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acto ghost
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 ghost. Notify your doctor immediately if youdevelop nausea, vomiting, abdominal pain, unusual fatigue, loss of appetite,yellow skin or eyes, or dark urine acto ghost. These symptoms may be early signs of liverproblems acto ghost.
• 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 ghost. These may be early symptoms of heart problems acto ghost.
• Actos usually does not cause hypoglycemia (low blood sugar) acto ghost. However,hypoglycemia may occur as a result of skipped meals, excessive exercise, oralcohol consumption while taking Actos acto ghost. Know the signs and symptoms of hypoglycemia,which include headache, drowsiness, weakness, dizziness, fast heartbeat, sweating,tremor, and nausea acto ghost. Carry hard candy or glucose tablets with you to treat episodesof low blood sugar acto ghost.
• Actos may decrease the effects of some birth control pills acto ghost. Additionalmeasures may be necessary to prevent pregnancy while taking Actos acto ghost. Talk to yourdoctor about the use of birth control acto ghost.


What is Actos?
• Actos is an antihyperglycemic agent acto ghost. It helps the body respond betterto insulin and it reduces the amount of sugar produced by the liver acto ghost. It canhelp control blood sugar levels acto ghost.
• Actos is used, along with diet and exercise, in the treatment of non-insulin-dependentdiabetes mellitus (type II diabetes) acto ghost. 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 ghost.
• Actos may also be used for purposes other than those listed in this medicationguide acto ghost.


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 ghost.
• 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 ghost.
• 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 ghost.
• 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 ghost. Therefore, pregnancy mayoccur and birth control may be a consideration acto ghost.
• Actos is in the FDA pregnancy category C acto ghost. This means that it is not knownwhether Actos will be harmful to an unborn baby acto ghost. Generally, insulin is the drugof choice for controlling diabetes during pregnancy acto ghost. Do not take Actos withoutfirst talking to your doctor if you are pregnant or could become pregnant duringtreatment acto ghost.
• It is not known whether Actos passes into breast milk acto ghost. Do not take Actoswithout first talking to your doctor if you are breast-feeding a baby acto ghost.
• The safety and effectiveness of Actos have not been established for children acto ghost.


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


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


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


What should I avoid while taking Actos?
• Follow any diet, medication, and exercise routines closely acto ghost. Changingany of these factors can affect blood sugar levels acto ghost.
• Avoid alcohol acto ghost. It lowers blood sugar and may interfere with diabetestreatment acto ghost.
• Tell your doctor and dentist that you are taking this medication beforehaving surgery acto ghost.
• 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 ghost.


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 ghost.
• 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 ghost. These may be early symptoms of heart problems acto ghost.
• Although Actos does not usually cause hypoglycemia (low blood sugar),hypoglycemia may result from skipped meals, excessive exercise, or alcohol consumption acto ghost. Know the signs and symptoms of hypoglycemia, which include headache, drowsiness,weakness, dizziness, fast heartbeat, sweating, tremor, and nausea acto ghost. Carry a pieceof hard candy or glucose tablets with you to treat episodes of low blood sugar acto ghost.
• Other less serious side effects may also occur acto ghost. Continue to take Actosand talk to your doctor if you experience:
· headache;
· muscle aches; or
· sore throat, nasal discharge, or cold symptoms acto ghost.
• Side effects other than those listed here may also occur acto ghost. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome acto ghost.


What other drugs will affect Actos?
• Actos may decrease the effects of some birth control pills acto ghost. Additionalmeasures may be necessary to prevent pregnancy while taking Actos acto ghost. Talk to yourdoctor about the use of birth control acto ghost.
• Before taking Actos, tell your doctor if you are taking ketoconazole(Nizoral) acto ghost. Ketoconazole may interact with Actos acto ghost.
• 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 ghost.
• Drugs other than those listed here may also interact with Actos or affectyour condition acto ghost. Talk to your doctor and pharmacist before taking any prescriptionor over-the-counter medicines, including herbal products acto ghost.


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


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