What is Januvia and what is januvia used for?


Januvia is used along with diet and exercise and sometimes with other medications to lower blood sugar levels in adults with type 2 diabetes (condition in which blood sugar is too high because the body does not produce or use insulin normally).
Januvia is in a class of medications called dipeptidyl peptidase-4 (DPP-4) inhibitors. It works by increasing the amounts of certain natural substances that lower blood sugar when it is high.
Januvia is not used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood).

Over time, people who have diabetes and high blood sugar can develop serious or life-threatening complications, including heart disease, stroke, kidney problems, nerve damage, and eye problems.
Taking medications, making lifestyle changes (e. g. , diet, exercise, quitting smoking), and regularly checking your blood sugar may help to manage your diabetes and improve your health.
This therapy may also decrease your chances of having a heart attack, stroke, or other diabetes-related complications such as kidney failure, nerve damage (numb, cold legs or feet; decreased sexual ability in men and women), eye problems, including changes or loss of vision, or gum disease.
Your doctor and other healthcare providers will talk to you about the best way to manage your diabetes.


How to use Januvia?


Januvia comes as a tablet to take by mouth. It is usually taken once a day with or without food.
Take Januvia at around the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand.
Take Januvia exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Januvia helps to control high blood sugar but does not cure diabetes. Continue to take Januvia even if you feel well. Do not stop taking Januvia without talking to your doctor.



When to take Januvia?


Before taking Januvia:

tell your doctor and pharmacist if you are allergic to Januvia (sitagliptin) or any other medications.

tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take.
Be sure to mention any of the following: digoxin (Lanoxicaps, Lanoxin); insulin; and certain oral medications for diabetes including acetohexamide, chlorpropamide (Diabinese), glimepiride (Amaryl), glipizide (Glucotrol, in Metaglip), glyburide (Diabeta, Glycron, Micronase), tolazamide (Tolinase), and tolbutamide. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.

tell your doctor if you drink or have ever drunk large amounts of alcohol and if you have or have ever had diabetic ketoacidosis (a serious condition that may occur when blood sugar is too high), pancreatitis (swelling of the pancreas), gallstones, high levels of triglycerides (fatty substances) in your blood, heart failure, or kidney disease.

tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while taking januvia, call your doctor.

if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking januvia.

talk to your doctor about what you should do if you get hurt or if you develop a fever or infection. These conditions may affect your blood sugar.

talk to your doctor about the symptoms of high and low blood sugar and other complications of diabetes, what to do if you develop these symptoms, and how to prevent these conditions.


What special dietary instructions should I follow?


Be sure to follow all diet and exercise recommendations made by your doctor or dietician.


What should I do if I forget a dose?


Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.


What side effects can januvia cause?


Januvia may cause side effects.
Tell your doctor if any of these symptoms are severe or do not go away:

stuffed or runny nose.
sore throat.
headache.
diarrhea.
nausea.

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