Also, kidney problems may limit the amount of Januvia that leaves your body. This may increase the amount of Januvia in your blood and lead to severe side effects.
If you have or had any kidney problems, let your doctor know right away. Also, tell your doctor if you have symptoms of kidney failure. These can include pain or pressure in your chest or swelling of your legs, ankles, and feet.
Before and while you take Januvia, your doctor will give you blood tests to see how your kidneys are working. However, skin rashes can be a symptom of an allergic reaction to Januvia. If you notice a rash on your skin, let your doctor know. They can recommend treatments to help ease your symptoms. Your doctor may also have you stop taking Januvia and use a different medication instead. However, people who took Januvia with other diabetes drugs did have edema.
Symptoms of edema can include swelling in some parts of your body, such as your hands and legs. In a clinical study , 8. This was compared to 5. In some cases, edema may be temporary and will go away on its own. They can recommend treatments to ease your symptoms.
Your doctor may also adjust the dosage of your diabetes medications. However, other studies have looked at whether Januvia may help people lose weight. In one small clinical study , people with high cholesterol who took Januvia to treat their type 2 diabetes lost about 18 lbs. They may adjust your diet and exercise routine based on your needs.
They may also recommend a dietitian to help make sure you get proper nutrition. After taking Januvia for three months, they lost 6.
In some cases, your doctor may want you to take insulin along with Januvia. They may adjust your diet and exercise routine as needed. No clinical studies have linked the use of Januvia with constipation. Type 2 diabetes can also cause constipation.
If you have constipation on a regular basis, let your doctor know. No clinical studies have linked the use of Januvia with hair loss. But type 2 diabetes may cause hair loss in some people. Your doctor may also give you tips on how to cope with hair loss. No clinical studies have linked the use of Januvia with erectile dysfunction ED. But type 2 diabetes may cause ED in some men.
Typically, your doctor will start you on a low dosage. Your doctor will ultimately prescribe the smallest dosage that provides the desired effect. The following information describes dosages that are commonly used or recommended. However, be sure to take the dosage your doctor prescribes for you. Your doctor will determine the best dosage to suit your needs.
Januvia is typically prescribed in dosages of mg, once a day. Differences in dosages can be more common in older adults. This is because their kidneys may work less well as they age.
It may help to take your medication at the same time each day so it becomes routine. Consider using them if you have problems remembering when to take Januvia. Januvia is meant to be used as an ongoing treatment. If you need financial support to pay for Januvia, or if you need help understanding your insurance coverage, help is available.
Merck, the manufacturer of Januvia, offers savings coupons to help lower the cost of Januvia. Januvia is FDA-approved to treat type 2 diabetes, along with diet and exercise.
Some of the medications that have been found effective with Januvia include:. If you have type 1 diabetes or want to lose weight, talk with your doctor. In one clinical study that lasted 18 weeks, Januvia was tested in people with type 2 diabetes.
In a week clinical study of people with type 2 diabetes, Januvia reduced A1C levels 0. Your doctor may recommend that you take Januvia by itself or with other medications that also treat diabetes. Some of these other drugs may include:.
Other drugs are available that can treat your condition. Some may be better suited for you than others. They can tell you about other medications that may work well for you. You may wonder how Januvia compares to other medications that are prescribed for similar uses.
Here we look at how Januvia and Tradjenta are alike and different. Januvia and Tradjenta belong to the same class of drugs called dipeptidyl peptidase-4 DPP-4 inhibitors. This means that they work in similar ways in your body.
Tradjenta also comes as a tablet that you swallow. The recommended dosage is 5 mg, once a day. Januvia and Tradjenta both work in the same way. So both medications can cause very similar side effects. Below are examples of these side effects. These lists contain examples of more common side effects that can occur with Januvia, with Tradjenta, or with both drugs when taken individually.
These lists contain examples of serious side effects that can occur with Januvia, with Tradjenta, or with both drugs when taken individually. Januvia and Tradjenta are both FDA-approved to treat type 2 diabetes, along with diet and exercise. Separate studies of the two drugs were compared in a larger review of studies. Researchers looked at how well Januvia and Tradjenta helped lower A1C levels. This is a measure of how well your blood sugar is controlled over a few months. Januvia was found to be as effective as Tradjenta.
Januvia and Tradjenta are both brand-name drugs. There are currently no generic forms of either drug. Brand-name medications usually cost more than generics. According to estimates on GoodRx. This is because an unacceptable level of a probable carcinogen cancer-causing agent was found in some extended-release metformin tablets.
If you currently take this drug, call your healthcare provider. They will advise whether you should continue to take your medication or if you need a new prescription. In addition to Tradjenta above , metformin is also used to treat type 2 diabetes. Here we look at how Januvia and metformin are alike and different. The Food and Drug Administration FDA has approved both Januvia and metformin to treat type 2 diabetes in adults, along with diet and exercise.
Metformin is also approved to treat type 2 diabetes in children. Januvia belongs to a class of drugs called dipeptidyl peptidase-4 DPP-4 inhibitors. Metformin is part of the drug class called biguanides. Both Januvia and metformin come as tablets that you swallow. Metformin also comes as a liquid medication that you swallow. Januvia is taken once a day. Metformin can be taken from one to three times per day, depending on the dose. Januvia and metformin have different effects on the body, so both medications can cause different side effects.
Your symptoms of diabetes should also get better. A prescription for this medication is refillable. You should not need a new prescription for this medication to be refilled. Your doctor will write the number of refills authorized on your prescription. Your doctor may have you regularly test your blood sugar levels at home. Sitagliptin can help lower your blood sugar levels when combined with lifestyle changes such as improved diet and exercise, and avoiding smoking.
Follow the nutrition plan that your doctor, registered dietitian, or diabetes educator recommends. Many insurance companies require a prior authorization for this drug. This means your doctor will need to get approval from your insurance company before your insurance company will pay for the prescription. There are other drugs available to treat your condition.
Some may be better suited for you than others. Talk to your doctor about other drug options that may work for you. Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up-to-date.
However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or other healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.
Everything you've wanted to know about type 2 diabetes: The warning signs, possible complications, risk factors, prevention, type 2 in children, and…. Curious about type 1 vs. We'll give you the facts on differences, similarities, causes, risk factors, treatment, and more.
Learn about options such as analgesics and…. The risk factors for type 2 diabetes are complex and range from genetic to environmental to lifestyle choices. Learn more. My diagnosis was a wake-up call. It was time to take care of my health. Learn more about its symptoms, causes, and treatment. Click to see full answer. Keeping this in consideration, can I just stop taking Januvia? Additionally, can you just stop taking pioglitazone? Your doctor may start you on a low dose of pioglitazone and gradually increase your dose.
Pioglitazone controls type 2 diabetes but does not cure it. Continue to take pioglitazone even if you feel well. Do not stop taking pioglitazone without talking to your doctor.
Januvia has been found to be effective work well in people with type 2 diabetes. In a clinical study, people took Januvia for 24 weeks. These people hadn't taken any diabetes drug for seven weeks. Although Januvia by itself usually does not cause low blood sugar hypoglycemia , low blood sugar may occur if Januvia is prescribed with other anti-diabetic medications.
Tell your doctor all prescription and over-the-counter medications you use. During pregnancy Januvia should be used only when prescribed. Januvia sitagliptin helps to control high blood sugar but does not cure diabetes. Before you start taking JANUVIA, tell your doctor if you have ever had heart failure your heart does not pump blood well enough or have problems with your kidneys.
Contact your doctor right away if you have increasing shortness of breath or trouble breathing especially when you lie down ; swelling or fluid retention especially in the feet, ankles, or legs ; an unusually fast increase in weight; or unusual tiredness.
These may be symptoms of heart failure. Symptoms of serious allergic reactions to JANUVIA, including rash, hives, and swelling of the face, lips, tongue, and throat that may cause difficulty breathing or swallowing, can occur. If you have any symptoms of a serious allergic reaction, stop taking JANUVIA and call your doctor right away or get emergency medical help.
Call your doctor if you have severe joint pain. Tell your doctor right away if you develop blisters or the breakdown of the outer layer of your skin erosion. If you take JANUVIA with another medicine that can cause low blood sugar hypoglycemia , such as a sulfonylurea or insulin, your risk of getting low blood sugar is higher. Signs and symptoms of low blood sugar may include headache, drowsiness, irritability, hunger, dizziness, confusion, sweating, feeling jittery, weakness, and fast heart beat.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www. The physician Prescribing Information also is available.
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