Your blood sugar will need to be checked often, and you may need other blood tests at your doctor's office. Low blood sugar hypoglycemia can happen to everyone who has diabetes. Symptoms include headache, hunger, sweating, pale skin, irritability, dizziness, feeling shaky, or trouble concentrating.
Keep a source of sugar with you in case you have low blood sugar. Sugar sources include fruit juice, hard candy, crackers, raisins, and non-diet soda. Be sure your family and close friends know how to help you in an emergency.
If you have severe hypoglycemia and cannot eat or drink, use a glucagon injection. Your doctor can prescribe a glucagon emergency injection kit and tell you how to use it. Check your blood sugar carefully during times of stress, travel, illness, surgery or medical emergency, vigorous exercise, or if you drink alcohol or skip meals.
These things can affect your glucose levels and your dose needs may also change. Do not change your medication dose or schedule without your doctor's advice.
Use Actos regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely. Actos is only part of a treatment program that may also include diet, exercise, weight control, blood sugar testing, and special medical care. Follow your doctor's instructions very closely. Mild weight gain is common due to increase in subcutaneous adipose tissue. In studies, patients on pioglitazone had an increased proportion of upper respiratory tract infection, sinusitis, headache, myalgia and tooth problems.
Chronic administration of the drug has led to occasional instances of cholestatic hepatitis , reversible upon drug discontinuation. Pioglitazone is currently being reviewed. A meta-analysis released subsequently showed that pioglitazone reduced the risk of ischemic cardiac events rather than increased the risk, but increased CHF.
According to the results of the epidemiological study, the French agency found that patients, who were taking Actos for a long time to aid in type 2 diabetes mellitus, significantly increased risk of bladder cancer compared with patients who were taking other diabetes medications.
FDA announced that pioglitazone use for more than one year may be associated with an increased risk of bladder cancer, and two months later the label was updated with an additional warning about this risk. In one clinical trial, 5, patients were treated with Actos or a placebo.
The incidence of death from heart failure was also significantly higher in the Actos patients. Actos carries a definitive link to users developing congestive heart failure Symptoms of congestive heart failure include: Excessive, rapid weight gain Fluid retention and swelling edema Bladder Cancer Several recent studies have shown a much stronger link between Actos pioglitazone and bladder cancer than was indicated during early clinical trials.
The FDA first alerted the public about the risk in September , and labels were updated in to include the warnings. A separate study from researchers in the United Kingdom confirmed these trends. About 70, people are diagnosed with bladder cancer each year in the U.
Pioglitazone can cause fluid retention and peripheral edema. How should I take Actos? Blood sugar control is very important during pregnancy, and your dose needs may be different during each trimester of pregnancy. According to the FDA, generic actos mexico, actos two additional three-year studies, researchers noted a higher incidence of bladder cancer in patients who took Actos versus those who took generic drugs. Your doctor may occasionally change your dose to make sure you get the best results. Please help improve this section by adding citations to reliable sources. However, mexico treating your diabetes can damage your heart and other organs. You should not breast-feed while using this medicine. Unsourced material may be challenged and removed.
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