- Type 2 DM:
- Initially 15-30mg OD with meals
- Dose increased by 15mg to a max: 45mg
- Tablet:
- 15mg
- 30mg
- To be taken with meals
Thiazolidinedione
It increases insulin sensitivity and decreases hepatic gluconeogenesis
- URI
- Headache
- Myalgia
- Weight gain
- Edema
- Fluid retention
- Flatulence
- Dilutional anemia
- Ovulation induction
- Hypersensitivity to pioglitazone
- Diabetic ketoacidosis
- Moderate-severe hepatic impairment (ALT >2.5x ULN)
- CHF (NYHA class III, IV)
- Symptomatic CHF
- Active bladder cancer
- Type 1 DM
- Pediatric patients
WARNING
Thiazolidinediones cause or exacerbate congestive heart failure
None restricted
Drug Status
| Availability | Prescription only |
| Pregnancy | Category B3; Contraindicated |
| Breastfeeding | Not recommended |
| Schedule | Not controlled |
| BRAND NAME | STRENGTH | FORMULATION | PACK SIZE | MANUFACTURER | DISTRIBUTOR |
|---|---|---|---|---|---|
| Actodeal | 15mg | Tablet | 30’s | Biodeal Labs | Biodeal Labs |
| Actodeal | 30mg | Tablet | 30’s | Biodeal Labs | Biodeal Labs |
| Pioday | 15mg | Tablet | 30’s | Galaxy Pharma | Galaxy Pharma |
| Pioday | 30mg | Tablet | 30’s | Galaxy Pharma | Galaxy Pharma |
| Piogluc | 15mg | Tablet | 28’s | Cosmos Ltd | Cosmos Ltd |
| Piogluc | 30mg | Tablet | 28’s | Cosmos Ltd | Cosmos Ltd |