Actos (Pioglitazone) - Anti-Diabetic
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Actos (Pioglitazone)

$48.29


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Actos (Pioglitazone)

Class and Category of Drug

Before you buy Actos (Pioglitazone) online, read common information about the medication.

Chemical class: Thiazolidinedione

Therapeutic class: Antidiabetic

Pregnancy category: C

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Drug Indications and Dosages

Before purchase Actos (Pioglitazone) online , you must read how it works.

To achieve glucose control in type 2 diabetes mellitus as monotherapy or in combination with insulin, metformin, or a sulfonylurea

Tablets

Adults. Initial: 15 or 30 mg daily. Maximum: 45 mg daily.

Dosage Adjustment For patients taking insulin, insulin dosage decreased by 10% to 25%, as prescribed, once glucose level reaches 100 mg/dl or less. If hypoglycemia occurs, dosage of any concurrent antidiabetic is reduced, as prescribed.

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Contraindications of Drug

Read contraindications if you want cheap Actos (Pioglitazone) online.

Diabetic ketoacidosis, hypersensitivity to pioglitazone or its components, New York Heart Association (NYHA) Class III or IV heart falure, severe hepatic dysfunction, type 1 diabetes mellitus

Generic Drug Interactions

Drugs

gemfibrozil, rifampin: Possibly altered glucose control

ketoconazole: Possibly decreased metabolism of pioglitazone

oral contraceptives: Possibly decreased effectiveness of oral contraceptives

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Drugs Adverse Reactions

Central Nervous System: Headache

Cardiovascular: Congestive heart failure, edema

Eyes, Ears, Nose, And Throat: Blurred vision, decreased visual acuity, macular edema, pharyngitis, sinusitis, tooth disorders

Hematologic: Decreased hemoglobin level and hematocrit

Musculoskeletal: Fractures, myalgia

Respiratory: Upper respiratory tract infection

Other: Weight gain

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Nursing Considerations for Generic Drugs

• Be aware that pioglitazone isn't recommended for patients with symptopmatic heart failure.

• Be prepared to monitor liver function test results before therapy begins, every 2 months during first year, and annually thereafter, as ordered, because drug is extensively metabolized in the liver. Expect to stop drug if jaundice develops or alanine aminotransferase values exceed 2.5 times normal.

WARNING Monitor patient for signs and symptoms of congestive heart failure — such as shortness of breath, rapid weight gain, or edema — because pioglitazone can cause fluid retention that may lead to or worsen heart failure. Notify prescriber immediately of any deterioration in the patient's cardiac status, and expect to discontinue the drug, as ordered.

• Assess for signs and symptoms of hypoglycemia, especially if patient is also taking another antidiabetic drug.

• Monitor fasting glucose level, as ordered, to evaluate effectiveness of therapy.

• Monitor glycosylated hemoglobin level to assess drug's long-term effectiveness.

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