Januvia

Generic name: Sitagliptin phosphate

What is Januvia?

Januvia is used along with diet and exercise to lower blood sugar in patients with type 2 diabetes. Januvia can be taken alone or with certain other medications used for diabetes if they do not provide enough control.

What is the most important information I should know about Januvia?

Talk to your doctor if you experience excess thirst or urination, or fruity-scented breath. These may be signs of high blood sugar (glucose) and improper blood glucose control.

Who should not take Januvia?

Do not take Januvia if you have type 1 diabetes or diabetic ketoacidosis (increased ketones in the blood or urine).

What should I tell my doctor before I take the first dose of Januvia?

Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Januvia. Also, talk to your doctor about your complete medical history, especially if you are pregnant, plan to become pregnant, or are breastfeeding, if you have kidney problems, any allergies; or if you are taking digoxin. During periods of stress on the body, such as fever, trauma, infection or surgery, your medication needs may change; contact your doctor right away.

What is the usual dosage?

The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.

Adults: The recommended dose for adults is 100 milligrams (mg) taken once daily with or without food. If you have kidney problems, your doctor may prescribe lower doses of Januvia.

How should I take Januvia?

You should take Januvia once a day with or without food. Your doctor may prescribe Januvia along with other medications that lower blood sugar. It is important to follow any dietary, exercise, and glucose monitoring instructions from your doctor while taking this medication.

What are possible food and drug interactions associated with Januvia?

It is especially important to check with your doctor before combining Januvia with Digoxin. Talk with your doctor or pharmacist about any other medications you are taking in order to make sure the effects of the medications will not be altered.

What are the possible side effects of Januvia?

Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.

Side effects may include: headache, stomach discomfort and diarrhea, sore throat, stuffy or runny nose, upper respiratory infection

Symptoms of a serious allergic reaction include: rash, hives, and swelling of the face, lips, tongue, and throat that may cause difficulty in breathing or swallowing. If you have an allergic reaction, stop taking Januvia and call your doctor right away. Your doctor may prescribe a medication to treat your allergic reaction and a different medication for your diabetes.

Can I receive Januvia if I am pregnant or breastfeeding?

The effects of Januvia during pregnancy and breastfeeding are unknown. Tell your doctor immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

What should I do if I miss a dose of Januvia?

If you miss a dose, take it as soon as you remember. If you do not remember until it is time for your next dose, skip the missed dose and go back to your regular schedule. Do not take 2 doses at once.

How should I store Januvia?

Store at room temperature.