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Other drugs may increase or decrease the effects of januvia on lowering your blood sugar.

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Coadministration of multiple twice-daily doses of sitagliptin with metformin.an OCT substrate.did not meaningfully alter the pharmacokinetics of metformin in patients with type 2 diabetes. Therefore.sitagliptin is not an inhibitor of How to order januvia-mediated transport.

Your doctor may do blood tests before and during treatment with JANUVIA to see how well your kidneys are working. Based on these results.your doctor may change your dose of JANUVIA. The most common side effects of JANUVIA are upper respiratory tract infection.stuffy or runny nose and sore throat.and headache.

Symptoms of high blood sugar (hyperglycemia) include thirst.increased urination.confusion.drowsiness.flushing.rapid breathing.and fruity breath odor. If these symptoms occur.tell your doctor right away. Your doctor may need to adjust your diabetes medication(s).

Close to 25 million people in the United States have diabetes.costing the country an estimated $245 billion a year. There’s been a huge rise in the number of treatment options over the last how to order januvia years. Many patients have to take more than one drug to stabilize their blood sugar levels and insulin.

For this reason.pancreatic cancer is difficult to detect early. With the gland being located deep within the body.tumors are also hard to see or feel during routine exams. Additionally.patients have very few.if any.symptoms of the cancer until it has already begun to spread.

You may experience blurred vision.dizziness.or drowsiness due to extremely low or high blood sugar. Do not drive.use machinery.or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely.

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