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There are some cases of inflammation of the pancreas pancreatitis in patients taking januvia.

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Information about Januvia.

Januvia is only part of a complete treatment program that may also include dietexerciseweight controlblood sugar testingand special medical careFollow your doctor’s instructions very closely.

If you take JANUVIA with another medicine that can cause low blood sugarhypoglycemiasuch 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 JANUVIASigns and symptoms of low blood sugar may include headachedrowsinessweaknessdizzinessconfusionirritabilityhungerfast heart beatsweatingand feeling jittery.

It may not be safe to breast-feed a baby while you are using this medicineAsk your doctor about any risks.

JANUVIAby itselfis not likely to cause hypoglycemia because it works less when your blood sugar is low.

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in combination with metformin, januvia provided significant improvements in a1c, fpg, and 2-hour ppg compared to placebo with metformin table 4 .

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