23 . November , 2017 - Thursday
Check todays hot topics or new products

Find a Drug: Advanced

Please Sign in or Register

All about: Actos

Big Image

Some commonly used brand names are:

In the U.S.—

  • Actos

Category

  • Antidiabetic agent

Description

Pioglitazone (pye-oh-GLI-ta-zone) is used to treat a certain type of diabetes mellitus (sugar diabetes) called type 2 diabetes. It may be used alone, with insulin, or with metformin or another type of oral diabetes medicine called a sulfonylurea. Pioglitazone is to be used when diet and exercise plus another diabetes medicine do not result in good blood sugar control.

This medicine is available only with your doctor's prescription, in the following dosage form:

  • Oral
  • Tablets (U.S. and Canada)

Before Using This Medicine

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For pioglitazone, the following should be considered:

Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to pioglitazone. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.

Pregnancy—Pioglitazone has not been studied in pregnant women. However, it is easier during pregnancy to control your blood sugar by using injections of insulin, rather than by taking pioglitazone. Close control of your blood sugar can reduce the chance of your baby gaining too much weight, having birth defects, or having high blood sugar before birth. Pioglitazone should be used during pregnancy only if the potential benefit outweighs the potential risk. Be sure to tell your doctor if you plan to become pregnant or you think you are pregnant.

Breast-feeding—It is not known whether pioglitazone passes into the breast milk of humans. However, pioglitazone is not recommended during breast-feeding.

Children—Studies on this medicine have been done only in adult patients, and there is no specific information comparing use of pioglitazone in children with use in other age groups.

Older adults—This medicine has been tested in a limited number of patients 65 years of age or older and has not been shown to cause different side effects or problems in older people than it does in younger adults. In a post-marketing safety study, patients over 64 years of age were shown to be more affected by heart failure requiring them to be hospitalized when compared with others in the study.

Other medicines—Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking pioglitazone, it is especially important that your health care professional know if you are taking the following:

  • Ketoconazole—Use of this medicine with pioglitazone may decrease the effect of pioglitazone

Other medical problems—The presence of other medical problems may affect the use of pioglitazone. Make sure you tell your doctor if you have any other medical problems, especially

  • Diabetic ketoacidosis (ketones in the blood) or
  • Type 1 diabetes—Insulin is needed to control these conditions
  • Heart disease or
  • Liver disease—Pioglitazone may make these conditions worse
  • Problems with fluid retention or swelling—May make these conditions worse
  • Hypersensitivity to pioglitazone or any ingredients in pioglitazone.

Proper Use of This Medicine

Follow carefully the special meal plan your doctor gave you . This is the most important part of controlling your condition, and is necessary if the medicine is to work properly. Also, exercise regularly and test for sugar in your blood or urine as directed.

Pioglitazone may be taken with or without food.

Certain women may be at an increased risk for pregnancy while taking pioglitazone. Adequate contraception is recommended.

Dosing—The dose of pioglitazone will be different for different patients. Follow your doctor's orders or the directions on the label . If your dose is different, do not change it unless your doctor tells you to do so.

  • For oral dosage form (tablets):
    • For type 2 diabetes:
      • Pioglitazone alone:
        • Adults: At first, the dose is 15 or 30 milligrams (mg) once daily with or without meals. Your doctor may later increase your dose up to 45 mg once daily.
        • Children: Use and dose must be determined by your doctor.
      • Pioglitazone with insulin:
        • Adults: At first, the dose is 15 or 30 mg once daily with or without meals.
        • Children: Use and dose must be determined by your doctor.
      • Pioglitazone with metformin:
        • Adults: At first, the dose is 15 or 30 mg once daily with or without meals.
        • Children: Use and dose must be determined by your doctor.
      • Pioglitazone with a sulfonylurea:
        • Adults: At first, the dose is 15 or 30 mg once daily with or without meals.
        • Children: Use and dose must be determined by your doctor.

Missed dose—If you miss a dose of this medicine, take it as soon as you remember. However, if you do not remember it until it is time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage—To store this medicine:

  • Keep out of the reach of children.
  • Do not store in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down.
  • Store away from heat and direct light.
  • Do not keep outdated medicine or medicine no longer needed. Ask your health care professional how you should dispose of any medicine you do not use. Be sure that any discarded medicine is out of the reach of children.

Precautions While Using This Medicine

If you experience abdominal or stomach pain, dark urine, loss of appetite, nausea or vomiting, unusual tiredness or weakness, or yellow eyes or skin, check with your doctor immediately . These may be symptoms of liver problems.

It is very important that your doctor check your progress at regular visits to make sure that this medicine is working properly and to check for unwanted effects

It is very important to follow carefully any instructions from your health care team about

  • Alcohol—Drinking alcohol may cause severe low blood sugar. Discuss this with your health care team.
  • Other medicines—Do not take other medicines during the time you are taking pioglitazone unless they have been discussed with your doctor. This especially includes nonprescription medicines such as aspirin, and medicines for appetite control, asthma, colds, cough, hay fever, or sinus problems.
  • Counseling—Other family members need to learn how to prevent side effects or help with side effects if they occur. Also, diabetic patients may need special counseling about diabetes medicine dosing changes that might occur because of lifestyle changes, such as changes in exercise and diet. Furthermore, counseling on contraception and pregnancy may be needed because of the problems that can occur during pregnancy in patients with diabetes .
  • Travel—Keep a recent prescription and your medical history with you. Be prepared for an emergency as you would normally. Make allowances for changing time zones and keep your meal times as close as possible to your usual meal times.
  • In case of emergency —There may be a time when you need emergency help for a problem caused by your diabetes. You need to be prepared for these emergencies. It is a good idea to wear a medical identification (ID) bracelet or neck chain at all times. Also, carry an ID card in your wallet or purse that says that you have diabetes and a list of all of your medicines.
  • Symptoms of fluid retention—Know what to do if you start to retain fluid. Fluid retention may worsen or lead to heart problems.
  • This medicine does not cause hypoglycemia (low blood sugar). However, low blood sugar can occur when you take pioglitazone with other medicines that can lower blood sugar, such as insulin, metformin, or a sulfonylurea. Low blood sugar also can occur if you delay or miss a meal or snack, exercise more than usual, drink alcohol, or cannot eat because of nausea or vomiting.
  • Symptoms of low blood sugar include anxiety; behavior change similar to being drunk; blurred vision; cold sweats; confusion; cool, pale skin; difficulty in thinking; drowsiness; excessive hunger; fast heartbeat; headache (continuing); nausea; nervousness; nightmares; restless sleep; shakiness; slurred speech; or unusual tiredness or weakness.
  • If symptoms of low blood sugar occur, eat glucose tablets or gel, corn syrup, honey, or sugar cubes; or drink fruit juice, nondiet soft drink, or sugar dissolved in water to relieve the symptoms. Also, check your blood for low blood sugar. Glucagon is used in emergency situations when severe symptoms such as seizures (convulsions) or unconsciousness occur . Have a glucagon kit available, along with a syringe and needle, and know how to use it. Members of your family also should know how to use it.

Hyperglycemia (high blood sugar) may occur if you do not take enough or skip a dose of your antidiabetic medicine, overeat or do not follow your meal plan, have a fever or infection, or do not exercise as much as usual.

Symptoms of high blood sugar include blurred vision; drowsiness; dry mouth; flushed, dry skin; fruit-like breath odor; increased urination (frequency and amount); ketones in urine; loss of appetite; stomachache, nausea, or vomiting; tiredness; troubled breathing (rapid and deep); unconsciousness; or unusual thirst.

If symptoms of high blood sugar occur, check your blood sugar level and then call your doctor for instructions .

Side Effects of This Medicine

Side Effects of This Medicine

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

More common

Chest pain; decreased urine output; dilated neck veins; extreme fatigue; irregular breathing; irregular heartbeat; problems with teeth; shortness of breath; swelling of face, fingers, feet, or lower legs; tightness in chest; troubled breathing; weight gain; wheezing

Less common

Swelling

Incidence unknown

Unexplained, rapid weight gain

Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome:

More common

Blurred vision; cough; dry mouth; fatigue; flushed, dry skin; fruit like breath odor; headache; increased hunger; increased thirst; increased urination; loss of consciousness; muscle soreness; nausea; runny or stuffy nose; sore throat; stomachache; sweating; troubled breathing; unexplained weight loss; vomiting

Less common

Pale skin; trouble breathing with activity; unusual bleeding or bruising; unusual tiredness or weakness

Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.

Developed: 1/20/2000
Revised: 09/03/2004

The information contained in the Thomson Healthcare (Micromedex) products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Healthcare does not assume any responsibility or risk for your use of the Thomson Healthcare products.

Recent Drug Updates at DrugIndexOnline:





Allergy Drops Ophthalmic Allergy Drops Ophthalmic
Some commonly used brand names are: In the U.S.— Ak-Con Albalon Allerest Allergy Drops Clear Eyes Lubricating Eye Redness Reliever Comfort Eye Drops Degest 2 Estivin II I-Naphline Muro's Opcon Nafazair Naphcon Naphcon Forte Ocu-Zoline Sterile Ophthalmic Solution VasoClear VasoClear A Vaso more...

Antipyrine And Benzocaine Otic Antipyrine And Benzocaine Otic
Some commonly used brand names are: In the U.S.— A/B Otic Allergen Analgesic Otic Antiben Auralgan Aurodex Auroto Dolotic Ear Drops Otocalm In Canada— Auralgan Earache Drops Generic name product may be available in the U.S. Another commonly used name for antipyrine is phenazone . more...

Bumetanide Tablets Bumetanide Tablets
Generic Name: Bumetanide Tablets (byoo-MET-uh-nide) Brand Name: BumexThis is a strong "water pill" (diuretic). Using too much of Bumetanide can lead to serious water and mineral loss. Therefore, it is important that you be monitored by your doctor. Promptly notify your doctor if you become very more...

Clobetasol Cream Clobetasol Cream
Generic Name: Clobetasol Cream and Ointment (kloe-BAY-tah-sahl) Brand Name: Examples include Embeline and TemovateClobetasol Cream is used for:Reducing itching, redness, and swelling associated with many skin conditions. Clobetasol Cream is a topical corticosteroid. It works by decreasing certa more...

Doxycycline Hyclate Doxycycline Hyclate
Generic Name: Doxycycline Hyclate Dosage Form: Capsules usp and tablets usp To reduce the development of drug-resistant bacteria and maintain the effectiveness of Doxycycline Hyclate and other antibacterial drugs, Doxycycline Hyclate should be used only to treat or prevent infections that are pr more...

Iron Iron
Generic Name: Iron Tablets (EYE-urn) Brand Name: Examples include FeoSol and IrconIron is used for:Supplementing iron in the diet and treating or preventing anemia (low red blood cell levels) due to low iron levels. It may also be used for other conditions as determined by your doctor. Iron i more...

Metaproterenol Sulfate Metaproterenol Sulfate
Pronouncation: (MEH-tuh-pro-TEHR-uh-nahl SULL-fate) Class: Sympathomimetic Trade Names: Alupent - Aerosol 75 mg as micronized powder in inert propellant (100 inhalations). Each dose delivers 0.65 mg - Aerosol 150 mg as micronized powder in inert propellant (200 inhalations). Each dose delive more...

Ocuflox Ocuflox
Generic Name: ofloxacin Dosage Form: Ophthalmic solution Ocuflox Description Ocuflox® (ofloxacin ophthalmic solution) 0.3% is a sterile ophthalmic solution. It is a fluorinated carboxyquinolone anti-infective for topical ophthalmic use. Chemical Name: (±)-9-Fluoro-2, 3-dihydro-3-methy more...