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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.

Take Januvia exactly as it was prescribed for youFollow all directions on your prescription label and read all medication guides or instruction sheetsYour doctor may occasionally change your doseUse the medicine exactly as directed.

Do not take JANUVIA if you are allergic to any of its ingredientsincluding sitagliptinSymptoms of serious allergic reactions to JANUVIAincluding rashhivesand swelling of the facelipstongueand throat that may cause difficulty breathing or swallowingcan occurIf you have any symptoms of a serious allergic reactionstop taking JANUVIA and call your doctor right away.

JANUVIA should not be used in patients with type 1 diabetes or with diabetic ketoacidosisincreased ketones in the blood or urineIf you have had pancreatitisinflammation of the pancreasit is not known if you have a higher chance of getting it while taking JANUVIA.

Serious side effects can happen in people who take JANUVIAincluding pancreatitiswhich may be severe and lead to deathBefore you start taking JANUVIAtell your doctor if you’ve ever had pancreatitisStop taking JANUVIA and call your doctor right.

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