Directions
For using this medicine, follow all the instructions as given by your doctor. Information leaflet is available for patients with the medicine.The dosage of this medicine can be taken with or without food. Any doses should not be missed by you. Take the medicine immediately if you miss the dose and remembered on the same day but if it’s the time for your next dose, leave out the missed dose and take the medicine according to your regular dosing schedule, do not take 2 doses at once.

Cautions
Without first consulting with your doctor, it is recommended not to stop using this medicine or other diabetes medicine. Before adjusting the dose of your diabetes medicine or changing your diet, inform your doctor. You are at an increased risk of becoming hypoglycemic (low blood sugar), if you are taking Actos with other diabetes medicine. An increased heartbeat, headache, sweating, tremor, increased hunger, changes in vision, nervousness, or tiredness are the symbols of hypoglycemia. Talk with your doctor or nurse how to handle hypoglycemic reactions. At the same time when you are taking the medicine, keep all doctor and laboratory appointments. Before you start taking this medicine and during treatment to monitor your progress or to check for side effects, your laboratory and/or medical tests such as liver function tests and HBA1C blood levels tests should be done. Inform the doctor or dentist that you are taking Actos, before having any medical or dental treatments, emergency care, or surgery. All prescription and over-the-counter medicine that you are taking should be known by your doctor or pharmacist while you start taking any new medicine. F0R WOMEN: Actos may decrease the effectiveness of your birth control pill; use an additional form of birth control, to prevent pregnancy. By causing ovulation to resume in premenopausal women who have not been ovulating, Actos may increase your chance of pregnancy. Consult with your doctor about all the benefits and risks of using this medicine if you plan on becoming pregnant especially during the third trimester. It is not known if this medicine is excreted in breast milk. While taking this medicine, do not breast-feed.