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Precautions

Do NOT use Januvia if:

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

Contact your medical professional or health care provider right away if some of these sign up for you.

Some medical ailments may communicate with Januvia. Tell your physician or pharmacist when you have any health conditions, especially if any of the following apply to you:

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

Some medicines may communicate with Januvia. Tell your doctor if you might be taking some other medicines, especially any in the following:

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

This may not be a complete list of all interactions that could occur. Ask your medical provider if Januvia may interact with other medicines that you take. Check with your doctor before starting, stop, or change the dose of any medicine.

Important safety information:

• Follow the diet and exercise program given to you because of your doctor. Proper diet, routine workouts, and regular blood sugar testing are important for best results with Januvia.
• Check your blood sugar levels 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 physician.
• It might be harder to control your blood sugar during times of stress including fever, infection, injury, or surgery. Talk together with your doctor about how exactly to manipulate your blood sugar if some of these occur. Do not change the dose of your medicine without checking with your physician.
• Januvia usually doesn't cause low blood sugar. However, low blood glucose levels may occur when it is utilized along with certain other medicines for diabetes (eg, sulfonylureas). Low blood glucose may allow you to anxious, sweaty, weak, dizzy, drowsy, or faint. It may also build your heart beat faster; you could make your vision change; give you a headache, chills, or tremors; or cause you to hungrier. It can be a good idea to carry a reliable way to obtain glucose (eg, tablets, gel) to take care of low blood glucose. If this just isn't available, you ought to eat or drink a simple 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 immediately if it happens. To prevent low blood sugar levels, eat meals simultaneously every day and do not skip meals.
• Lab tests, including fasting blood glucose, glycosylated hemoglobin, and kidney function, could possibly be performed while you employ Januvia. These tests might be used to monitor your problem or look for unwanted effects. Be sure to keep all doctor and lab appointments.
• Use Januvia with caution in the elderly; they could be more sensitive to its effects.
• Januvia must be used with extreme caution in kids younger 18 years; safety and effectiveness in these children are not confirmed.
• Pregnancy and breast-feeding: If you conceive, contact your doctor. You will need to discuss the benefits and perils of using Januvia while you are pregnant. It just isn't known if Januvia is located in breast milk. If you happen to be or is going to be breast-feeding while you utilize Januvia, check using your doctor. Discuss any possible risks for your baby.