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One tablet should be taken once daily. If necessary your doctor may tell you to take a different dose. If you have the impression that the effect of Actos 15mg tablets is too weak, speak to your physician.

Actos 15mg tablets can be taken with or without food.

When Actos 15mg tablets are taken in combination with other medicines used to treat diabetes (such as insulin, chlorpropamide, glibenclamide, gliclazide, tolbutamide) your physician will tell you whether you need to take a smaller dose of your medicines.

Your doctor will ask you to have blood tests periodically during treatment with Actos. This is to check that your liver is working normally.

If you are following a diabetic diet, you should continue with this while you are taking Actos 15mg tablets.

Your weight should be checked at regular intervals; if your weight increases, inform your physician. Some patients with long-standing type 2 diabetes mellitus and heart disease or previous stroke who were treated with Actos and insulin experienced the development of heart failure. Inform your physician as soon as possible if you experience signs of heart failure such as uncommon shortness of breath or rapid increase in weight or localised swelling (oedema).

In clinical trials in which pioglitazone was compared to other oral anti diabetic drugs or placebo (dummy pill), a higher number of bone fractures was seen in women (but not in men) taking pioglitazone. Your doctor will take this into account when treating your diabetes.

If you take more Actos 15mg tablets than you should:
If you accidentally take too many tablets, or if someone else or a child takes your medicine, talk to a physician or pharmacist immediately.

If you forget to take Actos 15mg tablets:
Try to take Actos 15mg tablets daily as prescribed. However if you miss a dose, just carry on with the next dose as normal. Do not take an extra tablet to make up for the one you missed.

HOW TO STORE ACTOS

Keep out of the reach and sight of children.

This medicinal product does not require any special storage precautions.

Don't use after the expiry date stated on the carton.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.