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Cadiovascula collaps (shock) om whatv caus, acut congstiv hat ailu, acut myocadial inaction and oth conditions chaactizd by hypoxmia hav bn associatd with lactic acidosis and may alscaus pnal azotmia. Whn such vnts occu in patints civing ACTOPLUS MT thapy, th dug should b pomptly discontinud.
Patints civing ACTOPLUS MT in combination with insulin oth antidiabtic mdications (paticulaly insulin sctagogus such as sulonyluas) may b at isk hypoglycmia. A duction in th dos th concomitant antidiabtic mdication may b ncssay tduc th isk hypoglycmia [s DOSAG AND ADMINISTATION ]. Hypoglycmia can alsoccu whn caloic intak is dicint whn stnuous xcis is not compnsatd by caloic supplmnt. ldly, dbilitatd, malnouishd patints, and thos with adnal pituitay insuicincy alcohol intoxication a paticulaly suscptibl thypoglycmic cts. Hypoglycmia may b diicult tcogniz in th ldly, and in popl wha taking bta-adngic blocking dugs.
I thapy with a combination tablt containing pioglitazon and mtomin is considd appopiat th commndd stating dos is:
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