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Follow your doctor’s instructions about any restrictions on foodbeveragesor activity.

If you take JANUVIA with another medicine that can cause low blood sugarhypoglycemiasuch 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 JANUVIASigns and symptoms of low blood sugar may include headachedrowsinessweaknessdizzinessconfusionirritabilityhungerfast heart beatsweatingand feeling jittery.

Your doctor may do blood tests before and during treatment with JANUVIA to see how well your kidneys are workingBased on these resultsyour doctor may change your dose of JANUVIAThe most common side effects of JANUVIA are upper respiratory tract infectionstuffy or runny nose and sore throatand headache.

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.

Low blood sugarhypoglycemiacan happen to everyone who has diabetesSymptoms include headachehungersweatingirritabilitydizzinessnauseaand feeling shakyTo quickly treat low blood sugaralways keep a fast-acting source of sugar with you such as fruit juicehard candycrackersraisinsor non-diet soda.

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