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Precautions

Do NOT use Januvia if:

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• you've got type 1 diabetes

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• you might have high blood ketone levels (diabetic ketoacidosis).

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Contact your physician or health care provider right away if any of these sign up for you.

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Some medical conditions may communicate with Januvia. Tell your physician or pharmacist for those who have any health concerns, particularly if any with the following apply to you:

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• if you happen to be pregnant, about to become pregnant, or are breast-feeding

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• if you might be taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• if you have allergies to medicines, foods, or other substances

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• for those who have kidney problems

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• for those who have a good inflammation of the pancreas (pancreatitis).

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Some medicines may interact with Januvia. Tell your health care provider if you're taking any other medicines, especially any with the following:

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

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This might not be a total list of all interactions which could occur. Ask your health care provider if Januvia may interact to medicines that you just take. Check with your medical provider prior to starting, stop, or customize the dose from a medicine.

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Important safety information:

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• Follow the exercise and dieting program given to you through your physician. Proper diet, regular exercise, and regular blood sugar levels testing are very important for optimum results with Januvia.

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• Check your blood sugar levels as directed through your doctor. If they are often higher or less than they must be and you take Januvia the same manner prescribed, tell your medical professional.

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• It could possibly be harder to manipulate your blood sugar in times of stress such as fever, infection, injury, or surgery. Talk using your doctor regarding how to regulate your blood sugar if any one of these occur. Do not customize the dose of your respective medicine without checking with your medical professional.

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• Januvia usually won't cause low blood sugar. However, low blood glucose levels may occur when it can be used along with certain other medicines for diabetes (eg, sulfonylureas). Low blood glucose levels may cause you to be anxious, sweaty, weak, dizzy, drowsy, or faint. It may also make your heartbeat faster; help make your vision change; give you a headache, chills, or tremors; or cause you to hungrier. It is a good idea to handle a reliable method to obtain glucose (eg, tablets, gel) to deal with low blood glucose levels. If this is just not available, you ought to eat or drink a fast source of sugar like countertop sugar, honey, candy, orange juice, or non-diet soda. This will raise your blood glucose level quickly. Tell your medical professional immediately if this happens. To prevent low blood glucose, eat meals as well daily and do not skip meals.

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• 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 condition or search for unwanted effects. Be sure to keep all doctor and lab appointments.

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• Use Januvia with caution inside elderly; they may be more understanding of its effects.

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• Januvia must be combined with extreme caution in youngsters younger 18 years; safety and effectiveness in these children weren't confirmed.

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• Pregnancy and breast-feeding: If you become pregnant, speak to your doctor. You will need to discuss the benefits and perils associated with using Januvia while you might be pregnant. It isn't known if Januvia is located in breast milk. If you're or will probably be breast-feeding while you use Januvia, check using your doctor. Discuss any possible risks in your baby.

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