Pioglitazone is an anti-diabetic drug (thiazolidinedione-type, also called "glitazones") used along side a proper diet and exercise program to control high blood sugar in patients with type 2 diabetes. It really works by helping restore your body's proper response to insulin, thereby decreasing your blood sugar.
Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may lessen your risk also of a heart assault or stroke.
Pioglitazone can be used either alone or in combination with other medications that are anti-diabeticsuch as for example metformin or a sulfonylurea such as glyburide).
Speak to your medical practitioner about the risks and great things about pioglitazone.
Read the drugs Guide supplied by your pharmacist you get a refill before you start using pioglitazone and each time. If you have any relevant questions, ask your doctor or pharmacist.
Take this medicine by lips with or without food as directed by your physician, often once daily. Dosage is dependant on your medical condition, response to treatment, and if you are taking other anti-diabetic drugs. Your doctor will adjust your dose based on your blood sugar levels to find the dose that is best for you. Follow your physician's directions very carefully.
Take this medication regularly in order to get the most benefit from it. Remember to use it at the same time each day.
If you're currently using another anti-diabetic drug (such as metformin or a sulfonylurea), follow your doctor's instructions carefully for stopping/continuing the old drug and beginning this medication. Carefully stick to the medication treatment plan, meal plan, and exercise program your medical professional has recommended.
Always check your blood sugar levels regularly as directed by your doctor. Keep track of the total results, and share them with your doctor. Tell your doctor if your blood sugar measurements are too high or too low. Your dosage/treatment might have to be changed. It may take as much as two to three months prior to the benefit that is full of drug takes effect.
See section that is also warning.
Sore throat, muscle pain, weight gain, or tooth problems may possibly occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.
Keep in mind that your medical practitioner has prescribed this medicine because he or she has judged that the benefit to you is greater than the risk of adverse effects. Many people using this medication do not have side that is serious.
Inform your physician appropriate away if you have any side that is serious, including: new/worsening vision problems (such as blurred eyesight), bone fracture, reddish-colored urine, urgent need to urinate, discomfort while urinating.
Pioglitazone may seldom cause liver disease. Inform your doctor right away if you develop symptoms of liver condition, including: dark urine, yellowing of eyes/skin, persistent nausea/vomiting, stomach/abdominal pain.
Pioglitazone doesn't usually cause blood that is low (hypoglycemia). Low blood sugar may occur if this drug is prescribed with other anti-diabetic medications (such as insulin or a sulfonylurea). Minimal blood sugar is much more likely if you drink large amounts of alcohol, do unusually heavy exercise, or do not consume enough calories from food. To help prevent blood that is low, eat meals on a normal schedule, and do not skip meals. Consult with your pharmacist or doctor to discover what you should do in the event that you miss a meal.
Outward indications of low blood glucose consist of sudden sweating, shaking, fast heartbeat, hunger, blurred eyesight, dizziness, or hands/feet that is tingling. It is a good habit to carry glucose tablets or gel to treat blood sugar that is low. If you don't have these dependable forms of glucose, rapidly raise your blood sugar levels by eating a quick source of sugar such as for example dining table sugar, honey, or candy, or drink fruit juice or soda that is non-diet. Tell your physician right away about the response and the usage of this item.
Apparent symptoms of high blood glucose (hyperglycemia) include thirst, increased urination, confusion, drowsiness, flushing, rapid respiration, or fruity breath odor. If these symptoms happen, inform your doctor right away. Your dosage might need to be increased.
a very serious allergic reaction to this drug is rare. However, get help that is medical away if you observe any of the following symptoms of a critical allergic reaction: rash, itching/swelling (especially of this face/tongue/throat), dizziness, trouble breathing.
This isn't a complete list of possible adverse effects. If you notice other effects not listed above, contact your doctor or pharmacist.
Into the US -
Call your medical practitioner for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your physician for medical advice about adverse effects. You may possibly report effects that are side Health Canada at 1-866-234-2345.
Before taking pioglitazone, tell your medical practitioner or pharmacist in the event that you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Communicate with your pharmacist for lots more details.
A certain eye problem (macular edema), bladder cancer before using this medication, tell your doctor or pharmacist your medical history, especially of: heart disease (such as congestive heart failure, chest pain), liver disease, fluid in your lungs, swelling (edema), anemia.
You could experience blurred eyesight, dizziness, or drowsiness due to extremely low or high blood sugar levels. Do not drive, use machinery, or do any activity that requires alertness or clear vision you can perform such activities safely until you are sure.
Limit alcohol while taking this medication because it can raise the risk of developing low blood sugar.
It may be harder to control your blood sugar when your body is stressed (such as due to fever, infection, injury, or surgery). Consult your doctor because increased stress may require a noticeable change in your treatment plan, medications, or blood sugar levels testing.
Before having surgery, tell your medical practitioner or dental practitioner about all of the services and products you use (including prescription drugs, nonprescription drugs, and herbal services and products).
Pioglitazone may boost the danger of bone fracture in women (usually within the upper arm, hand, or base). See also Notes section.
Pioglitazone can cause changes within the cycle that is menstrualpromote ovulation) and increase the risk of becoming pregnant. Consult your doctor or pharmacist about the employment of trustworthy birth control while using this medication.
This medication ought to be used only when clearly needed during maternity. Discuss the risks and advantages with your physician. Your physician might substitute insulin for this drug through your pregnancy. Follow all instructions carefully.
Its as yet not known whether this drug passes into breast milk. Check with your doctor before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.