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.
Do I need a prescription to buy generic Actos (Pioglitazone) in your online drug store?
No. You can buy Actos (Pioglitazone) without a prescription!