Pictomin Tablet

Adult dosage

The initial dose of this medicine should be based on the patient's current treatment regimen. 1. For patients whose blood sugar is not adequately controlled with metformin or pioglitazone monotherapy: the starting dose should be based on the current dosage of metformin or pioglitazone being taken. This medicine should be initiated at a dose of 1 tablet per day, with gradual dose adjustments based on the adequacy of treatment response. 2. For patients transitioning from a combination therapy of pioglitazone and metformin

This medicine can cause severe lactic acidosis and hypoglycemia; if these symptoms occur, consult a doctor immediately. Lactic acidosis is a rare but very serious complication that carries a higher risk in patients with poor kidney function or heart disease. Regular checks on liver and kidney function should be conducted during treatment to ensure there are no abnormalities. Excessive alcohol intake may increase the risk of side effects from this medicine; therefore, it is advisable to avoid drinking. Patients with heart failure or severely impaired heart function should not take this medicine. Caution should be exercised when administering this medication to patients with a history of bladder cancer, and any symptoms such as hematuria or urination disorders should be reported to a doctor. Women who are pregnant or nursing should not take this medicine, and its safety has not been established in children. Older adults are at an increased risk of kidney function decline, so dose adjustments and regular function checks are necessary. During treatment, blood sugar and glycosylated hemoglobin levels should be monitored periodically to assess blood sugar control. Possible side effects include indigestion, diarrhea, headaches, edema, and weight gain; if symptoms are severe, consult healthcare professionals. If undergoing surgery or contrast tests, the use of this medicine should be stopped in advance, and resuming can occur only after confirming normal kidney function. There may be interactions with other medications, so it is essential to inform healthcare professionals of all medications being taken, especially when combined with drugs affecting kidney function.

Serious side effects

Severe lactic acidosis, hypoglycemia, severe allergic reactions (hives, severe swelling, chest tightness, difficulty breathing, cold sweat, pallor), severe skin reactions (severe rashes with high fever, blisters, skin peeling, pain in oral/ocular mucosa), respiratory issues (shortness of breath or difficulty breathing, asthma attacks, cough with fever-induced respiratory issues), liver issues (yellowing of skin or eyes, systemic fatigue), severe neurological effects

Mild side effects

• Upper respiratory infection
• diarrhea
• nausea
• headache
• urinary tract infection
• sinusitis
• dizziness
• lower limb edema
• weight gain
• muscle pain

This medicine may be sensitive to air or moisture and should be stored in a tightly sealed container. Avoid storing in extremely hot or cold places; it is best to keep it at room temperature between 1 and 30 degrees Celsius.

Appearance

White to grayish-white, oblong, convex film-coated tablets

Package unit

28 tablets (7 tablets/Alu-Alu X 4)