Januvia is an oral tablet medication used to treat diabetes by controlling the blood sugar levels in your body through the regulation of insulin levels that your body produces through food consumption.

Taking Januvia alone will not be effective unless used in combination with a healthy, balanced diet and frequent exercise to improve the way the body controls blood sugar levels in adults with type 2 diabetes mellitus. Januvia is not intended for or used to treat type 1 diabetes.

Januvia should be taken exactly the way your doctor prescribed you to take, as your doctor may need to alter your dose in order to find the correct dose for you. It is important to adhere to the instructions on the prescription label or instruction sheets provided.

During treatment, you may need to undergo frequent blood tests and blood sugar level tests by your doctor.

In some cases, your doctor may prescribe you with a glucagon emergency injection kit for serious hypoglycemia (low blood sugar) episodes where you may not be able to consume food or water. It is important your family members and close friends are familiar with administering this injection for you for emergency situations.

If you experience symptoms of increased thirst, urination, blurred vision, headache, and fatigue, you may be suffering from high blood sugar levels, also known as hyperglycemia.

There are many reasons that could result in changes to your blood sugar levels such as, stress, illness, surgery, exercise, alcohol consumption, and poor diet. Always consult with your doctor first prior to switching the strength, frequency, or schedule of your medication.

Maintaining a healthy diet, exercising frequently, watching your weight, consistent blood sugar testing, and specialized medical care is all vital in assisting your treatment while taking Januvia.

Januvia should be kept in a dark, cool, and dry place where young children and pets are unable to access.

The usual dose for adults with type 2 diabetes is to take a 100mg JANUVIA tablet once every day.

If you suffer from diabetic ketoacidosis or an allergy to sitagliptin, Januvia is not right for you. Ask your doctor to be prescribed for insulin instead.

It is important to notify your doctor of your medical history, especially if you have had kidney disease, heart complications, pancreatitis, high levels of triglycerides, and gallstones in the past. If you have had an addiction to alcohol or if you are on dialysis, inform your doctor of these as well.

Monitoring your blood sugar control is vital during each trimester of your pregnancy, as your dose may vary, so following your doctor’s instructions is of utmost importance.

It is unknown whether Januvia passes through to breast milk, so exercise caution and discuss with your doctor about the risks that follow.

Januvia is only approved to be used by adults above the age of 18.

The effectiveness of Januvia may be hindered when used in combination with other medications because several other medicines could have an effect on blood sugar control. This consists of but is not limited to prescription medications, over-the-counter (OTC) medications, vitamins, and herbal products. If you are wondering whether it is safe to begin using or to stop using any medications, consult with your doctor first.

At the first sign of any allergic reactions while taking Januvia, contact your doctor and seek emergency medical assistance at once.

Allergy symptoms consist of but are not limited to

• Hives
• Breathing difficulty
• Face or throat swelling
• Fever
• Sore throat
• Eye inflammation
• Painful skin
• Blistering and peeling skin rash

If you are experiencing an excruciating upper stomach pain that travels to your back, you may be suffering from pancreatitis. In this case, stop taking Januvia right away and contact your doctor. You may or may not experience vomiting as well.

It is common to experience minor side effects such as:

• Low blood sugar
• Headache
• Nasal congestion
• Sore throat

However, if you experience serious autoimmune reactions such as itching, blistering, breaking down of the outermost layer of your skin, extremely painful and lasting pain in your joints, and trouble urinating or lack of urinating, inform your doctor immediately. The same goes for heart failure symptoms such as breathing difficulties, legs or feet swelling, and unexplainably quick increase in weight.

This is in no way an absolute list of all possible side effects. Other side effects not listed here may occur. If you are seeking a complete list of all possible side effects, consult with your doctor.

What precautions should I take while on treatment with Januvia?

Keep a convenient source of sugar such as hard candy or sugar pills on you at all times in case you start to show signs of your blood sugar being low. Warn close friends and family members that you might experience seizures or unconsciousness due to low blood sugar so that they know to contact professional medical assistance.

It is important to check for sugar or alcohol content in every item you ingest as these could affect your blood sugar levels.