Janumet
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Janumet is a medication used to treat patients with type 2 diabetes and is not insulin dependent. Do not use Janumet to treat patients with type 1 diabetes. This medication is normally prescribed with diet and exercise.

Store at room temperature. Keep away from open flames, high heat, light, moisture, children, and pets.

Before taking Janumet, inform your doctor if you are pregnant, planning to become pregnant or breastfeeding; are taking prescription or over-the-counter medication, herbal preparation, or dietary supplements; if you have any allergies to drugs; if you have liver or kidney disease, a history of heart disease, or if you are over 80 years old and have not recently had a kidney function test.

Patients using Janumet should avoid alcohol consumption. Also, you may need to temporarily stop taking the medication if you need to take an x-ray or CT scan where you will need a dye to inject into a vein. Some patients taking Janumet have developed lactic acidosis, a life-threatening condition with symptoms including muscle pain or weakness, trouble breathing, stomach pain, dizziness, slow or uneven heart rate, nausea with vomiting, feeling very weak or tired, or numb or cold feeling in your arms and legs.

Read the directions on the prescription label. Do not take larger or more frequent doses than prescribed by your doctor. Take this medication as directed on the label or by your pharmacist, doctor, or other healthcare provider. Take this medication twice a day with meals. Make sure your prescription gets refilled before your medication runs out completely. You will need regular blood and kidney function tests to ensure that Janumet is helping your condition. It is important not to miss any scheduled appointments with your doctor. If you become sick or injured, have a serious infection, or need to have surgery, your doctor will change or stop your medication for a short period of time. While taking Janumet, your doctor may tell you to take extra vitamin B12. Only take the prescribed amount of vitamin B12. When taking Janumet, try not to let your blood sugar get too low by skipping a meal, exercising too long, drinking alcohol, or being under stress. You may notice signs of hypoglycemia when you

Do not use Janumet if you are allergic to metformin or sitagliptin, have kidney disease, or are in a state of diabetic ketoacidosis.

Severe: Swelling or rapid weight gain; fever, chills, body aches, flu symptoms; a severe blister, peeling, and red skin rash; feeling short of breath, even with mild exertion.

Common: Headache, weakness; runny or stuffy nose, sore throat; or mild nausea, diarrhea, stomach pain, gas, or vomiting.

Other: None.