Januvia is used for treating type 2 diabetes in patients who are unable to control blood sugar levels by diet and exercise only. It's used together with diet and exercise. It can be utilized alone or with other antidiabetic medicines. Januvia is a dipeptidyl peptidase-4 (DPP-4) inhibitor. It functions by increasing the total amount of insulin released by the human own body, and decreasing the quantity of sugar made by the body.

Use Januvia as directed by your physician.
Simply take Januvia by mouth with or without any food.
Take Januvia on a routine schedule to really get the most advantage from it.
Continue to take Januvia even if you feel good. Do not miss any amounts.
Go as soon as possible, in case you miss a dose of Januvia. If it is nearly time for your next dose, skip the missed dose and return to your usual dosing schedule. Don't take 2 doses at once.
Ask your health care provider any questions that may have concerning the best way to use Januvia.
Don't use Januvia if:
you are sensitive to any ingredient in Januvia
You've got type 1 diabetes
You've got high blood ketone levels (diabetic ketoacidosis).
Contact your physician or doctor right away if one of these apply to you.
Some medical conditions may interact with Januvia. Tell your doctor or pharmacist if you hold any health conditions, especially if any of these apply to you:
if you are pregnant, planning to get pregnant, or are breast-feeding
if you are using any prescription or non-prescription medicine, herbal preparation, or dietary supplement
When you have allergies to medicines, foods, or other materials
if you have kidney problems
When you have a background of inflammation of the pancreas (pancreatitis).
Some medications may interact with Januvia. Communicate to your health care provider if you're taking any other medications, particularly the following:
Digoxin or sulfonylureas (eg, glipizide) because the chance of the side effects might be raised by Januvia.
This might not be a whole record of all interactions that might happen. Ask your doctor if Januvia might interact with other medications that you take. Check with your doctor before you begin, stop, or adjust the dose of any medicine.
Important safety tips:
Follow the dietary plan and exercise program given to you by your doctor. Proper food regime, regular exercise, and regular blood glucose ing are important for best results with Januvia.
Review your blood sugar levels as instructed by your doctor.
If they are often higher or lower-than they should be and you take Januvia just as prescribed, inform your doctor.
It could be more difficult to regulate your blood glucose during times of pressure like temperature, disease, injury, or operation. Speak with your doctor about ways to control your blood glucose if these occur. Do not alter the dose of your medicine without checking with your physician.
Januvia usually doesn't cause low blood sugar. However, low blood sugar may happen if it is used along with certain other medications for diabetes (eg, sulfonylureas). Reduced blood-sugar might make you anxious, sweaty, weak, dizzy, drowsy, or faint. It might also make your heart-beat faster; make your vision change; give you a headache, chills, or tremors; or make you hungrier. It's a good idea to carry a reliable supply of glucose (eg, pills, gel) to treat low blood sugar. When it is not accessible, you ought to eat or drink a quick source of sugars like table sugar, honey, candies, fruit juice, or non-diet pop. This may raise your blood sugar level quickly. Tell your physician right away if that happens. To stop low blood glucose, eat meals in the same time daily and don't skip meals.
Laboratory s, including glycosylated hemoglobin, fasting blood-glucose, and kidney function, might be carried out as you are using Januvia. These s might be used to track your condition or check for side effects. Make sure to keep all physician and lab appointments.
Use Januvia with caution within the elderly; they might become more sensitive to its results.
Januvia must be combined with extreme care in children younger 18 years; effectiveness and safety in these children haven't been verified.
Maternity and breastfeeding: If you then become pregnant, contact your physician. While you're pregnant you are going to need to talk about the risks and benefits of using Januvia. It is not known if Januvia can be found in breast milk. If you are or will be breast feeding while you use Januvia, check with your own doctor. Discuss any possible risks to your infant.

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