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Your doctor may do blood tests before and during treatment with JANUVIA to see how well your kidneys are workingBased on these resultsyour doctor may change your dose of JANUVIAThe most common side effects of JANUVIA are upper respiratory tract infectionstuffy or runny nose and sore throatand headache.

Some people who take medicines called DPP-4inhibitors like JANUVIA may develop a skin reaction called bullous pemphigoid that can require treatment in a hospitalTell your doctor right away if you develop blisters or the breakdown of the outer layer of your skinerosionYour doctor may tell you to stop taking JANUVIA.

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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.

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

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doses of januvia up to 125 mg kg approximately 12 times the human exposure at the maximum recommended human dose did not impair fertility or harm the fetus.

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