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Precautions

Do NOT use Januvia if:

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

Contact your physician or health care provider without delay if these connect with you.

Some health concerns may talk with Januvia. Tell your physician or pharmacist when you have any health concerns, particularly if any from the following sign up for you:

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

Some medicines may talk with Januvia. Tell your doctor if you're taking some other medicines, especially any from the following:

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

This will not be a total listing of all interactions which could occur. Ask your medical provider if Januvia may interact with other medicines which you take. Check with your health care provider before starting, stop, or alter the dose of any medicine.

Important safety information:

• Follow the exercise and dieting program given to you by your physician. Proper diet, frequent exercise, and regular blood glucose testing are essential for the most powerful results with Januvia.
• Check your blood sugar as directed from your doctor. If they are often higher or under they must be and you take Januvia the same manner prescribed, tell your doctor.
• It could be harder to regulate your blood sugar during periods of stress including fever, infection, injury, or surgery. Talk using your doctor about how exactly to control your blood sugar levels if any one these occur. Do not affect the dose of the medicine without checking with your medical professional.
• Januvia usually doesn't cause low blood sugar. However, low blood glucose may occur when it is utilized in addition to certain other medicines for diabetes (eg, sulfonylureas). Low blood sugar levels may make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also help make your heart beat faster; make your vision change; give you a headache, chills, or tremors; or cause you to hungrier. It is really a good idea to carry a reliable method to obtain glucose (eg, tablets, gel) to treat low blood glucose. If this isn't available, you should eat or drink a fast way to obtain sugar like countertop sugar, honey, candy, orange juice, or non-diet soda. This will raise your blood sugar level quickly. Tell a medical expert right away if this type of happens. To prevent low blood glucose levels, eat meals simultaneously every day and don't skip meals.
• Lab tests, including fasting blood glucose, glycosylated hemoglobin, and kidney function, could be performed while you have Januvia. These tests might be used to monitor your problem or pay attention to side effects. Be sure to keep all doctor and lab appointments.
• Use Januvia with caution inside elderly; they may be more sensitive to its effects.
• Januvia ought to be used in combination with extreme caution in kids younger 18 years; safety and effectiveness in these children weren't confirmed.
• Pregnancy and breast-feeding: If you get pregnant, contact 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 is located in breast milk. If you are or will probably be breast-feeding while you use Januvia, check using your doctor. Discuss any possible risks for your baby.