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Precautions

Do NOT use Actos if:

• you might be allergic to any ingredient in Actos
• you might have moderate to severe heart failure
• you've got type 1 diabetes
• you possess a reputation liver problems, including jaundice (yellowing in the skin or eyes), during therapy having a similar medicine called troglitazone.

Contact your medical professional or health care provider straight away if some of these connect with you.

Some medical conditions may talk with Actos. Tell your doctor or pharmacist in case you have any medical problem, in particular when any from the following connect with you:

• if you are pregnant, likely to conceive, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• in case you have allergies to medicines, foods, or another substances
• in case you have diabetic ketoacidosis (a serious problem related to diabetes)
• in the event you have a reputation liver problems, abnormal liver function tests, heart related illnesses (eg, congestive heart failure [CHF]), or eye or vision problems
• if you have swelling problems (edema).

Some medicines may interact with Actos. Tell your doctor if you are taking some other medicines, especially any from the following:

• Gemfibrozil, insulin, or oral antidiabetic medicines (eg, glipizide) since the chance of low blood glucose might be increased
• Rifampin since it may decrease Actos's effectiveness, resulting in high blood glucose levels
• Anticoagulants (eg, warfarin) because the risk of their unwanted side effects might be increased or their effectiveness might be decreased by Actos.

This might not be a complete listing of all interactions that could occur. Ask your doctor if Actos may interact along with other medicines which you take. Check with your medical provider before you start, stop, or change the dose from a medicine.

Important safety information:

• Proper diet, physical exercise, and regular blood glucose testing are very important for best results with Actos. Follow the diet and exercise program presented to you from your health care provider.
• Check your blood glucose levels as directed through your doctor. If they are often more than they will be and also you take Actos just as prescribed, tell your doctor.
• It may be harder to manipulate your blood sugar during periods of stress including fever, infection, injury, or surgery. Talk along with your doctor regarding how to control your blood glucose if these occur. Do not alter the dose of one's medicine without checking together with your doctor.
• Do NOT take a lot more than the recommended dose without checking together with your doctor.
• Actos may cause low blood sugar levels when it is used in addition to insulin or any other oral diabetic medicines. Low blood glucose will make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also make your heart rhythm faster; make your vision change; give you a headache, chills, or tremors; or cause you to more hungry. It can be a good option to hold a dependable source of glucose (eg, tablets or gel) to help remedy low blood glucose levels. If this is not available, you ought to eat or drink a quick method to obtain sugar like ordinary sugar, honey, candy, orange juice, or non-diet soda. This will raise the blood sugar levels level quickly. Tell your doctor immediately should this happen. To prevent low blood glucose levels, eat meals concurrently on a daily basis and don't skip meals.
• Actos could cause ovulation in ladies who have not reached menopause along with ovulate. Be sure to make use of effective contraceptive when using Actos.
• Tell your doctor or dentist that you simply take Actos before you decide to have any medical or dental hygiene, emergency care, or surgery.
• Actos might be related to an increased risk of bladder cancer. Discuss any questions or concerns using your doctor.
• An increased incidence of bone fracture has become reported in females who take Actos. Tell a medical expert in the event you have a reputation bone fracture, low calcium intake, or weak bones (eg, osteoporosis). Tell a medical expert straight away in case you experience any unusual bone pain.
• Lab tests, including fasting blood sugar levels, hemoglobin A_1c, eye examinations, and liver function, could possibly be performed when you use Actos. These tests could possibly be used to monitor your problem or check for unwanted side effects. Be sure to keep all doctor and lab appointments.
• Actos should not be found in children younger than 18 yrs . old; safety and effectiveness over these children haven't been confirmed.
• Pregnancy and breast-feeding: If you conceive, contact your doctor. You will need to discuss the huge benefits and perils of using Actos while you might be pregnant. It is not known if Actos can be found in breast milk. Do not feed breast while taking Actos.