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Since its fda approval in 2006, januvia has been sold in over 80 countries worldwide and is the latest of several of merck s controversial drugs.

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JANUVIAjah-NEW-vee-ahis a once-daily prescription pill thatalong with diet and exercisehelps lower blood sugar levels in adults with type 2 diabetes.

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 is severe 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.

Take the medicine as soon as you canbut skip the missed dose if it is almost time for your next doseDo not take two doses at one time.

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.

Your doctor may prescribe JANUVIA alone or together with certain other diabetes medicines to help control blood sugarTake JANUVIA exactly as your doctor prescribes and follow your doctor’s treatment plan for healthy eating and exercise.

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