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Precautions

Do NOT use Actos if:

• you are 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 with the skin or eyes), during therapy which has a similar medicine called troglitazone.

Contact your doctor or doctor immediately if these apply to you.

Some health conditions may communicate with Actos. Tell a medical expert or pharmacist in case you have any medical condition, especially if any in the following apply to you:

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

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

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

This might not be a whole set of all interactions that may occur. Ask your medical provider if Actos may interact with medicines which you take. Check with your health care provider before you begin, stop, or affect the dose from a medicine.

Important safety information:

• Proper diet, routine workouts, and regular blood glucose testing are essential for optimum results with Actos. Follow the diet and exercise program presented to you because of your physician.
• Check your blood glucose levels levels as directed because of your doctor. If they are often greater than they must be and you take Actos just as prescribed, tell your physician.
• It might be harder to control your blood glucose levels during periods of stress for example fever, infection, injury, or surgery. Talk along with your doctor about how precisely to manage your blood sugar levels if any of these occur. Do not alter the dose of the medicine without checking using your doctor.
• Do NOT take a lot more than the recommended dose without checking together with your doctor.
• Actos might cause low blood glucose levels when it is utilized together with insulin and other oral diabetic medicines. Low blood sugar levels might make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also make your pulse faster; build your vision change; give you a headache, chills, or tremors; or cause you to more hungry. It is often a good idea to hold 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 a fast way to obtain sugar like ordinary sugar, honey, candy, orange juice, or non-diet soda. This will increase your blood sugar levels level quickly. Tell your doctor right away should this happen. To prevent low blood glucose levels, eat meals concurrently on a daily basis , nor skip meals.
• Actos might cause ovulation in females who've not reached menopause along with ovulate. Be sure to work with effective birth control method with all the Actos.
• Tell your medical professional or dentist that you take Actos prior to deciding to have any medical or dental hygiene, emergency care, or surgery.
• Actos may be linked to an increased likelihood of bladder cancer. Discuss any queries or concerns with your doctor.
• An increased incidence of bone fracture continues to be reported in ladies having Actos. Tell your medical professional in the event you have a very good bone fracture, low calcium intake, or weak bones (eg, osteoporosis). Tell your doctor straight away if you experience any unusual bone pain.
• Lab tests, including fasting blood sugar, hemoglobin A_1c, eye examinations, and liver function, could be performed whilst you use Actos. These tests could possibly be used to monitor your trouble or pay attention to unwanted side effects. Be sure to keep all doctor and lab appointments.
• Actos mustn't 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 become pregnant, get hold of your doctor. You will need to discuss the benefits and perils associated with 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.