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Januvia is used for managing diabetes in patients who are unable to control blood sugar by diet and exercise alone. It is used along with diet and workout. It may be used alone or with other antidiabetic medications. Januvia is a dipeptidyl peptidase-4 (DPP-4) inhibitor. It functions by raising the quantity of insulin released by your body, and reducing the total amount of sugar made by your physique.

Use Januvia as instructed by your physician.
Just take Januvia by mouth with or without any food.
Consider Januvia on a regular program to get the most advantage from this.
Continue to take Januvia even if you feel good. Do not skip any doses.
Take it as as soon as possible, in the event that you skip a dose of Januvia. When it is almost time for your following dose, omit the missed dosage and return to your regular dosing schedule. Do not take 2 doses at the same time.
Ask your doctor any questions you might have about how to use Januvia.
Don't use Januvia if:
you are hypersensitive to any ingredient in Januvia
you have type 1 diabetes
You've got high blood ketone levels (diabetic ketoacidosis).
Contact your doctor or health care provider at once if these apply to you personally.
Some medical conditions may interact with Januvia. Tell your doctor or pharmacist if you hold any medical conditions, especially if any of these apply to you:
if you are pregnant, intending to get pregnant, or are breast feeding
if you are using any prescription or non-prescription medicine, herbal preparation, or dietary supplement
In case you are allergic to medications, foods, or other substances
In case you have kidney problems
In case you have a history of irritation of the pancreas (pancreatitis).
Some medications may interact with Januvia. Communicate to your doctor in case you are taking any other medications, particularly any of the following:
Digoxin or sulfonylureas (eg, glipizide) because the risk of their side effects might be raised by Januvia.
This may not be a whole record of all interactions that may happen. Ask your doctor if Januvia may interact with other medications that you take. Check with your health care provider before you begin, stop, or change the dose of any medicine.
Important safety tips:
Follow the dietary plan and exercise plan given to you by your physician. Proper food regime, regular exercise, and regular blood sugar testing are significant for the best results with Januvia.
Check your blood sugar levels as directed by your doctor.
If they are frequently higher or lower than they should be and you take Januvia exactly as prescribed, tell your doctor.
It may be more difficult to regulate your blood sugar during times of pressure like fever, disease, trauma, or surgery. Speak with your doctor about ways to control your blood glucose if these happen. Do not change the dose of your own medication without checking with your physician.
Januvia normally doesn't cause low blood glucose. But, low blood glucose may happen when it is used together with certain other medicines for diabetes (eg, sulfonylureas). Low blood sugar levels 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 is a good idea to take a dependable source of glucose (eg, tablets, gel) to treat low blood glucose. When this isn't accessible, you should eat or drink a quick source of sugars like table sugars, honey, candies, orange juice, or nondiet soda. This may increase your blood sugar level quickly. Tell your doctor right away when it happens. To prevent low blood sugar, eat meals at the same time every day and don't skip meals.
While you are using Januvia laboratory tests, including fasting blood glucose, glycosylated hemoglobin, and kidney function, might be performed. These tests might be used to monitor your state or check for side effects. Make sure to keep all physician and laboratory appointments.
Use Januvia with caution in the aged; they may be more sensitive to its outcomes.
Januvia must be used with extreme caution in kids younger 18 years; effectiveness and safety in these types of children haven't been affirmed.
Maternity and breast feeding: If you then become pregnant, contact your doctor. While you are pregnant you are going to need to talk about the advantages and dangers of utilizing Januvia. It's not known if Januvia can be found in breast milk. If you are or may be breast feeding as you use Januvia, check with your physician. Discuss any possible risks to your own baby.

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