Piobir 15 Tablet can be used alone or in combination with other medications It can be taken with or without food It is important to take it regularly at the same time every day in order to obtain the maximum benefit Your doctor will determine the most appropriate dosage for you which may be adjusted over time depending on how well it is working Even if you feel well or your blood sugar levels are under control it is crucial to continue taking this medication Suddenly stopping it without consulting your doctor could cause a rise in your blood sugar levels and put you at risk of kidney damage blindness nerve problems and limb loss Remember that Piobir 15 Tablet is only a part of your treatment program which should also include a healthy diet regular exercise and weight reduction as advised by your doctor Your lifestyle choices play a significant role in managing diabetes Some common side effects of Piobir 15 Tablet include weight gain blurred vision and numbness If these side effects bother you or persist for a prolonged period it is recommended to consult your doctor It is important to avoid taking this medication if you have type 1 diabetes mellitus diabetic ketoacidosis high levels of acid in your blood or severe kidney or liver disease Prior to taking Piobir 15 Tablet inform your doctor if you have a history of heart disease thyroid disease or any hormonal conditions as it may not be suitable for you Pregnant or breastfeeding women should consult their doctor before taking this medication Regular blood sugar level monitoring is necessary and your doctor may also advise blood tests to monitor your blood cell counts and liver function