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Precautions

Do NOT use Januvia if:

• you might be allergic to any ingredient in Januvia
• you might have type 1 diabetes
• you might have high blood ketone levels (diabetic ketoacidosis).

Contact your doctor or doctor right away if any of these apply to you.

Some medical ailments may talk with Januvia. Tell your physician or pharmacist if you have any health concerns, in particular when any from the following affect you:

• if you are pregnant, intending to become pregnant, or are breast-feeding
• if you're taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• for those who have allergies to medicines, foods, or other substances
• when you have kidney problems
• for those who have a reputation inflammation of the pancreas (pancreatitis).

Some medicines may connect to Januvia. Tell your medical provider if you might be taking any other medicines, especially any with the following:

• Digoxin or sulfonylureas (eg, glipizide) because the risk of their unwanted side effects could possibly be increased by Januvia.

This may not be an entire listing of all interactions that could occur. Ask your health care provider if Januvia may interact with other medicines which you take. Check with your medical provider prior to starting, stop, or alter the dose of the medicine.

Important safety information:

• Follow the dieting and exercise program given to you through your physician. Proper diet, physical exercise, and regular blood sugar levels testing are crucial for the most powerful results with Januvia.
• Check your glucose levels as directed because of your doctor. If they are often higher or below they must be and you take Januvia exactly as prescribed, tell your doctor.
• It could possibly be harder to control your blood sugar in times of stress including fever, infection, injury, or surgery. Talk using your doctor about how to regulate your blood glucose levels if any one these occur. Do not customize the dose of the medicine without checking with a medical expert.
• Januvia usually will not cause low blood sugar. However, low blood sugar levels may occur when it can be used together with certain other medicines for diabetes (eg, sulfonylureas). Low blood sugar levels may make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also you could make your heart beat faster; you could make your vision change; give you a headache, chills, or tremors; or cause you to be hungrier. It is often a wise decision to carry a reliable supply of glucose (eg, tablets, gel) to deal with low blood glucose. If this just isn't available, you ought to eat or drink a quick way to obtain sugar like table sugar, honey, candy, orange juice, or non-diet soda. This will raise your blood sugar level quickly. Tell your medical professional without delay if the happens. To prevent low blood sugar, eat meals as well daily and usually do not skip meals.
• Lab tests, including fasting blood glucose, glycosylated hemoglobin, and kidney function, could possibly be performed while you employ Januvia. These tests could possibly be used to monitor your trouble or search for unwanted effects. Be sure to keep all doctor and lab appointments.
• Use Januvia with caution within the elderly; they could be more sensitive to its effects.
• Januvia must be combined with extreme caution in kids younger 18 years; safety and effectiveness in these children haven't been confirmed.
• Pregnancy and breast-feeding: If you become pregnant, get hold of your doctor. You will need to discuss the benefits and risks of using Januvia while you're pregnant. It just isn't known if Januvia can be found in breast milk. If you happen to be or will be breast-feeding while you use Januvia, check with your doctor. Discuss any possible risks in your baby.