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

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

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

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

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

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

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

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

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

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

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