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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.
Having trouble paying for your Merck medicineMerck may be able to helpVisit merckhelps.com.
JANUVIAby itselfis not likely to cause hypoglycemia because it works less when your blood sugar is low.
Also watch for signs of high blood sugarhyperglycemiasuch as increased thirst or urinationblurred visionheadacheand tiredness.
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read the entire detailed patient monograph for januvia sitagliptin phosphate .
