Complain to your physician. He prescribed not only an expensive drug but IMO a bad drug. Lot's of problems with the Actos component of this combination. Ask him about Metformin alone or in combination with Glyburide or Glipizide. It is also possible you could do without medication if you would eat better and get plenty of exercise on a daily basis. Ask your physician about that. If he/she will not change the drug, go elsewhere for a 2nd opinion. Good luck.