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The actual number of januvia pancreatitis cases is likely substantially higher, as reported events usually only account for between 1 and 10 of all occurrences.

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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

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

Take the medicine as soon as you canbut skip the missed dose if it is almost time for your next doseDo not take two doses at one time.

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.

CommentsWhen used in combination with an insulin secretagoguee.gsulfonylureaor insulina lower dose of the insulin secretagogue or insulin may be required to reduce the risk of hypoglycemia.

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