Medication info
Megapio Tablet 15mg (Pioglitazone Hydrochloride)

Megapio Tablet 15mg (Pioglitazone Hydrochloride)

Prescription medicationTablet경구
Ingredient · strength
Pioglitazone Hydrochloride›16.53mg / 1 tablet
Manufacturer / importer
(주)엘앤씨바이오
Appearance
White to grayish round and convex tablet
Packaging
30 tablets/bottle, 300 tablets/bottle
Approval status
Active

MFDS item code 202002149 · Approved 2020.03.27 · Insurance code 060500280

Summary

Main use
Improvement of type 2 diabetes (blood sugar control)
Who takes it
Adults · Children
Adult dose
This medication is administered orally once a day regardless of meals. 1. Monotherapy This medication can be started at a dose of 15 mg once daily as pioglitazone for patients who have not adequately controlled their blood sugar with diet and exercise alone. If sufficient effectiveness is not obtained with the initial dose, it can be increased to 30 mg once daily. 2. Combination therapy - When combined with sulfonylureas,
Child dose
There is no experience of use in children under 18 years of age, so administration is not recommended.

Ingredients

Manufacturer
(주)엘앤씨바이오

Efficacy & effects

Improvement of type 2 diabetes (blood sugar control)

  • Type 2 diabetes
View approved original text

This medication is used as an adjunct to diet and exercise to assist in blood sugar control for patients with type 2 diabetes. It may be administered as a standalone treatment, and in cases where there is insufficient improvement in blood sugar with existing hypoglycemic agents, it can be combined with sulfonylureas, metformin, or insulin. For type 2 diabetes patients, it is important to pursue nutritional counseling, potential weight loss, and regular exercise in addition to medication therapy. This integrated management significantly aids in maintaining initial treatment and treatment efficacy. Therefore, this medication is used to improve blood sugar control.

How to take

Adult dose

This medication is administered orally once a day regardless of meals. 1. Monotherapy This medication can be started at a dose of 15 mg once daily as pioglitazone for patients who have not adequately controlled their blood sugar with diet and exercise alone. If sufficient effectiveness is not obtained with the initial dose, it can be increased to 30 mg once daily. 2. Combination therapy - When combined with sulfonylureas,

Child dose

There is no experience of use in children under 18 years of age, so administration is not recommended.

Precautions

This medication is used for the treatment of type 2 diabetes and acts to improve insulin resistance. It may affect heart function in some patients, so it should not be administered to patients with congestive heart failure or a history of it. If symptoms of heart failure like rapid weight gain, shortness of breath, or swelling occur, a doctor's evaluation should be sought immediately. This medication can cause fluid retention and worsen heart failure, so it should be used with caution in patients with heart disease or edema. Patients with active bladder cancer or a history of bladder cancer should not take this medication, and if hematuria or urinary problems occur, healthcare professionals should be informed immediately. Patients with impaired liver function or severe renal dysfunction need caution with this medication, and regular liver function tests should be conducted during treatment. This medication carries a risk of hypoglycemia, so when used in combination with insulin or other hypoglycemic agents, patients should be well-informed about hypoglycemic symptoms, and dose adjustments of concomitant medications may be necessary. Additionally, this medication may cause weight gain and edema, so patients should periodically monitor weight changes and inform healthcare professionals if edema symptoms worsen. In premenopausal women, this medication may stimulate ovulation, increasing the risk of pregnancy, so appropriate contraceptive measures should be used. Elderly patients or those with compromised renal or liver function require more careful monitoring during use of this medication. Patients receiving this medication should regularly monitor blood sugar and liver function tests, and consult healthcare professionals if any unusual symptoms arise. Drug interactions are possible, so if other medications are being taken, it is essential to inform healthcare professionals, particularly when co-administered with CYP2C8 inhibitors or inducers. Women who are pregnant or may become pregnant should consult with healthcare professionals before using this medication, and breastfeeding women should also decide after consulting experts.

Side effects and when to seek care immediately

Serious side effects

Congestive heart failure, signs and symptoms of heart failure (including excessive and rapid weight changes, breathlessness, swelling), edema (including peripheral edema, generalized edema, pitting edema, and fluid retention), visible hematuria, urinary dysfunction, urgency, bladder cancer, liver failure, elevated serum ALT levels (greater than three times the upper limit of normal), jaundice, symptoms of liver damage (fatigue, loss of appetite, discomfort in the right upper abdomen, dark urine, jaundice), severe headache, stroke,

Mild side effects

  • Headache
  • sinusitis
  • muscle pain
  • pharyngitis
  • abdominal bloating
  • weight gain
  • hypoglycemia
  • upper respiratory infection
  • urinary tract infection
  • back pain
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  • dizziness
  • diarrhea
  • elevated serum creatine kinase
  • hypertension
  • itching
  • chest pain
  • fatigue
  • weakness
  • dyspepsia
  • nausea
  • tremors
  • chest discomfort
  • gastrointestinal conditions
  • discomfort in the epigastric region
  • numbness
  • muscle stiffness
  • discomfort in the head
  • elevated liver enzymes
  • exacerbation of liver disease
  • eczema
  • joint pain
  • knee irregularities
  • arm weakness
  • proteinuria

Not everyone experiences these, and they can vary from person to person.

Storage

This medication should be stored in an airtight container that is not exposed to light and kept away from humid places. To maintain the efficacy of the medication, it is best to store it in a cool place between 15 degrees and 30 degrees, especially around 25 degrees.

Appearance and packaging

Appearance

White to grayish round and convex tablet

Package unit

30 tablets/bottle, 300 tablets/bottle

Same-ingredient medicines

Even with the same ingredient, strength, dosage form and how it is taken can differ.

Even with the same ingredient, the dose and directions can differ by strength and dosage form. Talk to a doctor or pharmacist before switching from a medication you are already taking.

Questions about this medicine

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For anything that needs medical judgment, consult a doctor or pharmacist.

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This drug information is based on data provided by the Korea Ministry of Food and Drug Safety.
Consult a doctor or pharmacist for accurate dosage, administration, and usage instructions.