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Before you start taking JANUVIAtell your doctor if you have ever had heart failureyour heart does not pump blood well enoughor have problems with your kidneysContact your doctor right away if you have increasing shortness of breath or trouble breathingespecially when you lie downswelling or fluid retentionespecially in the feetanklesor legsan unusually fast increase in weightor unusual tirednessThese may be symptoms of heart failure.

This site is intended only for residents of the United Statesits territoriesand Puerto Rico.

It may not be rhinathiol promethazine. safe to breast-feed a baby while you are using this medicineAsk your doctor about any risks.

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

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in combination with metformin, januvia provided significant improvements in a1c, fpg, and 2-hour ppg compared to placebo with metformin table 5 .