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Indications

REMS

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

CV: HF, edema.

EENT: macular edema.

GI: LIVER FAILURE, liver enzymes.

GU: BLADDER CANCER.

Hemat: anemia.

MS: RHABDOMYOLYSIS, fractures (arm, hand, foot) (females).

Interactions

Drug-Drug:

Drug-Natural Products:

Availability

(Generic available)

Route/Dosage

US Brand Names

Actos

Action

Therapeutic Effects:

Classifications

Therapeutic Classification: antidiabetics (oral)

Pharmacologic Classification: thiazolidinediones

Pharmacokinetics

Absorption: Well absorbed following oral administration.

Distribution: Unknown.

Protein Binding: >99% bound to plasma proteins. Active metabolites are also highly (>99%) bound.

Metabolism/Excretion: Extensively metabolized by the liver (primarily by CYP2C8); at least two metabolites have pharmacologic activity. Minimal renal excretion of unchanged drug.

Half-life: Pioglitazone — 3–7 hr; total pioglitazone (pioglitazone plus metabolites) — 16–24 hr.

Time/Action Profile

(effects on blood glucose)

ROUTEONSETPEAKDURATION
PO30 min2–4 hr24 hr

Patient/Family Teaching

Pronunciation

pi-o-GLIT-a-zone audio

Pill Image

pioglitazone_195_8892.jpg

Code

NDC Code*