Januvia (Sitagliptin phosphate)

• Take Januvia by mouth with or without food, as directed by your healthcare provider, usually once daily. Take Januvia at the same time each day to maintain consistency.
• The dosage of Januvia is based on your medical condition, kidney function, and response to treatment. Take this medication regularly to get the most benefit from it. If you have questions about your Januvia dosage, discuss them with your healthcare provider.
• Carefully follow the medication treatment plan, meal plan, and exercise program recommended by your healthcare provider.
• Regularly check your blood sugar, keep track of the results, and share them with your healthcare provider as directed. If your blood sugar measurements are too high or too low, inform your healthcare provider, as your dosage or treatment may need to be changed.

Common Side Effects: 

• Upper respiratory infection
• Stuffy or runny nose
• Sore throat
• Headache
• Stomach upset
• Diarrhea

If Januvia is taken with another medicine that can cause low blood sugar, such as sulfonylurea or insulin, the risk of getting low blood sugar is higher. Signs and symptoms of low blood sugar may include headache, drowsiness, irritability, hunger, dizziness, confusion, sweating, feeling jittery, weakness, and fast heartbeat.

Januvia may cause kidney problems, sometimes requiring dialysis.

Other Serious Side Effects: 

• Signs of heart failure
• Unusual skin blisters
• Joint pain
• Signs of pancreatitis such as severe stomach or abdominal pain, nausea, vomiting, and loss of appetite

Long-Term Side Effects: 

• Heart failure
• Abnormal heart rhythms
• Blood clots
• Stroke 

The information provided is not exhaustive. Consult a healthcare provider for a comprehensive understanding of the potential side effects of Januvia.

Before starting Januvia, inform your healthcare provider if you have ever had heart failure or have problems with your kidneys. Contact your healthcare provider right away if you experience symptoms such as increasing shortness of breath, swelling or fluid retention, an unusually fast increase in weight, or unusual tiredness, as these may be signs of heart failure.

Do not take Januvia if you are allergic to any of its ingredients. Symptoms of a serious allergic reaction to Januvia may include rash, raised red patches on your skin (hives), or swelling of the face, lips, tongue, and throat.

Januvia has not been studied in patients with a history of pancreatitis. It is unknown whether patients with a history of pancreatitis are at increased risk for the development of pancreatitis while using Januvia.

Persistent severe abdominal pain, sometimes radiating to the back, which may or may not be accompanied by vomiting, is the hallmark symptom of acute pancreatitis. Promptly discontinue Januvia and contact your healthcare provider if persistent severe abdominal pain occurs.

Before taking Januvia, be sure to inform your healthcare provider about all medications you take, including prescription and over-the-counter types, as well as any vitamins, herbs, or supplements you use. Januvia can interact with several types of drugs, including diabetes drugs like glyburide, glimepiride, and insulin.

Co-administration of Januvia with an insulin secretagogue or insulin may require lower doses of the insulin secretagogue or insulin to reduce the risk of hypoglycemia.

The information provided is not exhaustive. Consult a healthcare provider for a comprehensive understanding of the warnings and precautions associated with Januvia.