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Pioglitazone/Metformin

Pioglitazone/Metformin Side Effects

Kristianne Hannemann, PharmDCydnee Ng, PharmD
Reviewed by Kristianne Hannemann, PharmD, Cydnee Ng, PharmD
Last reviewed on September 24, 2024

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Diarrhea (9%)
  • Headache (6%)

Less Common Side Effects

Pioglitazone/Metformin serious side effects

Contact your healthcare provider immediately if you experience any of the following.

  • Heart failure: shortness of breath, tiredness, unusual swelling, sudden weight gain
  • Lactic acidosis: fast breathing, shortness of breath, fast or slow heartbeat, heartbeat that doesn't feel normal, very upset stomach, vomiting, sleepiness, tiredness, feeling cold, muscle pain
  • Bladder problems: pain while you urinate, constant need to urinate, blood in your urine
  • Liver problems: nausea, vomiting, stomach pain, loss of appetite, unusual tiredness, dark urine, yellowing of your skin or the whites of your eyes
  • Eye problem called macular edema: blurry vision, changes in vision

Source: DailyMed

The following Pioglitazone/Metformin side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

Bladder pain

bloody or cloudy urine

difficult, burning, or painful urination

frequent urge to urinate

lower back or side pain

swelling of the face, fingers, feet, or lower legs

weight gain

Less common

Pain or swelling in the arms or legs without any injury

pale skin

troubled breathing with exertion

unusual bleeding or bruising

unusual tiredness or weakness

Rare

Anxiety

blurred vision

chills

cold sweats

confusion

cool, pale skin

decreased appetite

depression

diarrhea

dizziness

fast heartbeat

fast, shallow breathing

general feeling of discomfort

headache

increased hunger

loss of consciousness

muscle pain or cramping

nausea

nightmares

seizures

shakiness

sleepiness

slurred speech

stomach discomfort

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Body aches or pain

cough

ear congestion

fever

loss of voice

runny or stuffy nose

sneezing

sore throat

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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Why trust our experts?

Kristianne Hannemann, PharmD, is a licensed pharmacist in California. She has been a retail pharmacy manager and staff pharmacist for over 7 years and has contributed drug information content to different health companies.
Cydnee Ng, PharmD
Reviewed by:
Cydnee Ng, PharmD
Cydnee Ng, PharmD, is a drug information pharmacist at GoodRx, where she lends her expertise to providing reader-friendly, accessible content about medications. She holds her pharmacist license in California.

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