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Available Form:   Tablet
Manufacturer name:   Merck
Generic name:   sitagliptin
Strength:   25mg, 50mg, 100mg

What is Januvia?

Januvia (Sitagliptin) belongs to the group of Diabetes medications called DPP-4 inhibitors.  It works by increasing the amount of incretin released by the intestine.

Januvia Price and Cost Calculator

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Estimated Copay

$25.97  

Drug cost

$116.85

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$12.99

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FREE

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$103.87

**Actual price will depend on the insurance coverage in your province

Januvia frequently asked questions

Can I Get Same-Day Delivery?

Yes! We do provide same-day delivery in select areas. We do next business day delivery and can also ship overnight as well.

How Much is Shipping Cost for Januvia in Canada?

Shipping cost for Januvia to you in Canada is zero. Pocketpills offers FREE shipping anywhere in Canada to help you get access to treatment.

How to get Januvia delivered to my home?

You could get Januvia delivered at your doorstep from us in Canada if you ordered prescription medications with a valid prescription. If you are not sure if we deliver to your area, contact us.

How to get Januvia in Canada for free?

You can get Januvia for free in Canada if your health insurance provider covers it fully. Contact your provider or us to help you find out if you qualify to get Januvia for free.

Januvia How to Take

Januvia (Sitagliptin) belongs to the group of Diabetes medications called DPP-4 inhibitors. It works by increasing the amount of incretin released by the intestine. Incretin is a hormone that raises insulin levels when blood sugar is high and decreases the amount of sugar made by the body. Januvia (Sitagliptin) is used alone or in combination with other medications to improve blood sugar levels in adults with Type 2 Diabetes. Januvia (Sitagliptin) should be used as part of an overall diabetes management plan that includes a diet and exercise program.

Januvia (Sitagliptin) may be available under multiple brand names and/or in several different forms. Any specific brand name of Januvia (Sitagliptin) may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of Januvia (Sitagliptin) may not be used for all of the conditions discussed here.

Your doctor may have suggested Januvia (Sitagliptin) for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking Januvia (Sitagliptin), speak to your doctor. Do not stop taking Januvia (Sitagliptin) without consulting your doctor.

Do not give Januvia (Sitagliptin) to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take Januvia (Sitagliptin) if their doctor has not prescribed it.

Automatic Refills

We manage your refills and get in touch with your doctors for prescription renewals so that you always have the medication you need.

Januvia Dosage

The usual dose of Januvia (Sitagliptin) is 100 mg taken by mouth once daily with or without food.

Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

It is important to take Januvia (Sitagliptin) exactly as prescribed by your doctor. If you miss a dose, take it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store Januvia (Sitagliptin) at room temperature and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

Januvia Side Effects

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes Januvia (Sitagliptin). If you are concerned about side effects, discuss the risks and benefits of Januvia (Sitagliptin) with your doctor.

The following side effects have been reported by at least 1% of people taking Januvia (Sitagliptin). Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

  • arm, leg, or back pain
  • Constipation
  • headache
  • itching
  • muscle pain
  • nausea
  • sore throat
  • stuffy or runny nose
  • vomiting

Although most of these side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

  • joint pain
  • skin blisters
  • symptoms of low blood sugar (e.g., headache, drowsiness, weakness, dizziness, confusion, irritability, hunger, fast heartbeat, sweating, and feeling jittery)
  • symptoms of kidney problems (e.g., nausea, loss of appetite, weakness, shortness of breath, passing little or no urine)

Stop taking the medication and seek immediate medical attention if any of the following occur:

  • severe skin reaction (blistering, peeling, skin breakdown)
  • symptoms of pancreatitis (e.g., prolonged, severe abdominal pain with or without vomiting)
  • symptoms of a serious allergic reaction (such as swelling of the face, lips, tongue, or throat; skin rash; Hives; or difficulty breathing)

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking Januvia (Sitagliptin).

Free Delivery

Your medication is delivered directly to you at no added cost. We even offer same-day delivery in select locations.

Januvia Available Form

25 mg
Each pink, round, film-coated tablet, with "221" on one side, contains 25 mg of Januvia (Sitagliptin). Nonmedicinal ingredients: microcrystalline cellulose, anhydrous dibasic calcium phosphate (calcium hydrogen phosphate, anhydrous), croscarmellose sodium, magnesium stearate, and sodium stearyl fumarate; film coating: polyvinyl alcohol, polyethylene glycol (macrogol), talc, titanium dioxide, red iron oxide, and yellow iron oxide.

50 mg
Each light beige, round, film-coated tablet, with "112" on one side, contains 50 mg of Januvia (Sitagliptin). Nonmedicinal ingredients: microcrystalline cellulose, anhydrous dibasic calcium phosphate (calcium hydrogen phosphate, anhydrous), croscarmellose sodium, magnesium stearate, and sodium stearyl fumarate; film coating: polyvinyl alcohol, polyethylene glycol (macrogol), talc, titanium dioxide, red iron oxide, and yellow iron oxide.

100 mg
Each beige, round, film-coated tablet, with "277" on one side, contains 100 mg of Januvia (Sitagliptin). Nonmedicinal ingredients: microcrystalline cellulose, anhydrous dibasic calcium phosphate (calcium hydrogen phosphate, anhydrous), croscarmellose sodium, magnesium stearate, and sodium stearyl fumarate; film coating: polyvinyl alcohol, polyethylene glycol (macrogol), talc, titanium dioxide, red iron oxide, and yellow iron oxide.

Januvia Contraindications

Januvia (Sitagliptin) should not be taken by anyone who is allergic to Januvia (Sitagliptin) or to any of the ingredients of the medication.

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Our pharmacists are happy to answer your questions. Get in touch by text, live chat, phone or email. We're standing by 7 days a week.

Januvia Precautions

There may be an interaction between Januvia (Sitagliptin) and any of the following:

  • acetazolamide
  • alcohol
  • alpha-lipoic acids
  • angiotensin converting enzyme inhibitors (ACEIs; captopril, enalapril, ramipril)
  • antimalarial medications (e.g., hydroxychloroquine, quinine)
  • antipsychotics (e.g., aripiprazole, clozapine, quetiapine, risperidone)
  • beta-blockers (e.g., acebutolol, carvedilol, metoprolol, propranolol)
  • bismuth subsalicylate
  • buserelin
  • cancer medications (e.g., belzutifan, bortezomib, vorinostat)
  • cephalexin
  • cimetidine
  • corticosteroids (e.g., betamethasone, dexamethasone, fludrocortisone, prednisolone)
  • danazol
  • disopyramide
  • diuretics (water pills; e.g., furosemide, hydrochlorothiazide)
  • diabetes medications (e.g., gliclazide, insulin, repaglinide)
  • elagolix
  • epinephrine
  • estrogens (e.g., conjugated estrogen, estradiol, ethinyl estradiol)
  • everolimus
  • glucagon
  • glycopyrrolate
  • goserelin
  • Hepatitis C antivirals (e.g., glecaprevir, ledipasvir, voxilaprevir)
  • HIV integrase inhibitors (e.g., bictegravir, dolutegravir)
  • HIV protease inhibitors (e.g., atazanavir, darunavir, ritonavir)
  • hydroxychloroquine
  • lamotrigine
  • leuprolide
  • linezolid
  • megestrol
  • methazolamide
  • mifepristone
  • monoamine oxidase inhibitors (MAOIs; e.g., moclobemide, phenelzine, rasagiline, selegiline, tranylcypromine)
  • nicotinic acid (niacin)
  • nonsteroidal anti-inflammatory drugs (NSAIDs; e.g., celecoxib, diclofenac, ibuprofen, ketorolac, naproxen)
  • patiromer
  • pegvisomant
  • pentamidine
  • progestins (e.g., dienogest, levonorgestrel, medroxyprogesterone, norethindrone)
  • protein kinase inhibitors (e.g., ceritinib, nilotinib, sunitinib)
  • quinolone antibiotics (e.g., ciprofloxacin, norfloxacin, ofloxacin)
  • ranolazine
  • selective serotonin reuptake inhibitors (SSRIs; e.g., citalopram, fluoxetine, paroxetine, sertraline)
  • sirolimus
  • somatostatin-like medications (e.g., lanreotide, octreotide, pasireotide)
  • somatropin
  • "statin" anti-cholesterol medications (e.g., atorvastatin, lovastatin, simvastatin)
  • sulfamethoxazole
  • tacrolimus
  • terbutaline
  • testosterone
  • topiramate
  • tramadol
  • triptorelin
  • trimethoprim
  • verapamil

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

  • stop taking one of the medications,
  • change one of the medications to another,
  • change how you are taking one or both of the medications, or
  • leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with Januvia (Sitagliptin). Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

Januvia Warnings

Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Januvia (Sitagliptin).

Hypersensitivity reaction: A Anaphylaxis (severe allergic reaction) called hypersensitivity reaction has occurred for some people with the use of Januvia (Sitagliptin). Stop taking the medication and get immediate medical attention if you have symptoms of a severe allergic reaction, including Fever, swollen glands, yellowing of the skin or eyes, or flu-like symptoms with skin rash or blistering.

Immune system: Januvia (Sitagliptin) can reduce the number of cells that fight infection in the body (white blood cells). This side effect may be more of a concern for people who already have a weakened immune system. People who have HIV infection, have had an organ transplant and are taking medications to reduce the activity of the immune system, or are taking medication to treat certain types of cancer are more likely to have a weakened immune system. If any of these conditions apply to you, discuss with your doctor how Januvia (Sitagliptin) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Januvia (Sitagliptin), and whether any special monitoring is needed.

Kidney function: Januvia (Sitagliptin) has been reported to cause decreased kidney function and may cause kidney failure. Your doctor may recommend regular testing to check your kidney function while you are taking Januvia (Sitagliptin). If you notice signs of kidney problems, such as decreased urine production; swelling in your hands, wrists, feet, or ankles; difficulty breathing, or weakness, contact your doctor as soon as possible.

People with decreased kidney function may require lower doses of Januvia (Sitagliptin). If you have Kidney Disease or decreased kidney function, discuss with your doctor how Januvia (Sitagliptin) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Januvia (Sitagliptin), and whether any special monitoring is needed.

Januvia (Sitagliptin) is not recommended for people with moderately to severely reduced kidney function.

Liver function: Januvia (Sitagliptin) is not recommended for people with severely reduced liver function. People with moderately reduced liver function should discuss with their doctor how Januvia (Sitagliptin) may affect their medical condition, how their medical condition may affect the dosing and effectiveness of Januvia (Sitagliptin), and whether any special monitoring is needed.

Low blood glucose (sugar): Hypoglycemia (low blood sugar) can occur when Januvia (Sitagliptin) is used in combination with metformin and a sulfonylurea (e.g., glyburide, gliclazide), or insulin. If you experience low blood sugar (e.g., headache, drowsiness, weakness, dizziness, confusion, irritability, hunger, fast heartbeat, sweating, and feeling jittery) while taking Januvia (Sitagliptin), contact your doctor.

Pancreatitis: Januvia (Sitagliptin) may cause pancreatitis (inflammation of the pancreas). People with a history of pancreatitis, gallstones, Alcoholism, or high triglycerides may be more at risk of experiencing this. If you experience prolonged and severe abdominal pain with or without vomiting while taking Januvia (Sitagliptin), contact your doctor immediately.

Type 1 Diabetes and diabetic ketoacidosis: Januvia (Sitagliptin) should not be used by people with type 1 diabetes or to treat diabetic ketoacidosis (increased ketones in the blood or urine).

Pregnancy: Januvia (Sitagliptin) is not recommended for use during pregnancy. If you become pregnant while taking Januvia (Sitagliptin), contact your doctor immediately.

Breast-feeding: It is not known if Januvia (Sitagliptin) passes into breast milk. If you are a breast-feeding mother and are taking Januvia (Sitagliptin), it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: The safety and effectiveness of using Januvia (Sitagliptin) have not been established for children.

Seniors: Seniors are more likely to have decreased renal function and may require lower doses of Januvia (Sitagliptin).

Discreet Packaging

Your privacy is important. That's why we send your medication inside a plain delivery box so no one will know what's inside.

References

All material © 1996-2021 MediResource Inc. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition.

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