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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 amaryl actos feet. Notify your doctor immediately if youdevelop nausea, vomiting, abdominal pain, unusual fatigue, loss of appetite,yellow skin or eyes, or dark urine amaryl actos feet. These symptoms may be early signs of liverproblems amaryl actos feet.
• 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 amaryl actos feet. These may be early symptoms of heart problems amaryl actos feet.
• Actos usually does not cause hypoglycemia (low blood sugar) amaryl actos feet. However,hypoglycemia may occur as a result of skipped meals, excessive exercise, oralcohol consumption while taking Actos amaryl actos feet. Know the signs and symptoms of hypoglycemia,which include headache, drowsiness, weakness, dizziness, fast heartbeat, sweating,tremor, and nausea amaryl actos feet. Carry hard candy or glucose tablets with you to treat episodesof low blood sugar amaryl actos feet.
• Actos may decrease the effects of some birth control pills amaryl actos feet. Additionalmeasures may be necessary to prevent pregnancy while taking Actos amaryl actos feet. Talk to yourdoctor about the use of birth control amaryl actos feet.
What is Actos?
• Actos is an antihyperglycemic agent amaryl actos feet. It helps the body respond betterto insulin and it reduces the amount of sugar produced by the liver amaryl actos feet. It canhelp control blood sugar levels amaryl actos feet.
• Actos is used, along with diet and exercise, in the treatment of non-insulin-dependentdiabetes mellitus (type II diabetes) amaryl actos feet. 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 amaryl actos feet.
• Actos may also be used for purposes other than those listed in this medicationguide amaryl actos feet.
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 amaryl actos feet.
• 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 amaryl actos feet.
• 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 amaryl actos feet.
• 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 amaryl actos feet. Therefore, pregnancy mayoccur and birth control may be a consideration amaryl actos feet.
• Actos is in the FDA pregnancy category C amaryl actos feet. This means that it is not knownwhether Actos will be harmful to an unborn baby amaryl actos feet. Generally, insulin is the drugof choice for controlling diabetes during pregnancy amaryl actos feet. Do not take Actos withoutfirst talking to your doctor if you are pregnant or could become pregnant duringtreatment amaryl actos feet.
• It is not known whether Actos passes into breast milk amaryl actos feet. Do not take Actoswithout first talking to your doctor if you are breast-feeding a baby amaryl actos feet.
• The safety and effectiveness of Actos have not been established for children amaryl actos feet.
How should I take Actos?
• Take Actos exactly as directed by your doctor amaryl actos feet. If you do not understandthese instructions, ask your pharmacist, nurse, or doctor to explain them toyou amaryl actos feet.
• Take each dose with a full glass of water amaryl actos feet.
• Actos can be taken with or without food or meals amaryl actos feet.
• 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 amaryl actos feet. Notify your doctor immediately if youdevelop nausea, vomiting, abdominal pain, unusual fatigue, loss of appetite,yellow skin or eyes, or dark urine amaryl actos feet. These symptoms may be early signs of liverproblems amaryl actos feet.
• Although Actos does not usually cause hypoglycemia (low blood sugar),hypoglycemia may result from skipped meals, excessive exercise, or alcohol consumption amaryl actos feet. Know the signs and symptoms of hypoglycemia, which include headache, drowsiness,weakness, dizziness, fast heartbeat, sweating, tremor, and nausea amaryl actos feet. Carry a pieceof hard candy or glucose tablets with you to treat episodes of low blood sugar amaryl actos feet.
• Store Actos at room temperature away from moisture and heat amaryl actos feet.
What happens if I miss a dose?
• Take the missed dose as soon as you remember amaryl actos feet. If you do not rememberuntil the next day, skip the missed dose and take only the next regularly scheduleddose amaryl actos feet. Do not take a double dose amaryl actos feet.
What happens if I overdose?
• Seek emergency medical attention amaryl actos feet.
• Symptoms of a Actos overdose are not known amaryl actos feet.
What should I avoid while taking Actos?
• Follow any diet, medication, and exercise routines closely amaryl actos feet. Changingany of these factors can affect blood sugar levels amaryl actos feet.
• Avoid alcohol amaryl actos feet. It lowers blood sugar and may interfere with diabetestreatment amaryl actos feet.
• Tell your doctor and dentist that you are taking this medication beforehaving surgery amaryl actos feet.
• 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 amaryl actos feet.
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 amaryl actos feet.
• 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 amaryl actos feet. These may be early symptoms of heart problems amaryl actos feet.
• Although Actos does not usually cause hypoglycemia (low blood sugar),hypoglycemia may result from skipped meals, excessive exercise, or alcohol consumption amaryl actos feet. Know the signs and symptoms of hypoglycemia, which include headache, drowsiness,weakness, dizziness, fast heartbeat, sweating, tremor, and nausea amaryl actos feet. Carry a pieceof hard candy or glucose tablets with you to treat episodes of low blood sugar amaryl actos feet.
• Other less serious side effects may also occur amaryl actos feet. Continue to take Actosand talk to your doctor if you experience:
· headache;
· muscle aches; or
· sore throat, nasal discharge, or cold symptoms amaryl actos feet.
• Side effects other than those listed here may also occur amaryl actos feet. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome amaryl actos feet.
What other drugs will affect Actos?
• Actos may decrease the effects of some birth control pills amaryl actos feet. Additionalmeasures may be necessary to prevent pregnancy while taking Actos amaryl actos feet. Talk to yourdoctor about the use of birth control amaryl actos feet.
• Before taking Actos, tell your doctor if you are taking ketoconazole(Nizoral) amaryl actos feet. Ketoconazole may interact with Actos amaryl actos feet.
• 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 amaryl actos feet.
• Drugs other than those listed here may also interact with Actos or affectyour condition amaryl actos feet. Talk to your doctor and pharmacist before taking any prescriptionor over-the-counter medicines, including herbal products amaryl actos feet.
Where can I get more information?
• Your pharmacist has additional information about Actos written for healthprofessionals that you may read amaryl actos feet.
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