"Acute pancreatitis: If pancreatitis is suspected, promptly Ligotin should be discontinued.
Hypersensitivity: There have been postmarketing reports of serious hypersensitivity reactions in patients treated with Ligotin such as anaphylaxis, angioedema and severe cutaneous adverse reactions. In such cases, promptly Ligotin should be discontinued.
Hepatic effects: Postmarketing reports of hepatic failure, sometimes fatal. Causality can not be excluded. If liver injury is detected, promptly interrupt Ligotin and assess patient for probable cause, then treat cause if possible, to resolution or stabilization. Do not restart Ligotin if liver injury is confirmed and no alternative etiology can be found.
Hypoglycemia: When an insulin secretagogue (e.g. sulfonylurea) or insulin is used in combination with Ligotin, a lower dose of the insulin secretagogue or insulin may be required to minimize the risk of hypoglycaemia.
Macrovascular outcomes: There have been no clinical studies establishing conclusive evidence of macrovascular risk reduction with Ligotin or any other antidiabetic drug."