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In the study of JANUVIA as initial therapy with pioglitazone.one patient taking JANUVIA experienced a severe episode of hypoglycemia. There were no severe hypoglycemia episodes reported in other studies except in the study involving coadministration with insulin.

Your doctor may do blood tests before and during treatment with JANUVIA to see how well your kidneys are working. Based on these results.your doctor may change your dose of JANUVIA. The most common side effects of JANUVIA are upper respiratory tract infection.stuffy or runny nose and sore throat.and headache.

Follow your doctor’s instructions about using Januvia if you are pregnant. Blood sugar control is very important during pregnancy.and your dose needs may be different during each trimester.

Some people who take medicines called DPP-4 inhibitors like JANUVIA may develop a skin reaction called bullous pemphigoid that can require treatment in a hospital. Tell your doctor right away if you develop blisters or the breakdown of the outer layer of januvia online without prescription skin (erosion). Your doctor may tell you to stop taking JANUVIA.

Alcohol can affect your blood sugar levels. Don’t drink alcohol while taking Januvia without first discussing it with your doctor.

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