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In clinical trials.researchers reported the most common side effects that occurred in 5 percent or more of patients taking Januvia include nasopharyngitis (common cold).respiratory tract infections and headaches. Januvia may also come with more rare but serious side effects.

These are not all the possible side effects of JANUVIA. For more information.ask buy januvia 100 mg doctor or pharmacist.

A multinational.randomized.double-blind.placebo-controlled study was also conducted to assess the safety and tolerability of JANUVIA in 91 patients with type 2 diabetes and chronic renal insufficiency (creatinine clearance.

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

Do not take JANUVIA if you are allergic to any of its ingredients.including sitagliptin. 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 buy januvia 100 mg serious allergic reaction.buy januvia 100 mg taking JANUVIA and call your doctor right away.

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.

The process works like this. After a person eats and blood sugar rises.intestinal cells release hormones called incretin hormones. Incretin stimulates pancreatic cells called beta cells to release insulin to metabolize sugar and signals the liver to stop making excess sugar. In people without diabetes.DPP-4 breaks down incretin to keep blood sugar and insulin levels balanced. For people with diabetes.too much sugar is already in the blood.

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0 msec were observed in one study at a dose of 800 mg januvia, a mean effect that is not considered clinically important see clinical pharmacology 12.