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Precautions

Do NOT use Actos if:

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

Contact your physician or physician immediately if any of these sign up for you.

Some medical ailments may interact with Actos. Tell a medical expert or pharmacist for those who have any medical condition, particularly if any in the following sign up for you:

• if you are pregnant, intending to conceive, or are breast-feeding
• if you're taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• in case you have allergies to medicines, foods, or other substances
• in case you have diabetic ketoacidosis (an intense problem linked to diabetes)
• should you have a history of liver problems, abnormal liver function tests, cardiovascular disease (eg, congestive heart failure [CHF]), or eye or vision problems
• if you have swelling problems (edema).

Some medicines may interact with Actos. Tell your health care provider if you might be taking any other medicines, especially any in the following:

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

This will not be a complete listing of all interactions which could occur. Ask your doctor if Actos may interact with 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, physical exercise, and regular blood sugar levels testing are important for best results with Actos. Follow the exercise and dieting program provided to you by your doctor.
• Check your blood glucose levels as directed by your doctor. If they are often greater than they should be and also you take Actos just as prescribed, tell your medical professional.
• It could be harder to manipulate your blood sugar during times of stress for example fever, infection, injury, or surgery. Talk together with your doctor regarding how to regulate your blood sugar levels if any of these occur. Do not affect 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 might cause low blood sugar levels when it is utilized in addition to insulin or any other oral diabetic medicines. Low blood glucose levels will make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also build your heart beat faster; help make your vision change; give you a headache, chills, or tremors; or cause you to more hungry. It can be a wise decision to handle a trusted method to obtain glucose (eg, tablets or gel) to treat low blood sugar. If this is not available, you should eat or drink a quick supply of sugar like ordinary sugar, honey, candy, orange juice, or non-diet soda. This will raise the blood glucose levels level quickly. Tell your doctor immediately take place. To prevent low blood glucose levels, eat meals as well every day and never skip meals.
• Actos might cause ovulation in women who've not reached menopause but don't ovulate. Be sure to make use of effective contraceptive with all the Actos.
• Tell your doctor or dentist that you just take Actos before you have any medical or dental care, emergency care, or surgery.
• Actos might be associated with an increased likelihood of bladder cancer. Discuss any queries or concerns using your doctor.
• An increased incidence of bone fracture has become reported in women taking Actos. Tell your physician should you possess a history of bone fracture, low calcium intake, or weak bones (eg, osteoporosis). Tell your doctor immediately in the event you experience any unusual bone pain.
• Lab tests, including fasting blood glucose, hemoglobin A_1c, eye examinations, and liver function, could possibly be performed while you use Actos. These tests could possibly be used to monitor your problem or search for unwanted effects. Be sure to keep all doctor and lab appointments.
• Actos really should not be found in children younger than 18 years old; safety and effectiveness during these children have not been confirmed.
• Pregnancy and breast-feeding: If you conceive, speak to your doctor. You will need to discuss the benefits and risks of using Actos while you happen to be pregnant. It is not known if Actos is situated in breast milk. Do not feed breast while taking Actos.