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    Merri Pendergrass presented a survey of bone fractures in all-around 70,000 patients taking either rosiglitazone (Avandia) or pioglitazone (Actos) on the 2009 American Diabetes Association Scientific Sessions. Dosing of Actos is relatively simple in that one pill daily is required and can be taken with or without a meal. However, the not so good news is patients who took pioglitazone were more prone to have fluid retention which could end in serious heart failure. Any of the above mentioned side effects should be reported to a medical expert or healthcare provider immediately.

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    This kind of warning is probably the most severe that prescription drugs can bear, stressing the medicines could possibly worsen heart failure and that patients must be very closely monitored. Certain drugs may talk with proglitazone and lead to serious medical issues. Existing guidelines and package inserts may need to be revised to incorporate these risk characteristics of TZDs. com, "Patients using the longest exposure to and the highest cumulative dose from the drug were at greater risk.

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