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Precautions

Do NOT use Januvia if:

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

Contact your doctor or physician right away if any of these connect with you.

Some health conditions may communicate with Januvia. Tell your medical professional or pharmacist if you have any medical conditions, in particular when any with the following affect you:

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

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

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

This may not be a whole listing of all interactions that could occur. Ask your health care provider if Januvia may interact with medicines that you just take. Check with your medical provider before starting, stop, or change the dose of any medicine.

Important safety information:

• Follow the eating and working out program given to you through your doctor. Proper diet, physical exercise, and regular blood glucose testing are crucial for the best results with Januvia.
• Check your blood glucose levels as directed because of your doctor. If they are often higher or below they will be and you take Januvia the same manner prescribed, tell your doctor.
• It might be harder to control your blood sugar during times of stress for example fever, infection, injury, or surgery. Talk along with your doctor about how to manage your blood sugar levels if any one of these occur. Do not change the dose of one's medicine without checking with your physician.
• Januvia usually won't cause low blood sugar. However, low blood sugar levels may occur when it can be used as well as certain other medicines for diabetes (eg, sulfonylureas). Low blood glucose levels may cause you to anxious, sweaty, weak, dizzy, drowsy, or faint. It may also build your heartbeat 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 transport a reliable supply of glucose (eg, tablets, gel) to deal with low blood sugar levels. If this just isn't available, you ought to eat or drink an instant supply of sugar like countertop sugar, honey, candy, orange juice, or non-diet soda. This will raise your blood sugar level quickly. Tell your doctor right away if the happens. To prevent low blood sugar levels, eat meals as well on a daily basis and tend not to skip meals.
• Lab tests, including fasting blood glucose, glycosylated hemoglobin, and kidney function, could possibly be performed while you use Januvia. These tests could possibly be used to monitor your complaint or pay attention to unwanted side effects. Be sure to keep all doctor and lab appointments.
• Use Januvia with caution within the elderly; they could possibly be more understanding of its effects.
• Januvia needs to be combined with extreme caution in youngsters younger 18 years; safety and effectiveness in these children haven't been confirmed.
• Pregnancy and breast-feeding: If you become pregnant, speak to your doctor. You will need to discuss the benefits and risks of using Januvia while you happen to be pregnant. It is just not known if Januvia can be found in breast milk. If you happen to be or will be breast-feeding while you have Januvia, check with your doctor. Discuss any possible risks to your baby.