yourdoctor about the use of birth control acto fiscal.
• Before taking Actos, tell your doctor if you are taking ketoconazole(Nizoral) acto fiscal. Ketoconazole may interact with Actos acto fiscal.
• Do not take over-the-counter or prescription cough, cold, allergy, pain,or weight-loss medications during treatment with Actos without first talkingto your doctor acto fiscal.
• Drugs other than those listed here may also interact with Actos or affectyour condition acto fiscal. Talk to your doctor and pharmacist before taking any prescriptionor over-the-counter medicines, including herbal products acto fiscal.


Where can I get more information?
• Your pharmacist has additional information about Actos written for healthprofessionals that you may read acto fiscal.


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