What is Januvia?
Januvia, or sitagliptin, is an oral diabetes medicine that helps control the body’s blood and sugar levels. It works by maintaining the levels of insulin that your body produces after eating.
This medicine is suited for people with type 2 diabetes, but may be used in coordination with other diabetes medications. This is not, however, for treating type 1 diabetes.
Januvia may also be used for purposes not listed in the medication guide below. Order Januvia in Canada today at Life Relay Health Care Solutions, Inc.
Before taking this medicine:
If you are allergic to sitagliptin or if you are in a state of diabetic ketoacidosis, do not use Januvia. Call your doctor for an alternative treatment with insulin. If you have a history of pancreatitis, kidney disease, or if you are on dialysis, make sure you inform your doctor before taking this medication.
Currently, Januvia is not known to harm an unborn baby. If you are pregnant or plan to become pregnant during treatment, tell your doctor as you name may be needed to be listed on a Januvia pregnancy registry. It is also not known of sitagliptin passes into breast milk or if it could harm a nursing baby. Make sure you tell your doctor if you are currently breast-feeding a baby during your treatment.
Lastly, do not give Januvia to anyone under 18 without explicit medical advice.
How should I take Januvia?
Follow all directions on your prescription label and take Januvia exactly as it was prescribed for you. Your doctor may occasionally change your dosage to get better results. Dot not, however, take this medicine in larger or smaller amounts, or for any longer than it is recommended to avoid unnecessary side effects.
Januvia may be taken with or without food, but your blood sugar will need to be checked often and you may need another set of blood tests at your doctor’s office. Make sure to visit your doctor regularly.
Low blood sugar or hypoglycemia can happen to everyone who has a diabetes or a history of it. Some symptoms include headaches, hunger, sweating, pale skin, irritability and dizziness, trouble concentrating, and experiencing shaky feelings. If you have low blood sugar, make sure to keep a source of sugar with you, such as fruit juice, hard candy, raisins and crackers, and non-diet soda.
Make sure your friends and family know how to help you in case of an emergency. If you are suffering from severe hypoglycemia and cannot eat or drink properly, use a glucagon injection. Your doctor can prescribe an emergency glucagon emergency kit and inform you how to use it.
You should also take note of signs of hyperglycemia or high blood sugar, such as an increased thirst and urination, hunger, dry mouth, fruity breath odor, unusually drowsiness, dry skin and blurred vision, as well as unusual weight loss.
Always make sure to check your blood sugar carefully during times of stress, travel, illness, or any medical emergency or surgery, or if you skip meals and drink alcohol regularly. These can affect your glucose levels and even the slightest change means you need to also change your dosage. Do not, however, change your dosage or schedule without explicit advice from your doctor.
Lastly, it is important to know that Januvia is only part of a more complete program of treatment. While taking this medicine, it is important to go on a healthy diet, exercise regularly, and control your weight. Make sure to use this medicine regularly to get the most benefit. Make sure to get your prescription refilled so that you do not run out of Januvia completely, and store it at room temperature away from moisture, light, and heat.
What happens if I miss a dose?
In the event that you miss a dosage, take the missed dosage immediately. If it is almost time for the next dosage, skip the missed on. Do not attempt to take the extra medicine to make up for the one you missed.
What happens if I overdose?
In the event that you overdose on the medicine, call the Poison Help line and seek emergency medical attention immediately. Some signs of low blood sugar you need to be aware of include extreme weakness, blurred vision, sweating and trouble speaking, stomach pain and tremors, and confusion and seizures.
What should I avoid?
Make sure you follow your doctor’s instruction about any restrictions you may need to adhere to in terms of food, beverages, and physical activity.
If you are experiencing a state of diabetic ketoacidosis, do not use Januvia and call your doctor for an alternative treatment with insulin.
Januvia can cause pancreatitis, and it is critical that you stop taking this medicine if you are experiencing severe pain in your upper stomach that spreads to your back. Avoid taking this medicine if you experience vomiting, nausea, and a loss of appetite.
Januvia can cause a serious allergic reaction in some people. If you experience fever, sore throat, swelling or burning in your face or skin pain, get emergency medical help immediately. You may also get a skin rash that spreads throughout your body and can cause blistering and peeling.
What other drugs will affect Januvia?
Using certain medicines can make it more difficult for you to tell if you have low blood sugar. If you use albuterol, clonidine, reserpine, or a beta-blocker like atenolol, metoprolol, propranolol, then make sure to inform your doctor beforehand. You should also inform your doctor if you are taking digoxin such as Lanoxicaps and Lanoxinbefore you buy Januvia in Canada.
Although Januvia is not as likely to cause low blood sugar or hypoglycemia, some other oral diabetes medications can potentially lower your blood sugar levels. Below are the following:
- Nonsteroidal anti-inflammatory drugs
- Probenecid such as Benemid
- Aspirin or other salicylates, including Pepto-Bismol
- Blood thinners like warfarin and Coumadin
- Sulfa drugs like Bactrim and SMZ-TMP
- Monoamine oxidase inhibitors
- Beta-blockers like Tenormin
- Insulin and any other diabetes medications
Take note that this is not a complete list and not all possible reactions are listed in this medication guide. Prescription and over-the-counter drugs, vitamins, and herbal products can potentially interact with Januvia.
Januvia side effects:
If you experience any allergic signs to Januvia, such as hives, swelling of your face, lips, tongue and throat, or difficulty in breathing, then get emergency medical help immediately.
Some other common side effects include a runny or stuffy nose, sore throat, head and back pain, and joint or muscle pain. You may also feel nauseous, get stomach pain, diarrhea, and constipation. You should also stop using Januvia if you experience any of the following:
- Pancreatitis, or a severe pain in your upper stomach that spreads to your back, nausea and vomiting, a loss of appetite, and a faster heart rate.
- Little or no urinating
- Swelling, a shortness of breath, or noticeable weight gain
- A severe skin reaction, fever, sore throat, swelling in your face or tongue, skin pain, or experience a burning sensation in your eyes.
- You see red or purple skin rashes that spreads throughout your face and upper body that can cause blistering and peeling.
Please take note that this is not a complete list of side effects and others may occur. If you experience other side effects not listed here, call your doctor and report the side effects to the FDA.