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Women on TZD were 55 more likely to have fracture than females not using the drug, and men on TZD had 26 higher likelihood of fracture than the male control group. Macular Edema: Macular edema has been reported in post-marketing experience in diabetic patients who were taking pioglitazone or actos ei reseptia tarvita another thiazolidinedione. Maximum Recommended Dose The dose of Actos should not exceed 45 mg once daily in monotherapy or in combination with sulfonylurea, metformin, or insulin. Patients should be told that blood tests for liver function will be performed prior to the start of therapy and periodically thereafter per the clinical judgment of the health care professional. In the population of patients treated with ACTOS, mean values for bilirubin, AST, ALT, alkaline phosphatase, and GGT were decreased at the final visit compared with baseline.

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