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Some medical ailments may connect to Actoplus Met. Tell a medical expert or pharmacist for those who have any medical conditions, particularly when any of the following apply to you:

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• in the event you have a good reputation for heart related illnesses (eg, heart failure), abnormal liver function tests, lung or breathing problems, thyroid problems, stomach or bowel obstruction (eg, paralysis, blockage), adrenal or pituitary problems, eye or vision problems (eg, macular degeneration), bladder cancer, or lactic acidosis

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Some medicines may communicate with Actoplus Met. Tell your doctor if you're taking another medicines, especially any in the following:

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• Calcium channel blockers (eg, nifedipine), corticosteroids (eg, prednisone), diuretics (eg, furosemide, hydrochlorothiazide), estrogen, hormonal contraceptives (eg, birth control pills), insulin, isoniazid, nicotinic acid, oral antidiabetics (eg, glipizide), phenothiazines (eg, chlorpromazine), phenytoin, sympathomimetics (eg, albuterol, pseudoephedrine), or thyroid hormones (eg, levothyroxine) since the likelihood of high or low blood glucose could be increased
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