* The product images are for reference only. Generic equivalents may also be supplied by alternate manufacturers.
How And Where To Buy Janumet Online?
You can buy Janumet online through our Canadian International Pharmacy at huge savings. We offer RX and OTC medications online with a valid prescription from your doctor. At Canadian Pharmacy World, your health is our priority. Canadian Pharmacy World also carries other Diabetic medications and products. You can place the order online, by mail, by fax or toll-free over the telephone at 1866-485-7979.
Are There Alternative Names For The Brand And Generic Janumet?
Janumet is available from Turkey and Canada manufactured by Merck. The generic form of Janumet is sitagliptin and metformin hydrochloride and is sold under the name of Istamet by Sun Pharma.
What Is Dosages And Forms Janumet Available In?
Janumet is available in the dosage forms of 50 mg/500 mg, 50 mg/850 mg and 50 mg/1000 mg as Sitagliptin/Metformin in the form of modified release tablets in bottles of 30 or 60 tablets. The generic form of Janumet (Istamet) is available in the dosage forms of 50 mg/500 mg and 50 mg/1000 mg in quantities of 90 tablets.
What Is Janumet Used For?
Janumet is an anti-diabetic medication prescribed by the doctor in addition to diet and exercise for the improvement of blood sugar levels in patients with type 2 diabetes. This medication can be taken with premixed or long/intermediate-acting insulin. This medication contains sitagliptin and metformin. These two active ingredients work together to help achieve blood sugar control. Sitagliptin helps to improve the levels of insulin whenever the blood sugar level is high, especially after meals. It also helps to decrease the amount of sugar made by the body. Sitagliptin is unlikely to cause low blood sugar (Also known as hypoglycemia). Metformin helps to lower the amount of sugar made by the liver. Both these medicines together, help to achieve better control of blood sugar.
What Are The Possible Side Effects Of Janumet?
Most common side effects caused by patients taking sitagliptin alone are stuffy or a runny nose, and sore throat. Common side effects of metformin include diarrhea, nausea, stomach upset, abdominal bloating, gas and loss of appetite. In rare cases, metformin present in Janumet can lead to a serious side effect known as lactic acidosis. This is caused due to the build-up of lactic acid in the blood and can cause serious damage. You should immediately stop taking this medication and call your doctor right away if lactic acidosis occurs. In addition, general side effects reported with the use of Janumet are allergic reactions including rash, hives, and swelling of the face, lips, tongue, and throat that may cause difficulty in breathing or swallowing. In the case of an allergic reaction, call your doctor and stop taking the medication immediately. Other side effects include inflammation of the pancreas, kidney problems (sometimes requiring dialysis), constipation, vomiting, headache, joint pain, muscle pain, arm or leg pain, itching, and blisters. Some of the serious side effects include low blood sugar, dizziness, light-headedness, irregular heartbeat, lactic acidosis and acute kidney failure. Some of the symptoms of lactic acidosis include:
• Feeling very weak, tired or uncomfortable
• Unusual muscle pain
• Trouble breathing
• Unusual or unexpected stomach discomfort
• Feeling cold, feeling dizzy or lightheaded
• Unusual fatigue and drowsiness
• Suddenly developing a slow or irregular heartbeat
These are not all the possible side effects of Janumet. In case of any unexpected effect, contact your healthcare professional.
Are there any Precautions and Drug interactions for Janumet?
When Janumet is used in combination with sulfonylurea or insulin, low blood sugar can occur. Your physician may consider lowering the dose of the sulfonylurea or insulin. Take precautions to avoid low blood sugar while driving or using machinery as this medication can lead to dizziness or light-headedness. Since alcohol may increase the risk of lactic acidosis caused by metformin you should not drink a lot of alcohol if you take Janumet.
Do not take Janumet if you:
• Have unstable or insulin-dependent or type 1 diabetes
• Have metabolic acidosis (including ketoacidosis, history of ketoacidosis or lactic acidosis)
• Have liver or kidney problems
• Drink a lot of alcohol
• Have or had an abrupt failure of blood circulation or cardiorespiratory insufficiency
• Are stressed, have severe infections
• Are experiencing trauma
• Are going to have surgery or during the recovery phase
• Suffer from dehydration (your body has lost a lot of water)
• Are allergic to sitagliptin, metformin, or any of the ingredients present in Janumet
• Are breastfeeding
• Are pregnant or plan to become pregnant
• Are going to receive an injection of dye or contrast agent for an X-ray. Ask your doctor when to stop taking Janumet and when to start again
Before taking Janumet always talk to your healthcare professional in case you:
• Have or had inflammation of the pancreas or any risk factors for it such as gallstones, history of alcoholism, high triglyceride levels.
• Are receiving treatment with insulin, since this medication can increase the risk of low blood sugar
• Had or have an allergic reaction to sitagliptin, metformin or any other ingredients in Janumet
• Have heart problems including congestive heart failure
• Have or had kidney problems
• Have liver problems
• Drink a lot of alcohol (binge-drinking
• Are pregnant or plan to become pregnant. Janumet is not recommended for use during pregnancy
• Are breastfeeding or plan to breastfeed. Do not use this medication if you are breastfeeding. It is not known whether Janumet passes into breast milk.
• Are above 80 years of age, unless your kidney function is checked and is normal
• Are below 18 years of age
Janumet can cause abnormal kidney functioning. Your doctor will do blood tests and check how well your kidneys are functioning while you are taking Janumet.
You should always tell your health care professional about any medications that you have been taking or are going to take including prescription and non-prescription drugs, vitamins and herbal supplements. Drugs that may interact with Janumet include:
• Other anti-diabetes drugs such as glyburide
• Furosemide (a diuretic
• Nifedipine (an antiarrhythmic drug)
• Cationic drugs (e.g., amiloride, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamterene, trimethoprim, and vancomycin)
• Other drugs tend to produce hyperglycemia (high blood sugar) and may lead to a loss of blood sugar control such as thiazide and other diuretics (water pills), ACE inhibitors, corticosteroids, phenothiazines, thyroid products, estrogens or estrogens plus progestogen, oral contraceptives, phenytoin, nicotinic acid, sympathomimetics, Calcium channel blocking drugs, isoniazid, beta-2-agonists
Janumet Storage and Safety Information
This medication should be stored at a temperature of 15°C to 30°C. The medicine should be kept out of reach and sight of children.
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The drug information provided here is only a summary and does not contain all the list of possible side effects and drug interactions regarding this medication. Be sure to contact your doctor or pharmacist if you have any specific question or concern. If you require any advice or information about the drugs on this page, a medical condition or treatment advice, you should always speak to a healthcare professional.
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