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Januvia

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Product Details

What Is Januvia Used For?

What Is Januvia Used For?

Januvia (sitagliptin) is a prescription tablet indicated as an adjunct to diet & exercise to improve glycemic control in adults with type 2 diabetes mellitus. It is part of a class of drugs called DPP‑4 inhibitors and works alongside a healthy diet and regular exercise to improve how your body manages blood glucose (sugar). Common adverse reactions of Januvia include upper respiratory tract infection, nasopharyngitis, and headache.

Januvia is not used for type 1 diabetes or diabetic ketoacidosis, and it must be prescribed by a healthcare provider. It helps reduce post-meal blood sugar increases and supports steady glucose control throughout the day. For added convenience, Januvia can be ordered from licensed Canadian pharmacies that ship to the U.S.

Quick Facts About Januvia

CategoryDetails
Brand nameJanuvia
Generic nameSitagliptin
Drug classDPP‑4 inhibitor (dipeptidyl peptidase‑4 inhibitor)
FDA approvalYes (FDA-approved in 2006)
IndicationImproves blood sugar control in adults with type 2 diabetes mellitus (used with diet and exercise)
LimitationsNot for type 1 diabetes or diabetic ketoacidosis (DKA)
AdministrationOral tablet, taken once daily
Strengths available25 mg, 50 mg, 100 mg
Prescription requiredYes
StorageRoom temperature, away from moisture and light
Pregnancy WarningSafety & effectiveness in pregnancy have not been established; use only if clearly needed under medical supervision
Combination therapyMay be prescribed with metformin, sulfonylureas, or insulin
ManufacturerMerck & Co., Inc.

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Januvia Dosage Guide

Januvia Dosage Guide

Patient GroupRecommended DoseNotes
Adults with normal kidney function (eGFR ≥ 45 mL/min/1.73 m²)100 mg once dailyCan be taken with or without food
Moderate renal impairment (eGFR 30–44 mL/min/1.73 m²)50 mg once dailyAssess renal function before and during treatment
Severe renal impairment, end‑stage renal disease (ESRD) requiring dialysis, or (eGFR < 30 mL/min/1.73 m²)25 mg once dailyMay be taken without regard to dialysis timing
ChildrenNot FDA‑approvedSafety and efficacy not established

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How to Take Januvia Tablets

How to Take Januvia Tablets

  • Take Januvia (sitagliptin) exactly as instructed by your healthcare provider.
  • You may take it with or without food, but try to take it around the same time every day.
  • Keep taking this medicine even if you feel well; high blood sugar often has no symptoms.
Januvia Mechanism of Action

Januvia Mechanism of Action

Januvia contains sitagliptin, which blocks the enzyme DPP-4 (dipeptidyl peptidase-4). This enzyme normally degrades incretin hormones such as GIP and GLP-1, which help regulate blood glucose. By preventing their breakdown, Januvia increases insulin release and reduces glucagon (a hormone that raises blood glucose levels). This helps lower your blood glucose levels in patients with type 2 diabetes.

Januvia Side Effects

Januvia Side Effects

CommonSeriousRare
HeadachePancreatitis (severe stomach pain, nausea, vomiting)Stevens‑Johnson syndrome (severe skin reaction)
Stuffy/runny noseSevere joint pain
Sore throatKidney problemsSevere allergic reactions (anaphylaxis, angioedema)
CoughAllergic reactions (rash, swelling of face/lips/tongue, difficulty breathing)Skin blistering or peeling
DiarrheaLow blood sugar (especially with insulin or sulfonylureas)

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When to Call Your Doctor While Taking Januvia Tablets

Stop and call your doctor right away if you experience severe stomach pain, difficulty breathing, signs of pancreatitis, swelling of the face or throat, or any serious skin reaction

Januvia Vs. Other Type 2 Diabetes Medicines

Januvia Vs. Other Type 2 Diabetes Medicines

Here’s a simple comparison of Januvia with other common type 2 diabetes medicines, highlighting the key differences:

ComparisonKey Difference
Januvia vs JardianceJanuvia lowers blood sugar without weight change. Jardiance may help with weight loss and has proven heart & kidney benefits.
Januvia vs InvokanaJanuvia has a low risk of hypoglycemia. Invokana also lowers sugar, but may cause more urination and dehydration.
Januvia vs JanumetJanumet combines Januvia with metformin for stronger glucose control than Januvia alone.
Januvia vs Jardiance (Cost)Both are usually similar in price, but the actual cost depends on the pharmacy, insurance, and discount programs.
Januvia vs OzempicJanuvia is an oral tablet. Ozempic is an injection that usually gives more weight loss and stronger A1C reduction.
Januvia vs MetforminMetformin is first-line, low-cost. Januvia is used if metformin isn’t tolerated or as add-on therapy.
Januvia vs GlipizideJanuvia has a lower risk of hypoglycemia. Glipizide may cause low blood sugar and weight gain.

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Important Safety Information About Januvia Tablets

Important Safety Information About Januvia Tablets

  • Do not use Januvia if you are allergic to sitagliptin or any ingredient in the medication.
  • Before starting Januvia, tell your doctor if you:
    • Have kidney problems or reduced kidney function
    • Are pregnant or could become pregnant
    • Are breastfeeding or planning to breastfeed
    • Have any existing medical conditions, especially pancreatitis or gallstones
    • Are taking any medications, including prescription drugs, over‑the‑counter medicines, vitamins, or herbal supplements
  • Do not share your tablets with another person.
  • When used with insulin secretagogues or insulin, the risk of hypoglycemia increases; monitor blood glucose closely.
  • Consider discussing the risks and benefits with your doctor if you have existing heart failure risk factors.
  • If you miss a Januvia dose, take it as soon as you remember. If it is almost time for your next one, skip the missed dose. Do not double up.
  • An overdose of Januvia may cause nausea or abdominal pain. Seek medical attention or call Poison Control if a Januvia overdose is suspected.
Januvia Clinical Trials

Januvia Clinical Trials

Januvia (sitagliptin) has been studied in multiple randomized, controlled clinical trials involving adults with type 2 diabetes. These studies showed that Januvia significantly lowers A1C levels when used alone or as add-on therapy with medications such as metformin, sulfonylureas, or insulin.

In the trial evaluating cardiovascular outcomes with sitagliptin (TECOS), sitagliptin was shown to have a neutral effect on major cardiovascular outcomes. It did not increase the risk of nonfatal myocardial infarction, cardiovascular death, nonfatal stroke, or hospitalization for heart failure compared with placebo. Overall, studies indicate that Januvia is generally considered well-tolerated, with a low risk of hypoglycemia when not combined with insulin or sulfonylureas.

What Medications Can Interact with Januvia?

What Medications Can Interact with Januvia?

Januvia tablets can interact with several medications. Some of the main Januvia interactions are listed below:

  • Januvia Interaction with Other Diabetes Medications
    • Glucotrol (glipizide)
    • Diabeta / Micronase (glyburide)
    • Amaryl (glimepiride)
    • Starlix (nateglinide)
  • Januvia Interactions with Heart Medications
    • Lanoxin (digoxin)
  • Januvia Interactions with Seizure Medications
    • Dilantin (phenytoin)
    • Carbamazepine
Januvia Alternatives

Januvia Alternatives

  • Zituvio (sitagliptin)
  • Janumet (sitagliptin / metformin)
  • Onglyza (saxagliptin)
  • Tradjenta (linagliptin)
  • Nesina (alogliptin)
Why Buy Januvia from Polar Bear Meds?

Why Buy Januvia from Polar Bear Meds?

When you choose Polar Bear Meds to buy Januvia (sitagliptin) online, you get trusted, affordable access to your prescription medication.

  • Offers lower prices, often up to 90% lower than U.S. retail pharmacies, for many medications.
  • All medications are dispensed by licensed Canadian pharmacies.
  • Ships directly to the U.S.
  • Secure ordering and dedicated customer support.
  • Extra 10% off for first-time customers with the Januvia coupon WELCOMEPB10.

How Can You Buy Januvia (Sitagliptin)?

Here are the general steps on how to order Januvia online from Polar Bear Meds:

  1. Select Januvia on the Polar Bear Meds website.
  2. Complete checkout with U.S. shipping details.
  3. Upload or send your valid prescription.
  4. Our pharmacist will verify your order.
  5. Once approved, your Januvia tablets will be shipped to your home.
Januvia Frequently Asked Questions

Januvia Frequently Asked Questions

Shipping Januvia from Canada to the U.S.

Shipping Januvia from Canada to the U.S.

Order Januvia confidently with reliable U.S. delivery from our trusted Canadian pharmacy partners. Most orders arrive within 3-5 business days via Xpress Post once your prescription is approved. You can track your order online in real time, and our support team is ready to assist until your medication reaches your doorstep.

Important Notice

Important Notice

This information is for educational purposes only and does not replace any professional medical advice, diagnosis, or treatment. Always consult a licensed healthcare expert before starting, stopping, or changing Januvia dosages. Individual results, dosing, and Januvia side effects may vary.

Dr. Jackson Miller

Medically Reviewed by Dr. Jackson Miller (M.D)

Dr. Jackson Miller is a board-certified medicine physician & hospitalist. He is a healthcare professional with a strong background in patient care. With years of experience and a patient-first approach, he believes the foundation of good health is a patient who feels informed and empowered. He contributes to medical content review, drawing on his background in clinical practice and patient education. He focuses on presenting health information in a clear, accurate, and accessible way to help readers make informed decisions. His work emphasizes clarity, evidence-based guidance, and understandable explanations of medical topics.

Find Dr. Jackson Miller on:LinkedIn

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