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Upload your prescription.
Complete your purchase by processing the payment.
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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.
| Category | Details |
|---|---|
| Brand name | Januvia |
| Generic name | Sitagliptin |
| Drug class | DPP‑4 inhibitor (dipeptidyl peptidase‑4 inhibitor) |
| FDA approval | Yes (FDA-approved in 2006) |
| Indication | Improves blood sugar control in adults with type 2 diabetes mellitus (used with diet and exercise) |
| Limitations | Not for type 1 diabetes or diabetic ketoacidosis (DKA) |
| Administration | Oral tablet, taken once daily |
| Strengths available | 25 mg, 50 mg, 100 mg |
| Prescription required | Yes |
| Storage | Room temperature, away from moisture and light |
| Pregnancy Warning | Safety & effectiveness in pregnancy have not been established; use only if clearly needed under medical supervision |
| Combination therapy | May be prescribed with metformin, sulfonylureas, or insulin |
| Manufacturer | Merck & Co., Inc. |
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| Patient Group | Recommended Dose | Notes |
|---|---|---|
| Adults with normal kidney function (eGFR ≥ 45 mL/min/1.73 m²) | 100 mg once daily | Can be taken with or without food |
| Moderate renal impairment (eGFR 30–44 mL/min/1.73 m²) | 50 mg once daily | Assess 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 daily | May be taken without regard to dialysis timing |
| Children | Not FDA‑approved | Safety and efficacy not established |
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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.
| Common | Serious | Rare |
|---|---|---|
| Headache | Pancreatitis (severe stomach pain, nausea, vomiting) | Stevens‑Johnson syndrome (severe skin reaction) |
| Stuffy/runny nose | Severe joint pain | |
| Sore throat | Kidney problems | Severe allergic reactions (anaphylaxis, angioedema) |
| Cough | Allergic reactions (rash, swelling of face/lips/tongue, difficulty breathing) | Skin blistering or peeling |
| Diarrhea | Low blood sugar (especially with insulin or sulfonylureas) |
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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
Here’s a simple comparison of Januvia with other common type 2 diabetes medicines, highlighting the key differences:
| Comparison | Key Difference |
|---|---|
| Januvia vs Jardiance | Januvia lowers blood sugar without weight change. Jardiance may help with weight loss and has proven heart & kidney benefits. |
| Januvia vs Invokana | Januvia has a low risk of hypoglycemia. Invokana also lowers sugar, but may cause more urination and dehydration. |
| Januvia vs Janumet | Janumet 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 Ozempic | Januvia is an oral tablet. Ozempic is an injection that usually gives more weight loss and stronger A1C reduction. |
| Januvia vs Metformin | Metformin is first-line, low-cost. Januvia is used if metformin isn’t tolerated or as add-on therapy. |
| Januvia vs Glipizide | Januvia has a lower risk of hypoglycemia. Glipizide may cause low blood sugar and weight gain. |
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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.
Januvia tablets can interact with several medications. Some of the main Januvia interactions are listed below:
When you choose Polar Bear Meds to buy Januvia (sitagliptin) online, you get trusted, affordable access to your prescription medication.
Here are the general steps on how to order Januvia online from Polar Bear Meds:
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.
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.
https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/021995s042lbl.pdf
https://www.drugs.com/januvia.html
https://www.ema.europa.eu/en/medicines/human/EPAR/januvia
https://www.webmd.com/drugs/2/drug-145704/januvia-oral/details
https://www.clinicaltrialsarena.com/projects/januvia/?cf-view
https://www.nejm.org/doi/full/10.1056/NEJMoa1501352
https://pubmed.ncbi.nlm.nih.gov/26727841/

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.
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