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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.
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.
Rememberkeep this and all other medicines out of the reach of childrennever share your medicines with othersand use Januvia only for the indication prescribed.
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approximately 79 of januvia is excreted unchanged in the urine with metabolism being a minor pathway of elimination.