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Do not take for januvia 50 mg if you are allergic to sitagliptin or if you are in a state of diabetic ketoacidosis call your doctor for treatment with insulin .

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Serious side effects can happen in people who take JANUVIAincluding pancreatitiswhich may be severe and lead to deathBefore you start taking JANUVIAtell your doctor if you’ve ever had pancreatitisStop taking JANUVIA and call your doctor right away if you have pain in your stomach areaabdomenthat issevere and will not go awayThe pain may be felt going from your abdomen through to your backThe pain may happen with or without vomitingThese may be symptoms of pancreatitis.

JANUVIA should not be used in patients with type 1 diabetes or with diabetic ketoacidosisincreased ketones in the blood or urineIf you have had pancreatitisinflammation of the pancreasit is not known if you have a higher chance of getting it while taking JANUVIA.

Blood sugar levels can be affected by stressillnesssurgeryexercisealcohol useor skipping mealsAsk your doctor before changing your dose or medication schedule.

You may take Januvia with or without foodFollow your doctor’s instructions.

CommentsWhen used in combination with an insulin secretagoguee.gsulfonylureaor insulina lower dose of the insulin secretagogue or insulin may be required to reduce the risk of hypoglycemia.

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