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Stop taking Januvia and call your doctor if you have symptoms of pancreatitissevere pain in your upper stomach spreading to your backwith or without vomiting.

Your blood sugar will need to be checked oftenand you may need other blood tests at your doctor’s office.

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.

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

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

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if you think you or someone you know has overdosed on januvia, call the poison control center at 1-800-222-1222, or call 911.