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The fda approved januvia for once-daily use in addition to diet and exercise to improve blood sugar levels in patients with type 2 diabetes, alone or in combination with other commonly prescribed oral diabetes medications metformin, actos, avandia .

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Stop taking Januvia and call your doctor if you have symptoms of pancreatitissevere pain in your upper stomach spreading to your backwith or without vomiting.

Also watch for signs of high blood sugarhyperglycemiasuch as increased thirst or urinationblurred visionheadacheand tiredness.

Januvia may not work as well when you use other medicines at the same timeMany other drugs can also affect blood sugar controlThis includes prescription and over-the-counter medicinesvitaminsand herbal productsNot all possible interactions are listed hereTell your doctor about all medicines you start or stop using.

If you take JANUVIA with another medicine that can cause low blood sugarhypoglycemiasuch as a sulfonylurea or insulinyour risk of getting low blood sugar is higherThe dose of your sulfonylurea medicine or insulin may need to be lowered while you use JANUVIASigns and symptoms of low blood sugar may include headachedrowsinessweaknessdizzinessconfusionirritabilityhungerfast heart beatsweatingand feeling jittery.

Januviasitagliptinis an oral diabetes medicine that helps control blood sugar levelsIt works by regulating the levels of insulin your body produces after eating.

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