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Januvia may also cause a severe allergic reaction that can be life-threatening.

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Information about Januvia.

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.

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.

Your name may need to be listed on a Januvia pregnancy registry when you start using this medicine.

Some people who take medicines called DPP-4 inhibitors like JANUVIAmay develop joint pain that can be severeCall your doctor if you have severe joint pain.

Before you start taking JANUVIAtell your doctor if you have ever had heart failureyour heart does not pump blood well enoughor have problems with your kidneysContact your doctor right away if you have increasing shortness of breath or trouble breathingespecially when you lie downswelling or fluid retentionespecially in the feetanklesor legsan unusually fast increase in weightor unusual tirednessThese may be symptoms of heart failure.

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the fda has not indicated that any users of januvia or janumet should stop taking their medication, and no medication especially a diabetes drug should be discontinued without the supervision of a physician.

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