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


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


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


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


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


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


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


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


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


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


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