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The risk of hypoglycemia is unlikely because januvia only works when it s needed.

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Information about Januvia.

Take Januvia exactly as it was prescribed for youFollow all directions on your prescription label and read all medication guides or instruction sheetsYour doctor may occasionally change your doseUse the medicine exactly as directed.

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.

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.

Some people who take medicines called DPP-4 inhibitors like JANUVIA may develop a skin reaction called bullous pemphigoid that can require treatment in a hospitalTell your doctor right away if you develop blisters or the breakdown of the outer layer of your skinerosionYour doctor may tell you to stop taking JANUVIA.

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