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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 canada cost actos 15 mg. Notify your doctor immediately if youdevelop nausea, vomiting, abdominal pain, unusual fatigue, loss of appetite,yellow skin or eyes, or dark urine canada cost actos 15 mg. These symptoms may be early signs of liverproblems canada cost actos 15 mg.
• 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 canada cost actos 15 mg. These may be early symptoms of heart problems canada cost actos 15 mg.
• Actos usually does not cause hypoglycemia (low blood sugar) canada cost actos 15 mg. However,hypoglycemia may occur as a result of skipped meals, excessive exercise, oralcohol consumption while taking Actos canada cost actos 15 mg. Know the signs and symptoms of hypoglycemia,which include headache, drowsiness, weakness, dizziness, fast heartbeat, sweating,tremor, and nausea canada cost actos 15 mg. Carry hard candy or glucose tablets with you to treat episodesof low blood sugar canada cost actos 15 mg.
• Actos may decrease the effects of some birth control pills canada cost actos 15 mg. Additionalmeasures may be necessary to prevent pregnancy while taking Actos canada cost actos 15 mg. Talk to yourdoctor about the use of birth control canada cost actos 15 mg.


What is Actos?
• Actos is an antihyperglycemic agent canada cost actos 15 mg. It helps the body respond betterto insulin and it reduces the amount of sugar produced by the liver canada cost actos 15 mg. It canhelp control blood sugar levels canada cost actos 15 mg.
• Actos is used, along with diet and exercise, in the treatment of non-insulin-dependentdiabetes mellitus (type II diabetes) canada cost actos 15 mg. 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 canada cost actos 15 mg.
• Actos may also be used for purposes other than those listed in this medicationguide canada cost actos 15 mg.


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 canada cost actos 15 mg.
• 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 canada cost actos 15 mg.
• 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 canada cost actos 15 mg.
• 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 canada cost actos 15 mg. Therefore, pregnancy mayoccur and birth control may be a consideration canada cost actos 15 mg.
• Actos is in the FDA pregnancy category C canada cost actos 15 mg. This means that it is not knownwhether Actos will be harmful to an unborn baby canada cost actos 15 mg. Generally, insulin is the drugof choice for controlling diabetes during pregnancy canada cost actos 15 mg. Do not take Actos withoutfirst talking to your doctor if you are pregnant or could become pregnant duringtreatment canada cost actos 15 mg.
• It is not known whether Actos passes into breast milk canada cost actos 15 mg. Do not take Actoswithout first talking to your doctor if you are breast-feeding a baby canada cost actos 15 mg.
• The safety and effectiveness of Actos have not been established for children canada cost actos 15 mg.


How should I take Actos?
• Take Actos exactly as directed by your doctor canada cost actos 15 mg. If you do not understandthese instructions, ask your pharmacist, nurse, or doctor to explain them toyou canada cost actos 15 mg.
• Take each dose with a full glass of water canada cost actos 15 mg.
• Actos can be taken with or without food or meals canada cost actos 15 mg.
• 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 canada cost actos 15 mg. Notify your doctor immediately if youdevelop nausea, vomiting, abdominal pain, unusual fatigue, loss of appetite,yellow skin or eyes, or dark urine canada cost actos 15 mg. These symptoms may be early signs of liverproblems canada cost actos 15 mg.
• Although Actos does not usually cause hypoglycemia (low blood sugar),hypoglycemia may result from skipped meals, excessive exercise, or alcohol consumption canada cost actos 15 mg. Know the signs and symptoms of hypoglycemia, which include headache, drowsiness,weakness, dizziness, fast heartbeat, sweating, tremor, and nausea canada cost actos 15 mg. Carry a pieceof hard candy or glucose tablets with you to treat episodes of low blood sugar canada cost actos 15 mg.
• Store Actos at room temperature away from moisture and heat canada cost actos 15 mg.


What happens if I miss a dose?
• Take the missed dose as soon as you remember canada cost actos 15 mg. If you do not rememberuntil the next day, skip the missed dose and take only the next regularly scheduleddose canada cost actos 15 mg. Do not take a double dose canada cost actos 15 mg.


What happens if I overdose?
• Seek emergency medical attention canada cost actos 15 mg.
• Symptoms of a Actos overdose are not known canada cost actos 15 mg.


What should I avoid while taking Actos?
• Follow any diet, medication, and exercise routines closely canada cost actos 15 mg. Changingany of these factors can affect blood sugar levels canada cost actos 15 mg.
• Avoid alcohol canada cost actos 15 mg. It lowers blood sugar and may interfere with diabetestreatment canada cost actos 15 mg.
• Tell your doctor and dentist that you are taking this medication beforehaving surgery canada cost actos 15 mg.
• 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 canada cost actos 15 mg.


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 canada cost actos 15 mg.
• 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 canada cost actos 15 mg. These may be early symptoms of heart problems canada cost actos 15 mg.
• Although Actos does not usually cause hypoglycemia (low blood sugar),hypoglycemia may result from skipped meals, excessive exercise, or alcohol consumption canada cost actos 15 mg. Know the signs and symptoms of hypoglycemia, which include headache, drowsiness,weakness, dizziness, fast heartbeat, sweating, tremor, and nausea canada cost actos 15 mg. Carry a pieceof hard candy or glucose tablets with you to treat episodes of low blood sugar canada cost actos 15 mg.
• Other less serious side effects may also occur canada cost actos 15 mg. Continue to take Actosand talk to your doctor if you experience:
· headache;
· muscle aches; or
· sore throat, nasal discharge, or cold symptoms canada cost actos 15 mg.
• Side effects other than those listed here may also occur canada cost actos 15 mg. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome canada cost actos 15 mg.


What other drugs will affect Actos?
• Actos may decrease the effects of some birth control pills canada cost actos 15 mg. Additionalmeasures may be necessary to prevent pregnancy while taking Actos canada cost actos 15 mg. Talk to yourdoctor about the use of birth control canada cost actos 15 mg.
• Before taking Actos, tell your doctor if you are taking ketoconazole(Nizoral) canada cost actos 15 mg. Ketoconazole may interact with Actos canada cost actos 15 mg.
• 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 canada cost actos 15 mg.
• Drugs other than those listed here may also interact with Actos or affectyour condition canada cost actos 15 mg. Talk to your doctor and pharmacist before taking any prescriptionor over-the-counter medicines, including herbal products canada cost actos 15 mg.


Where can I get more information?
• Your pharmacist has additional information about Actos written for healthprofessionals that you may read canada cost actos 15 mg.


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