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


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


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


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


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


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


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


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


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


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


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