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Januvia may not work as well when you use other medicines at the same timeMany other drugs can also affect blood sugar controlThis includes prescription and over-the-counter medicinesvitaminsand herbal productsNot all possible interactions are listed hereTell your doctor about all medicines you start or stop using.
Low blood sugarhypoglycemiacan happen to everyone who has diabetesSymptoms include headachehungersweatingirritabilitydizzinessnauseaand feeling shakyTo quickly treat low blood sugaralways keep a fast-acting source of sugar with you such as fruit juicehard candycrackersraisinsor non-diet soda.
Blood sugar levels can be affected by stressillnesssurgeryexercisealcohol useor skipping mealsAsk your doctor before changing your dose or medication schedule.
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 away if you have pain in your stomach areaabdomenthat is severe and will not go awayThe pain may be felt going from your abdomen through to your backThe pain may happen with or without vomitingThese may 10mg of accutane for cheap. be symptoms of pancreatitis.
If you take JANUVIA with another medicine that can cause low blood sugarsuch 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 JANUVIA.
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