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Get emergency medical help if you have signs of an allergic reaction to Januviahivesdifficult breathingswelling in your face or throator a severe skin reactionfeversore throatburning in your eyesskin painred or purple skin rash that spreads and causes blistering and peeling

UseAs an adjunct to diet and exercise to improve glycemic control in patients with type 2 diabetes mellitus.

Symptoms of heart failure shortness of breatheven while lying downswelling in your legs or feetrapid weight gain.

Do not take JANUVIA if you are allergic to any of its ingredientsincluding sitagliptinSymptoms of serious allergic reactions to JANUVIAincluding rashhivesand swelling of the facelipstongueand throat that may cause difficulty breathing or swallowingcan occurIf you have any symptoms of a serious allergic reactionstop taking JANUVIA and call your doctor right away.

JANUVIAby itselfis not likely to cause hypoglycemia because it works less when your blood sugar is low.

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other drugs can lead to heavy weight gain and hypoglycemia but such effects are reduced with the use of januvia.

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