After initiating JANUVIA, observe patients carefully for signs and symptoms of pancreatitis. Products list. The usual recommended dose is 100 mg orally once a day. However, many people have no side effects or only have minor side effects. Department of Pharmacy, New Hanover Regional Medical Center If heart failure develops, evaluate and manage according to current standards of care and consider discontinuation of JANUVIA.Assessment of renal function is recommended prior to initiating JANUVIA and periodically thereafter. It is unknown whether patients with a history of pancreatitis are at increased risk of developing pancreatitis while taking JANUVIA.JANUVIA is contraindicated in patients with a history of a serious hypersensitivity reaction to sitagliptin, such as anaphylaxis or angioedema.There have been postmarketing reports of acute pancreatitis, including fatal and nonfatal hemorrhagic or necrotizing pancreatitis, in patients taking JANUVIA. After initiating JANUVIA, observe patients carefully for signs and symptoms of pancreatitis. Merck accepts no responsibility for the content of linked sites. Learn about use of medicines, side effects and proper storage.31 Third Hospital Ave, #03-03 Bowyer Block C, Singapore 168753Best viewed on IE 11, Firefox 27, Chrome 22, and Safari 7 and above. Assistant Professor of Pharmacy Practice Consider DPP-4 inhibitors as a possible cause for severe joint pain and discontinue drug if appropriate.Postmarketing cases of bullous pemphigoid requiring hospitalization have been reported with DPP-4 inhibitor use. Do not take 2 doses at the same time or extra doses. Patients experienced relief of symptoms upon discontinuation of the medication. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Reference. Tell patients to report development of blisters or erosions while receiving JANUVIA. Call your doctor for medical These trials evaluated patients with type 2 diabetes mellitus and atherosclerotic cardiovascular disease. If a hypersensitivity reaction is suspected, discontinue JANUVIA, assess for other potential causes for the event, and institute alternative treatment for diabetes.Angioedema has also been reported with other DPP-4 inhibitors. Search for other works by this author on: In the United Kingdom it is listed as less preferred than metformin or a sulfonylurea. Her blood glucose concentration was 450 mg/dL and her glycosylated hemoglobin (HbAIn a patient with type 2 diabetes mellitus, the addition of the incretin mimetic exenatide and the dipeptidyl peptidase-4 inhibitor sitagliptin to glipizide therapy appeared effective and safe.Most users should sign in with their email address. A risk of serious hypersensitivity reactions or anaphylaxis has been reported in patients during the first 3 months of therapy with sitagliptin; some reports occurred after the first dose. Bergman AJ, Cote J, Yi B, et al. Excipient information presented when available (limited, particularly for generics); consult specific product labeling.Tablet, Oral: Januvia: 25 mg, 50 mg, 100 mg These side effects should get better over time. My Account Bergman AJ, Cote J, Yi B, et al. In reported cases, patients typically recovered with topical or systemic immunosuppressive treatment and discontinuation of the DPP-4 inhibitor. These trials evaluated patients with type 2 diabetes mellitus and atherosclerotic cardiovascular disease. The time to onset of symptoms following initiation of drug therapy varied from 1 day to years. Sitagliptin and exenatide have a low propensity to cause hypoglycemia when used alone (0.0–1.2% 11 and 3.8–5.2%, 5 respectively). 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