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


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


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


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


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


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


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


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


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


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


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