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

Serious side effects can happen in people who take JANUVIAincluding pancreatitiswhich may be severe and lead to deathBefore you start taking JANUVIAtell your doctor if you’ve ever had pancreatitisStop taking JANUVIA and call your doctor right away if you have pain in your stomach areaabdomenthat is severe and will not go awayThe pain may be felt going from your abdomen through to your backThe pain may happen with or without vomitingThese may be symptoms of pancreatitis.

Low blood sugarhypoglycemiacan happen to everyone who has diabetesSymptoms include headachehungersweatingirritabilitydizzinessnauseaand feeling shakyTo quickly treat low blood sugaralways keep a fast-acting source of sugar with you such as fruit juicehard candycrackersraisinsor non-diet soda.

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in addition, the effects of renal insufficiency on januvia pharmacokinetics in patients with type 2 diabetes and mild or moderate renal insufficiency were assessed using population pharmacokinetic analyses.