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Precautions

Do NOT use Actos if:

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

Contact your doctor or physician without delay if these sign up for you.

Some health concerns may communicate with Actos. Tell a medical expert or pharmacist when you have any medical problem, particularly if any in the following affect you:

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

Some medicines may interact with Actos. Tell your doctor if you're taking every other medicines, especially any with the following:

• Gemfibrozil, insulin, or oral antidiabetic medicines (eg, glipizide) for the reason that likelihood of low blood sugar levels may be increased
• Rifampin as it may decrease Actos's effectiveness, resulting in high blood glucose levels
• Anticoagulants (eg, warfarin) for the reason that chance of their side effects could be increased or their effectiveness could possibly be decreased by Actos.

This will not be a complete list of all interactions that could occur. Ask your doctor if Actos may interact along with other medicines that you simply take. Check with your medical provider before starting, stop, or alter the dose of the medicine.

Important safety information:

• Proper diet, regular exercise, and regular blood sugar levels testing are important for the most powerful results with Actos. Follow the dieting and exercise program presented to you from your health care provider.
• Check your blood sugar levels as directed by your doctor. If they are often more than they should be and you also take Actos just as prescribed, tell a medical expert.
• It could be harder to manage your blood sugar levels during periods of stress like fever, infection, injury, or surgery. Talk using your doctor about how to regulate your blood glucose levels if some of these occur. Do not alter the dose of one's medicine without checking with your doctor.
• Do NOT take a lot more than the recommended dose without checking using your doctor.
• Actos might cause low blood glucose levels when it can be used along with insulin or any other oral diabetic medicines. Low blood glucose levels could make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also build your pulse faster; you could make your vision change; give you a headache, chills, or tremors; or cause you to be more hungry. It is often a wise decision to handle a reliable source of glucose (eg, tablets or gel) to take care of low blood glucose. If this is not available, you should eat or drink an instant source of sugar like table sugar, honey, candy, orange juice, or non-diet soda. This will lift up your blood sugar levels level quickly. Tell your medical professional right away take place. To prevent low blood sugar levels, eat meals at the same time on a daily basis and don't skip meals.
• Actos could cause ovulation in ladies who've not reached menopause but don't ovulate. Be sure to use effective contraceptive with all the Actos.
• Tell your physician or dentist that you just take Actos before you decide to have any medical or dental treatments, emergency care, or surgery.
• Actos could be associated with an increased risk of bladder cancer. Discuss questions or concerns along with your doctor.
• An increased incidence of bone fracture may be reported ladies having Actos. Tell a medical expert if you possess a reputation bone fracture, low calcium intake, or weak bones (eg, osteoporosis). Tell your physician immediately if you experience any unusual bone pain.
• Lab tests, including fasting blood glucose, hemoglobin A_1c, eye examinations, and liver function, may be performed while you use Actos. These tests could possibly be used to monitor your condition or pay attention to unwanted effects. Be sure to keep all doctor and lab appointments.
• Actos shouldn't be used in children younger than 18 years old; safety and effectiveness over these children are not confirmed.
• Pregnancy and breast-feeding: If you conceive, get hold of your doctor. You will need to discuss the advantages and risks 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.