Januvia 25mg Tablets contain sitagliptin, a DPP-4 (dipeptidyl peptidase-4) inhibitor, used in the management of type 2 diabetes mellitus. Sitagliptin helps increase the levels of incretin hormones, which improve the body’s ability to produce insulin and reduce the liver’s production of glucose, particularly after meals. Januvia 25mg is typically prescribed for patients with moderate to severe renal impairment who require a lower dose of sitagliptin to maintain blood sugar control.
Indications:
- Treatment of adults with type 2 diabetes mellitus to improve blood sugar control when diet and exercise alone are not enough.
- Used as monotherapy or in combination with other diabetes medications, such as metformin, sulfonylureas, or insulin.
Dosage and Administration:
- Adults with Moderate to Severe Renal Impairment: One 25mg tablet taken once daily.
- The dosage should be individualized based on the patient’s kidney function and response to treatment.
- Swallow the tablet whole with water, with or without food.
Contraindications:
- Hypersensitivity to sitagliptin or any of the excipients in Januvia.
- Not indicated for use in patients with type 1 diabetes or for the treatment of diabetic ketoacidosis.
Precautions:
- Regular monitoring of kidney function is recommended for patients with renal impairment.
- Use with caution in patients with a history of pancreatitis.
- Pregnant or breastfeeding women should consult their healthcare provider before using this medication.
- Januvia is not intended as a replacement for insulin in patients who need insulin therapy.
Side Effects:
Common side effects may include:
- Nasopharyngitis (common cold symptoms)
- Headache
- Nausea
- Diarrhea
- Upper respiratory tract infections
Less common but serious side effects include:
- Pancreatitis (severe stomach pain)
- Allergic reactions (rash, itching, swelling, or difficulty breathing)
- Hypoglycemia (especially when used with insulin or sulfonylureas)
Drug Interactions:
- Januvia can increase the risk of hypoglycemia when used with other antidiabetic medications such as sulfonylureas or insulin.
- Inform the healthcare provider of any other medications, supplements, or herbal products being taken to avoid drug interactions.
Storage:
- Store at room temperature (15-30°C or 59-86°F), away from moisture and heat.
- Keep out of reach of children.
Packaging:
Available in blister packs or bottles, depending on the manufacturer’s packaging.
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