About duetact

Duetact, cholesterol, and blood fats (triglycerides)

Low levels of HDL (good) cholesterol and high levels of triglycerides are often associated with type 2 diabetes. Cholesterol is a fatty substance that can be found in the body. The body needs cholesterol for making vitamins and hormones and building cell walls. This combination of low HDL and high triglyceride levels can lead to health problems.

Fats in the blood

There are three main types of fat in your blood:

  • LDL (low-density lipoprotein) cholesterol is known as the “bad cholesterol” because it is the main source of harmful fatty buildup in blood vessels.
  • HDL (high-density lipoprotein) cholesterol is often called “good cholesterol” because it helps prevent cholesterol buildup in blood vessels by carrying cholesterol back to the liver, where it can be eliminated.
  • Triglycerides are a form of fat carried through the bloodstream.

Duetact has a positive effect on HDL cholesterol and triglycerides

ACTOS—one of the two medications in duetact—may have a positive effect on HDL (good) cholesterol and triglycerides (blood fats) without consistent changes in LDL (bad) cholesterol or total cholesterol in patients with type 2 diabetes. ACTOS has been shown to:

  • Increase HDL cholesterol.
  • Decrease triglycerides.
  • Have no consistent effect on LDL cholesterol or total cholesterol.

If you have high cholesterol, you should ask your health professional what steps you can take to lower it. These may include:

Your health professional may also prescribe a cholesterol-lowering medication in addition to these healthy lifestyle habits. Duetact is not intended to treat lipid disorders.

Next: Is duetact right for you?

While duetact may provide some lipid benefits, duetact is not intended as a substitute for cholesterol medications.

The effects of these lipid changes on morbidity and mortality have not been determined.

Management of type 2 diabetes should also include nutritional counseling, weight reduction as needed, and exercise.

Please see Important Safety Information, including warning about heart failure, below.

Important Safety Information About duetact® (pioglitazone HCl and glimepiride)

Duetact contains 2 prescription antidiabetic medicines: pioglitazone HCl (ACTOS) and glimepiride, a sulfonylurea. Duetact is used with diet and exercise to improve blood sugar (glucose) control in adults with type 2 diabetes who are already taking ACTOS and a sulfonylurea together, or taking a sulfonylurea alone and it is not controlling blood sugar.

Duetact is not for everyone. Certain patients with heart failure should not start taking duetact. Duetact can cause or worsen congestive heart failure. Talk to your doctor immediately if you experience rapid weight gain, fluid retention (swelling), or shortness of breath.

Do not take duetact if you have active liver disease. Your doctor should perform a blood test to check for liver problems before you start duetact and periodically thereafter. Talk to your doctor immediately if you experience nausea, vomiting, stomach pain, tiredness, loss of appetite, dark urine, or yellowing of the skin. Some people taking duetact may experience flu-like symptoms, mild-to-moderate swelling of legs and ankles, and anemia. Duetact may cause low blood sugar. Lightheadedness, dizziness, shakiness, or hunger may mean that your blood sugar is too low. Talk to your doctor if low blood sugar is a problem for you.

Duetact may increase your risk of becoming pregnant. If you are pregnant or thinking about becoming pregnant, talk to your doctor before taking duetact. If you are nursing, do not take duetact. Some people, particularly women, are at higher risk of having bone fractures while taking duetact. Patients with diabetes should have regular eye exams. If you experience vision problems, consult your doctor immediately. Very rarely, some patients have experienced visual changes while taking pioglitazone, a component of duetact. Duetact should not be used in patients with type 1 diabetes.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.FDA.gov/medwatch, or call 1-800-FDA-1088.