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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.

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.

Stop taking Januvia and call your doctor if you have symptoms of pancreatitissevere pain in your upper stomach spreading to your backwith or without vomiting.

You should not use Januvia if you are allergic to sitagliptinor if you have diabetic ketoacidosiscall your doctor for treatment with insulin

Januviasitagliptinis an oral diabetes medicine that helps control blood sugar levelsIt works by regulating the levels of insulin your body produces after eating.

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