Piopar 15 Tablet can be used alone or in combination with other medications It can be taken with or without food Take it consistently at the same time every day to maximize its effectiveness Your doctor will determine the dosage that is most suitable for you and this dosage may be adjusted over time based on how well the medication is working Continue taking this medication even if you feel well or if your blood sugar levels are under control If you stop taking it without consulting your doctor your blood sugar levels may increase putting you at risk for kidney damage blindness nerve problems and limb loss Remember that Piopar 15 Tablet is just one part of a comprehensive treatment plan 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 The most common side effects of Piopar 15 Tablet include weight gain blurred vision and numbness If these side effects bother you or persist for an extended period consult your doctor Do not take this medication if you have type 1 diabetes mellitus diabetic ketoacidosis high levels of acid in the blood or severe kidney or liver disease Inform your doctor before taking this medication if you have a history of heart disease thyroid disease or certain hormonal conditions as it may not be suitable for you Pregnant or breastfeeding women should consult their doctor before taking Piopar 15 Tablet Regular monitoring of your blood sugar levels is recommended and your doctor may also order blood tests to assess your blood cell counts and liver function