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Q: Good morning, is there a substitute for Actos, I can afford pricewise ?
I am 67 years old, and just got signed back into Medicare and all of my medications are at a price I can’t afford to pay for them. I have been five days without my Actos 45mg because the price went from $35 to $67. What can I take that won’t affect my vision or make me feel sick. I work 3 days a week and can’t have a medication make me feel sick as it did when I first became a diabetic. Can you help me?

A: Thiazolidinediones, including ACTOS, cause or exacerbate congestive heart failure in some patients (see WARNINGS). After initiation of ACTOS, and after dose increases, observe patients carefully for signs and symptoms of heart failure (including excessive, rapid weight gain, dyspnea, and/or edema). If these signs and symptoms develop, the heart failure should be managed according to the current standards of care. Furthermore, discontinuation or dose reduction of ACTOS must be considered

The “glitazone” diabetes drugs Actos and Avandia may double or triple the risk of broken bones after a year or two of use.

The finding comes from Swiss researchers who analyzed 12 years of data on U.K. diabetes patients. They compared the 1,020 patients who suffered some kind of fracture to 3,728 matched patients who did not break any bones.

Over the course of the study, most of the patients took several diabetes drugs. But those who refilled their Actos or Avandia prescriptions eight times or more — about 12 to 18 months of use — had nearly twice the fracture risk of other patients.

Get off the Actos.
Try again the metformin. Take with meals. Most of the time the side effects disappear.

Tin

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