Januvia is a medication that is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. It is used in people with type 2 diabetes.

Controlling your blood sugar will help prevent the complications of diabetes, such as kidney damage, nerve problems, blindness, sexual function problems, and loss of limbs. Controlling diabetes may also lessen your risk of a stroke or a heart attack.

For more information on the prescription medication patients should refer to the Januvia patient information leaflet.

Sitagliptin is a diabetes medication that belongs to those called DPP-4 inhibitors. Januvia works by increasing incretin released by the intestine. Incretin, a hormone, raises insulin levels when your levels of blood sugar go up and decreases the amount of sugar made by the body. Sitagliptin may be used alone or may be combined with other medications to control the sugar levels in the blood of adults with type 2 diabetes. Januvia should be used as part of an overall diabetes management plan that includes a diet and exercise program.

The main benefit of Januvia is its ability to control blood sugar in people with type 2 diabetes. It is effective in increasing the amount of incretin released by the intestine, which leads to an increase in insulin levels when blood sugar is high and decreases the amount of sugar by the body.

Follow strictly the recommendations of your doctor on the proper use of this medication. Also, read the medication guide provided by your pharmacist before you start using Januvia and every time you get a refill. Ask your doctor or pharmacist if you do not understand anything about the proper use of this medication.

Take this medication by mouth with or without a meal, ad directed by your doctor, usually once daily.

The dosage of Januvia is based on your medical condition, kidney function, and your response to the treatment. Take Januvia regularly to get the most benefit from this medication. Try taking the medicine at approximately the same time each day to help you remember when to take your dose.

It is essential that you should strictly follow your doctor’s recommended treatment plan, together with a healthy meal plan and an exercise regimen suited for you.

Regularly check your blood sugar and share with your doctor the results. Make sure to report to your doctor when the blood sugar measurements are either very high or very low. Your doctor may adjust your diabetes medications.

The usual recommended dose of Januvia is one tablet taken once daily. Your doctor shall determine which dose of Januvia you will be taking.

Januvia is available 25 mg, 50 mg, and 100 mg tablets.

Your doctor has prescribed Januvia because he believes that the benefit to you is greater than the risk of side effects. Many people use Januvia without having any serious side effects.

Although Januvia by itself will not cause low blood sugar or hypoglycemia, low sugar may occur when Januvia is prescribed along with other diabetes medications. Talk to your doctor if there is a need to lower the dose of Januvia that you are taking.

Symptoms of low blood sugar include:

• Shaking
• Sudden sweating
• Hunger
• Fast heartbeat
• Dizziness
• Blurred vision
• Tingling hands or feet

Always carry glucose tablets or gel to treat hypoglycemia. If you don’t have glucose tablets or gel, you can quickly elevate your blood sugar by consuming table sugar, candy, fruit juice or regular soda. Immediately report to your doctor your reaction to what you consume to raise your sugar level.

Low blood sugar is likely to occur after drinking large amounts of beverages containing alcohol, do not eat enough food, or if you perform unusually heavy exercise. To help prevent hypoglycemia, you should eat your meals on their regular schedule, and you should avoid skipping meals. Consult your doctor to find out your best course of action when you skip a meal.

Symptoms of high blood sugar or hyperglycemia include thirst, confusion, increased urination, flushing, drowsiness, fruity breath odour, or rapid breathing. If these symptoms occur, tell your doctor right away. Your doctor may need to adjust your diabetes medications.

Inform your doctor of any serious side effects, including signs of kidney problems, unusual skin blisters, joint pain, and signs of heart failure.

Get medical help right away if you have very serious side effects, including signs of pancreatitis.

A very serious allergic reaction to Januvia is rare. However, get medical help immediately if you notice any of the following symptoms: rash, severe dizziness, itching or swelling of the face/tongue/throat, or trouble breathing.

Before you start taking this medication, let your doctor know if you are allergic to it, or if you have other allergies. Januvia may contain inactive ingredients that can trigger allergic reactions or other problems.

Before you start taking this medication, share with your doctor your medical history, especially of heart failure, kidney disease, stones in the gallbladder, or disease of the pancreas.

You may experience dizziness, blurred vision, or drowsiness due to extremely low or high blood sugar. Do not drive, operate machinery, or perform any activity that requires alertness and clear vision until you are absolutely sure that the tasks can be performed safely.

Limit your alcohol consumption while taking this medication because it can increase your risk of developing low blood sugar.

It may be harder to control your blood sugar when your body is stressed, such as fever, injury, or infection. Consult your doctor because increased stress may need a change in your treatment plan or blood sugar testing.

Januvia should be used only when extremely needed during pregnancy. Pregnancy may result in diabetes or worsen it. Discuss with your doctor how to manage your blood sugar while you are pregnant. Your doctor may order you a different diabetes treatment during the period of your pregnancy.

It is not known if this medication passes into breast milk. Consult your doctor before you start breastfeeding.

Drug interactions may alter the way medicines work or increase the risk for serious side effects. It is important that you share with your doctor a list of all medications you are currently using for him to check if any one of them will interact with Januvia. Do not start, stop, or change the dosage of your medicines with first getting the approval of your doctor.

Beta-blocker medications may prevent fast heartbeat that you usually experience when your blood sugar falls too low.

Many medications can affect the levels of your blood sugar, which makes sugar levels hard to control. You should talk to your doctor first before you start, stop, or change any medication. You must check your blood sugar regularly as directed by your doctor and share the results with him.

You can safely buy Januvia online at UK Meds. You will need to have first an online consultation with a pharmacist independent prescriber before your order will be supplied. The online consultation will ensure that Januvia is the right medication for your medical condition.