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Stop taking januvia and call your doctor right away if you have pain in your stomach area abdomen that is severe and will not go away.

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You should not use Januvia if you are in a state of diabetic ketoacidosiscall your doctor for treatment with insulin

Your doctor can prescribe a glucagon emergency injection kit to use in case you have severe hypoglycemia and cannot eat or drinkBe sure your family and close friends know how to give you this injection in an emergency.

You should not use Januvia if you are allergic to sitagliptinor if you have diabetic ketoacidosiscall your doctor for treatment with insulin

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.

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