Janumet contains a blend of metformin and sitagliptin. Metformin and sitagliptin are oral diabetes drugs that assist with controlling glucose levels.

1. Janumet generic
Janumet contains a blend of metformin and sitagliptin. Metformin and sitagliptin are oral diabetes drugs
that assist with controlling glucose levels.
Metformin works by diminishing glucose (sugar) creation in the liver and diminishing retention of
glucose by the digestive organs. Sitagliptin works by directing the degrees of insulin your body produces
subsequent to eating.
Janumet is utilized along with diet and exercise to further develop glucose control in grown-ups with
type 2 diabetes mellitus.
Janumet isn't utilized to treat type 1 diabetes.
Admonitions
You shouldn't utilize Janumet assuming you have extreme kidney infection or diabetic ketoacidosis (call
your PCP for treatment with insulin).
Janumet might cause a difficult condition called lactic acidosis. Get crisis clinical assistance on the off
chance that you have even gentle side effects, for example, muscle agony or shortcoming, numb or cold
inclination in your arms and legs, inconvenience breathing, stomach torment, queasiness with retching,
slow or lopsided pulse, unsteadiness, or feeling exceptionally feeble or tired.
Janumet may likewise prompt a difficult condition called pancreatitis. Summon your PCP right assuming
you have extreme stomach torments regardless of regurgitating.
Prior to taking this medication
You shouldn't utilize Janumet assuming you are oversensitive to metformin or sitagliptin (Januvia), or on
the other hand on the off chance that you have serious kidney illness.
To ensure Janumet is ok for you, let your primary care physician know if you have at any point had:

2. kidney infection (your kidney capability might should be checked previously and keeping in mind that
you are taking this medication);
liver sickness;
coronary illness;
pancreatitis;
high fatty oils (a kind of fat in the blood);
gallstones; or
liquor addiction.
Certain individuals taking metformin foster a difficult condition called lactic acidosis. This might be more
probable in the event that you have liver or kidney sickness, congestive cardiovascular breakdown,
medical procedure, a coronary failure or stroke, a serious contamination, assuming you are 65 or more
seasoned, assuming that you are dried out, or on the other hand assuming you drink a great deal of
liquor. Talk with your PCP about your gamble.
On the off chance that you want to have a medical procedure or any sort of x-beam or CT filter utilizing a
color that is infused into your veins, you might have to quit taking Janumet for a brief time. Be certain
your parental figures know early that you are utilizing this medicine.
Adhere to your PCP's guidelines about utilizing Janumet in the event that you are pregnant or you
become pregnant. Glucose control is vital during pregnancy, and your portion needs might be different
during every trimester of pregnancy. Having high glucose might cause entanglements in both the
mother and the child.
It may not be protected to breastfeed while utilizing this medication. Get some information about any
gamble. Your portion needs may likewise be different while you are breastfeeding.

3. Janumet isn't supported for use by anybody more youthful than 18 years of age.
Janumet pregnancy and breastfeeding alerts (more detail)
How might I take Janumet?
Take Janumet precisely as endorsed by your primary care physician. Follow all bearings on your remedy
mark. Your PCP may infrequently change your portion. Try not to take this medication in bigger or more
modest sums or for longer than suggested.
Take Janumet with dinners.
Try not to squash, bite, or break a drawn out discharge tablet. Gulp down it.
Janumet tablets may not totally break down in the body. Some portion of the tablet might show up in
your stool. This is an ordinary symptom of Janumet and won't make the medication less powerful.
Call your primary care physician on the off chance that you see a tablet in your stool a few times.
You might have low glucose (hypoglycemia) and feel extremely ravenous, dazed, crabby, befuddled,
restless, or unsteady. To rapidly treat hypoglycemia, eat or drink an effective wellspring of sugar (natural
product juice, hard sweets, saltines, raisins, or non-diet pop).
Your PCP might recommend a glucagon infusion pack on the off chance that you have extreme
hypoglycemia. Be certain your family or dear companions know how to give you this infusion in a crisis.
Additionally watch for indications of high glucose (hyperglycemia) like expanded thirst or pee, obscured
vision, cerebral pain, and sleepiness.
Glucose levels can be impacted by pressure, sickness, medical procedure, work out, liquor use, or
skipping feasts. Ask your PCP prior to changing your portion or drug plan.

4. Janumet is just important for a total therapy program that may likewise incorporate eating routine,
work out, weight control, ordinary glucose testing, and unique clinical consideration. Adhere to your
PCP's guidelines intently.
Your blood should be tried frequently.
Store at room temperature away from dampness and intensity.
Point by point Janumet measurement data
What occurs in the event that I miss a portion?
Accept the missed portion when you recollect (make certain to take the medication with food). Avoid
the missed portion in the event that it is nearly time for your next planned portion. Try not to take
additional medication to make up the missed portion.
What occurs assuming I glut?
Look for crisis clinical consideration or call the Toxin Help line at 1-800-222-1222. You might have
seriously low glucose (outrageous shortcoming, sickness, quakes, perspiring, disarray, inconvenience
talking, quick pulses, or seizure).
What to stay away from
Try not to drink liquor. It brings down glucose and may build your gamble of lactic acidosis.
Janumet aftereffects
Get crisis clinical assistance on the off chance that you have indications of an unfavorably susceptible
response to Janumet: (hives, troublesome breathing, expanding right in front of you or throat) or a
serious skin response (fever, sore throat, consuming in your eyes, skin torment, red or purple skin rash
that spreads and causes rankling and stripping).
Quit taking this medication and summon your primary care physician right assuming that you have side
effects of pancreatitis: serious agony in your upper stomach spreading to your back, queasiness and
regurgitating, loss of craving, or quick pulses.

5. Certain individuals foster lactic acidosis while taking metformin. Early side effects might deteriorate over
the long run and this condition can be lethal. Quit taking this medication and get crisis clinical assistance
on the off chance that you have even gentle side effects, for example,
strange muscle torment;
feeling cold;
inconvenience relaxing;
feeling tipsy, unsteady, tired, or exceptionally frail;
stomach torment, sickness with spewing; or
slow or unpredictable heartbeat.
Call your PCP without a moment's delay on the off chance that you have any of these serious secondary
effects:
tingling, rankles, breakdown of the external layer of skin;
extreme or continuous torment in your joints;
practically zero peeing; or
windedness (even while resting), enlarging in your legs or feet, fast weight gain; or
indications of low glucose, including migraine, languor, discombobulation, perspiring, feeling unsteady,
craving, or quick heartbeat.

6. Normal Janumet aftereffects might include:
low glucose (in the event that you additionally use insulin or another oral diabetes prescription);
resentful stomach, acid reflux, gas, looseness of the bowels, sickness, spewing;
migraine, shortcoming; or
cold side effects like runny or stodgy nose, wheezing, sore throat.
This is certainly not a total rundown of incidental effects and others might happen. Call your primary
care physician for clinical counsel about incidental effects. You might report secondary effects to FDA at
1-800-FDA-1088.
Janumet secondary effects (more detail)
What different medications will influence Janumet?
Many medications can associate with metformin and sitagliptin. A few medications can influence how
well Janumet controls your glucose. Different medications might expand your gamble of lactic acidosis.
Let your PCP know if you utilize any of the accompanying drugs prior to taking Janumet:
hostile to seizure meds (counting topiramate, zonisamide, acetazolamide, phenytoin, and others)
hostile to viral meds for HIV or Helps;
antipsychotic meds (particularly chlorpromazine, prochlorperazine, thioridazine, and others);
dichlorphenamide;
acid neutralizer meds including cimetidine;

7. ranolazine;
vandetanib;
corticosteroid meds (like prednisone),
estrogen-containing meds including contraception pills or chemical substitution;
heart or circulatory strain meds (particularly digoxin, diuretics or water pills, calcium channel blockers,
and others); or
other diabetes drugs including insulin, sulfonylureas, or others
Not all potential communications are recorded in this drug guide. Enlighten your PCP concerning all
prescriptions you use, and those you start or quit utilizing. Give a rundown of every one of your
prescriptions to any medical care supplier who treats you.
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