Piotis 30mg Tablet can be used alone or in combination with other medications You can take it with or without food It is important to take it consistently at the same time every day to maximize its effectiveness Your doctor will determine the appropriate dosage for you which may be adjusted as necessary based on how well it is working Continue taking this medication even if you feel well or your blood sugar levels are under control Stopping it without consulting your doctor can cause your blood sugar levels to increase putting you at risk of kidney damage blindness nerve problems and limb loss Remember that it is just one part of a comprehensive treatment plan that should also include a healthy diet regular exercise and weight reduction as advised by your doctor Your lifestyle choices greatly impact diabetes control The common side effects of this medication include weight gain blurred vision and numbness If these side effects bother you or persist for an extended period of time consult your doctor Do not take this medication if you have type 1 diabetes mellitus diabetic ketoacidosis high levels of acid in your 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 It may not be suitable for you Pregnant or breastfeeding women should also consult their doctor before taking it Regular monitoring of your blood sugar levels is necessary and your doctor may recommend blood tests to monitor your blood cell counts and liver function