|Ask your pharmacist or doctor to answer any questions you may have. If you miss three active pills in a row in Week 1, 2, or 3, throw out the rest of the pack and start a new pack on the same day if you are a Day 1 starter. Inflammation of the bowel (colitis) - see warning section above. Eight-point bucks almost certainly will remain plentiful. Fortamet В® should be taken with a full glass of water once daily with the evening meal. Pirlindole may increase the hypoglycemic activities of Sitagliptin.