Actos/Pioglitazone hydrochloride IS USED FOR:

Treating type 2 diabetes in certain patients. It is used along with diet and exercise. It may be used alone or with other antidiabetic medicines.

Actos/Pioglitazone is a thiazolidinedione antidiabetic. It lowers blood sugar by making the cells of the body more sensitive to the action of insulin.

DO NOT USE Actos/Pioglitazone hydrochloride IF:

• you have type 1 diabetes
• you have a history of liver problems, including jaundice (yellowing of the skin or eyes), during therapy with a similar medicine called troglitazone
• you are allergic to any ingredient in Actos/Pioglitazone
• you have moderate to severe heart failure

Contact your doctor or health care provider right away if any of these apply to you.

POSSIBLE SIDE EFFECTS OF Actos/Pioglitazone hydrochloride :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Headache; muscle aches; sore throat; weight gain.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); blurred vision or other vision changes; symptoms of heart failure (eg, shortness of breath; sudden unexplained weight gain; swelling of the hands, ankles, or feet); symptoms of liver problems (eg, dark urine; yellowing of the skin or eyes; unexplained nausea, vomiting, or loss of appetite; stomach pain); symptoms of low blood sugar (eg, anxiety, increased sweating, dizziness or drowsiness, headache, chills, tremors, increased hunger); unusual tiredness or weakness.

IMPORTANT SAFETY INFORMATION:

• Do NOT take more than the recommended dose without checking with your doctor.
• Tell your doctor or dentist that you take Actos/Pioglitazone before you receive any medical or dental care, emergency care, or surgery.
• Proper diet, regular exercise, and regular blood sugar testing are important for best results with Actos/Pioglitazone. Follow the diet and exercise program given to you by your health care provider.
• Actos/Pioglitazone may be associated with an increased risk of bladder cancer. Discuss any questions or concerns with your doctor.
• Lab tests, including fasting blood sugar, hemoglobin A , eye examinations, and liver function, may be performed while you use Actos/Pioglitazone. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments. _1c
• Actos/Pioglitazone may cause ovulation in women who have not reached menopause but do not ovulate. Be sure to use effective birth control while using Actos/Pioglitazone.
• It may be harder to control your blood sugar during times of stress such as fever, infection, injury, or surgery. Talk with your doctor about how to control your blood sugar if any of these occur. Do not change the dose of your medicine without checking with your doctor.
• Check your blood sugar levels as directed by your doctor. If they are often higher than they should be and you take Actos/Pioglitazone exactly as prescribed, tell your doctor.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Actos/Pioglitazone while you are pregnant. It is not known if Actos/Pioglitazone is found in breast milk. Do not breast-feed while taking Actos/Pioglitazone.
• Carry an ID card at all times that says you have diabetes.
• Actos/Pioglitazone should not be used in CHILDREN younger than 18 years old; safety and effectiveness in these children have not been confirmed.
• Actos/Pioglitazone may lower your blood sugar levels when it is used along with insulin or other oral diabetic medicines. Low blood sugar may make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also make your heart beat faster; make your vision change; give you a headache, chills, or tremors; or make you more hungry. It is a good idea to carry a reliable source of glucose (eg, tablets or gel) to treat low blood sugar. If this is not available, you should eat or drink a quick source of sugar like table sugar, honey, candy, orange juice, or non-diet soda. This will raise your blood sugar level quickly. Tell your doctor right away if this happens. To prevent low blood sugar, eat meals at the same time each day and do not skip meals.

BEFORE USING Actos/Pioglitazone hydrochloride :

Some medical conditions may interact with Actos/Pioglitazone. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you have a history of liver problems, abnormal liver function tests, heart problems (eg, congestive heart failure), or eye or vision problems
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have diabetic ketoacidosis (a severe problem associated with diabetes)
• if you have allergies to medicines, foods, or other substances
• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you have swelling problems (edema)

Some MEDICINES MAY INTERACT with Actos/Pioglitazone. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Lopid/Gemfibrozil, insulin, or oral antidiabetic medicines (eg, Glucotrol/glipizide) because the risk of low blood sugar may be increased
• Rifampin because it may decrease Actos/Pioglitazone 's effectiveness, resulting in high blood sugar
• Anticoagulants (eg, Coumadin/warfarin) because their effectiveness may be decreased or the risk of their side effects may be increased by Actos/Pioglitazone

This may not be a complete list of all interactions that may occur. Ask your health care provider if Actos/Pioglitazone may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

HOW TO USE Actos/Pioglitazone hydrochloride :

Use Actos/Pioglitazone as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• If you miss a dose of Actos/Pioglitazone , take it as soon as possible. If it almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
• Take Actos/Pioglitazone by mouth with or without food.
• Continue to take Actos/Pioglitazone even if you feel well. Do not miss any doses. Taking Actos/Pioglitazone at the same time each day will help you remember to take it.

Ask your health care provider any questions you may have about how to use Actos/Pioglitazone.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.