Brand Names

Fore Safe Use

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 family doctor immediately . These may be symptoms of liver problems.

The best for you that your family doctor check your progress at regular appointments to make sure that this drug is help you and to check for unwanted effects

The best for you 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 medication Do not take other medication during the time you are taking pioglitazone unless they have been discussed with your family doctor. This especially includes nonprescription medication such as aspirin and medication 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. Always diabetic diseaseds may need special counseling about diabetes drug 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 diseaseds 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 causing 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. Always carry an ID card in your wallet or purse that says that you have diabetes and a list of all of your medication.
• Symptoms of fluid retention Know what to do if you start to retain fluid. Fluid retention may worsen or lead to heart problems.
• This drug does not cause hypoglycemia - low blood sugar. However, low blood sugar can occur when you take pioglitazone with other medication 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 can't 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. Always check your blood for low blood sugar Glucagon is using 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 must know how to use it.

Hyperglycemia - high blood sugar may occur if you do not take enough or skip a dose of your antidiabetic drug, 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 family doctor for instructions .