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Metformin, one of the medicines in actoplus met, can cause a rare but serious condition called lactic acidosis a buildup of an acid in the blood that can cause death.

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This mdication may caus lactic acidosis (a build-up lactic acid in th body, which can b atal). Lactic acidosis can stat slowly and gt wos ov tim. Gt mgncy mdical hlp i you hav vn mild symptoms lactic acidosis, such as: muscl pain waknss, numb cold ling in you ams and lgs, toubl bathing, stomach pain, nausa with vomiting, slow igula hat at, dizzinss, ling vy wak tid.

Tll you doctight away i you hav any sious sid cts, including: nw/wosning vision poblms (such as blud vision), bon actu, ddish-colod uin, ugnt nd tuinat, pain whil uinating.

Mtomin may stimulat ovulation in a pmnopausal woman and may incas th isk unintndd pgnancy. Talk tyou doctabout you isk.

Discuss potntial unintndd pgnancy with pmnopausal womn as thapy with mtomin/pioglitazon, may sult in ovulation in som anovulatoy womn.

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