JANUVIA Oral

JANUVIA Oral Interactions

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with them first.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of:

• digoxin
• other diabetes medications such as sulfonylureas (e.g., chlorpropamide, glipizide, glyburide, tolazamide)

Sitagliptin does not cause low blood sugar (hypoglycemia) by itself. However, it may increase the risk of low blood sugar when used with certain other diabetes medications such as sulfonylureas (e.g., chlorpropamide, glipizide, glyburide, tolazamide). Be sure you know the signs of low blood sugar and how to prevent and treat it. Talk with your doctor or pharmacist about whether the dose of your other diabetic medication(s) needs to be lowered.

Beta blocker medications (e.g., metoprolol, propranolol, glaucoma eye drops such as timolol) may prevent the fast/pounding heartbeat you would usually feel when your blood sugar level falls too low (hypoglycemia). Other symptoms of low blood sugar such as dizziness, hunger, or sweating are unaffected by these drugs.

This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.