Piowa 15mg Tablet is a medication that can be used alone or in combination with other medicines It can be taken with or without food It is important to take it consistently at the same time each day to maximize its effectiveness Your doctor will determine the appropriate dosage for you which may be adjusted over time based on how well the medication is working It is important to continue taking this medication even if you feel well or if your blood sugar levels are under control Stopping the medication without consulting your doctor can lead to an increase in blood sugar levels which can put you at risk for kidney damage blindness nerve problems and limb loss Remember that this medication is just one part of a comprehensive treatment program that 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 associated with this medication include weight gain blurred vision and numbness If these side effects bother you or persist for an extended period it is recommended to consult your doctor There are certain conditions in which you should not take this medication such as type 1 diabetes mellitus diabetic ketoacidosis high levels of acid in the blood or severe kidney or liver disease Prior to taking this medication 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 also consult their doctor before taking this medication Regular monitoring of blood sugar levels is necessary and your doctor may also advise blood tests to assess your blood cell counts and liver function