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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 might have high blood ketone levels (diabetic ketoacidosis).

Contact your medical professional or health care provider immediately if these sign up for you.

Some medical ailments may interact with Januvia. Tell your physician or pharmacist in case you have any medical ailments, particularly when any from the following connect with you:

• if you happen to be pregnant, about to become pregnant, or are breast-feeding
• if you happen to be taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• in case you have allergies to medicines, foods, or other substances
• in case you have kidney problems
• when you have a reputation inflammation of the pancreas (pancreatitis).

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

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

This may not be an entire set of all interactions that will occur. Ask your doctor if Januvia may interact along with other medicines that you just take. Check with your doctor before you begin, stop, or change the dose of any medicine.

Important safety information:

• Follow the exercise and dieting program given to you through your doctor. Proper diet, routine workouts, and regular blood glucose testing are essential for the best results with Januvia.
• Check your glucose levels as directed from your doctor. If they are often higher or under they should be and you take Januvia exactly as prescribed, tell your doctor.
• It may be harder to manage your blood sugar during times of stress such as fever, infection, injury, or surgery. Talk using your doctor about how precisely to control your blood glucose levels if any one of these occur. Do not change the dose of the medicine without checking with your medical professional.
• Januvia usually won't cause low blood sugar. However, low blood glucose may occur when it is utilized 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 help make your pulse faster; you could make your vision change; give you a headache, chills, or tremors; or cause you to be hungrier. It is often a good idea to transport a reliable method to obtain glucose (eg, tablets, gel) to deal with low blood glucose levels. If this isn't available, you need to eat or drink a quick method to obtain sugar like table sugar, honey, candy, orange juice, or non-diet soda. This will raise your blood glucose level quickly. Tell a medical expert straight away if this happens. To prevent low blood glucose, 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, may be performed while you use Januvia. These tests could be used to monitor your complaint or look for unwanted effects. Be sure to keep all doctor and lab appointments.
• Use Januvia with caution inside elderly; they could possibly be more sensitive to its effects.
• Januvia needs to be used with extreme caution in youngsters younger 18 years; safety and effectiveness in these children weren't confirmed.
• Pregnancy and breast-feeding: If you become pregnant, contact your doctor. You will need to discuss the benefits and perils of using Januvia while you are pregnant. It isn't known if Januvia is found in breast milk. If you're or will be breast-feeding while you employ Januvia, check together with your doctor. Discuss any possible risks for a baby.