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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 have type 1 diabetes
• you possess a reputation liver problems, including jaundice (yellowing with the skin or eyes), during therapy with a similar medicine called troglitazone.

Contact your medical professional or health care provider immediately if any of these apply to you.

Some medical conditions may talk with Actos. Tell a medical expert or pharmacist for those who have any problem, particularly when any from the following sign up for you:

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

Some medicines may talk with Actos. Tell your doctor if you might be taking every other medicines, especially any from the following:

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

This is probably not an entire listing of all interactions that could occur. Ask your doctor if Actos may interact with medicines which you take. Check with your health care provider before you start, stop, or alter the dose associated with a medicine.

Important safety information:

• Proper diet, frequent exercise, and regular blood sugar testing are crucial for the most powerful results with Actos. Follow the eating and working out program provided to you through your health care provider.
• Check your blood glucose levels levels as directed because of your doctor. If they are often higher than they will be so you take Actos the same manner prescribed, tell a medical expert.
• It may be harder to regulate your blood sugar during periods of stress including fever, infection, injury, or surgery. Talk along with your doctor regarding how to manage your blood glucose levels if all of these occur. Do not customize the dose of your medicine without checking with your doctor.
• Do NOT take more than the recommended dose without checking using your doctor.
• Actos may cause low blood sugar levels levels when it is used in addition to insulin and other oral diabetic medicines. Low blood glucose levels could make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also make your heart beat faster; build your vision change; give you a headache, chills, or tremors; or allow you to more hungry. It is a wise decision to carry a trusted way to obtain glucose (eg, tablets or gel) to take care of low blood sugar levels. If this is not available, you must eat or drink a fast method to obtain sugar like table sugar, honey, candy, orange juice, or non-diet soda. This will raise the blood glucose level quickly. Tell a medical expert without delay take place. To prevent low blood glucose levels, eat meals as well on a daily basis and do not skip meals.
• Actos could potentially cause ovulation in ladies who may have not reached menopause but do not ovulate. Be sure to work with effective contraceptive while using Actos.
• Tell your doctor or dentist that you take Actos prior to deciding to get any medical or dentistry, emergency care, or surgery.
• Actos may be associated with an increased chance of bladder cancer. Discuss any queries or concerns with your doctor.
• An increased incidence of bone fracture continues to be reported in females taking Actos. Tell your medical professional if you use a good bone fracture, low calcium intake, or weak bones (eg, osteoporosis). Tell your doctor straight away in the event you experience any unusual bone pain.
• Lab tests, including fasting blood glucose levels, hemoglobin A_1c, eye examinations, and liver function, could possibly be performed while you use Actos. These tests could be used to monitor your condition or look for negative effects. Be sure to keep all doctor and lab appointments.
• Actos really should not be used in children younger than 18 years of age; safety and effectiveness of these children weren't confirmed.
• Pregnancy and breast-feeding: If you become pregnant, speak to your doctor. You will need to discuss the advantages and perils associated with using Actos while you happen to be pregnant. It is not known if Actos can be found in breast milk. Do not feed breast while taking Actos.