ThiazolidinedionePrescription only

Pioglitazone

Tablet

Quick Summary

Pioglitazone reduces insulin resistance.

Type 2 diabetes
Fatty liver

Medical Uses

Type 2 diabetes: With other medicines.
Fatty liver: Sometimes, under specialist advice.

How it's taken

Take once a day.

Your doctor decides the right dose for you and how long to take it.

Your doctor decides the right dose for you. Follow their instructions and the label.

Common Side Effects

Fluid retention

Swollen ankles.

Weight gain

Common.

Fractures

Higher risk in women.

Interactions

Insulin

More fluid retention.

Critical Warnings

Heart failure

Black Box Warning: Not suitable for people with heart failure.

Bladder cancer

Report blood in urine.

Sources and further reading

Last updated 21 October 2026. For more detail, see these trusted health organisations.

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