Pioglitazone + Metformin Hydrochloride contains Pioglitazone Gemfibrozil
ModerateGemfibrozil inhibits CYP2C8, roughly tripling pioglitazone exposure with risk of fluid retention and hypoglycaemia.
These medicines are often taken together with some care. Your doctor may change a dose, space them apart or check on you more often. Make sure your doctor and pharmacist know you take both.
Clinical management: Limit pioglitazone to 15 mg daily and monitor glucose and oedema.