GlobalRPh Renal Dosing Masterv6.6
Source review / handoff

Pioglitazone (Actos)

One or two intact local summaries. No averaged regimen, patient-specific dose or automatic source preference.

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1 local source card selected. Local card fingerprints checked where supplied. This is not an original-document hash, source-currency guarantee or clinical approval. Record-level cautions below are the current library's cautions, not a frozen prior version.

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Clinical context remains essential

Independent clinical review is pending. Confirm indication, exact formulation/route, population, renal measure and units, kidney-function stability, dialysis prescription, interacting drugs, monitoring and source revision. An RX mirror and its original label are not independent corroboration. Missing disagreement notes do not certify agreement.

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ACTOS - no renal reduction does not remove heart-failure risk

Product / population
Adults; named product and route only. Selected dosing and renal summary, not the full prescribing information.
Renal method
No renal-function dose bands specified for this summary.
Source revision
DailyMed updated 2025-03-28.
Retrieved
2026-09-05
Local review status
Locally included source-specific summary. Regimen differences are not automatically resolved.
Official

ACTOS - no renal reduction does not remove heart-failure risk

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NIH/NLM DailyMed - U.S. product labeling · Adults; named product and route only. Selected dosing and renal summary, not the full prescribing information.

Renal method: No renal-function dose bands specified for this summary.
Source date: DailyMed updated 2025-03-28.
Retrieved: 2026-09-05

Locally included source-specific summary. Regimen differences are not automatically resolved.

Dosing / renal protocol and limits

Adult type 2 diabetes without heart failure: begin 15 or 30 mg orally daily, increasing by 15 mg as needed to at most 45 mg daily. For NYHA I-II heart failure the starting dose is 15 mg daily. Renal impairment does not require dose adjustment.

Fluid retention and heart-failure worsening remain major constraints; initiation is contraindicated in NYHA III-IV heart failure. A no-renal-adjustment statement is not permission to ignore edema, weight gain or dyspnea. Fixed combinations require review of every component.

RDM30-088-pioglitazone-1 · Source locator: ACTOS - no renal reduction does not remove heart-failure risk; renal/dosing sections and stated qualifiers

Source identity and provenance
Source
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d2ddc491-88a9-4063-9150-443b4fa4330c
Retrieved
2026-09-05
DailyMed Set ID
d2ddc491-88a9-4063-9150-443b4fa4330c
Renal-function method
No renal-function dose bands specified for this summary.
Source date/version
DailyMed updated 2025-03-28.
Hash meaning
Locally authored summary text; not original SPL, HTML or PDF bytes
Local summary SHA-256
2b0bc657e1c51a51407ca3ec346054047f3ef546b5bd012168f10b78adcbdfd0

Document the clinical decision separately

This reference does not select a regimen. Complete the indication, measured/estimated renal function and trend, dialysis setting, source rationale, monitoring and reassessment plan in your institution's approved documentation system. Confirm the complete current source before adopting its regimen.

GlobalRPh v6.6 | RDM66-DIRECT-PHP-20260911 | Local library date 2026-09-11. Selected-card identity does not imply clinical verification.

Pinned reference: https://globalrph.com/blogCalcs/renal-dosing-master/compare.php?id=pioglitazone&s1=RDM30-088-pioglitazone&h1=fc4b02620afdd8aad3f70305c096705a1160a19af7c892c6b0b6d1fb4a1ac3ba