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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.

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.

Your doctor may do blood tests before and during treatment with JANUVIA to see how well your kidneys are workingBased on these resultsyour doctor may change your dose of JANUVIAThe most common side effects of JANUVIA are upper respiratory tract infectionstuffy or runny nose and sore throatand headache.

Rememberkeep this and all other medicines out of the reach of childrennever share your medicines with othersand use Januvia only for the indication prescribed.

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.

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in 2009, the fda announced that it was revising the labels for januvia and janumet, after sitagliptin was linked to 88 post-marketing cases of pancreatitis between october 16, 2006 and february 9, 2009.

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