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pBefore 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./ppLow 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./ppJanuvia may not work as well when you use other medicines at the same timeMany other drugs can also affect blood sugar controlThis includes prescription and over-the-counter medicinesvitaminsand herbal productsNot all possible interactions are listed hereTell your doctor about all medicines you start or stop using./ppSerious 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./p

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