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Janumet (Sitagliptin phosphate + Metformin)

Discount Prescription Drugs & Pain Medicine » Diabetes » Janumet (Sitagliptin phosphate + Metformin)

Janumet (Sitagliptin Phosphate + Metformin) is used for treating type 2 diabetes in certain patients. It is used along with diet and exercise. Janumet works by increasing insulin release. It decreases the amount of sugar that the liver produces and the intestines absorb. It also helps to make your body more sensitive to the insulin that you naturally produce.

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About Janumet (Sitagliptin phosphate + Metformin):

Product Type: Diabetes

Brand name: Janumet. Generic name: Sitagliptin phosphate + Metformin. Janumet (Sitagliptin phosphate + Metformin) is used for: treating type 2 diabetes in certain patients. It is used along with diet and exercise. Janumet (Sitagliptin phosphate + Metformin) is a dipeptidyl peptidase-4 inhibitor and biguanide combination. It works by increasing insulin release. It decreases the amount of sugar that the liver produces and the intestines absorb. It also helps to make your body more sensitive to the insulin that you naturally produce. Do NOT use Janumet (Sitagliptin phosphate + Metformin) if: •you are allergic to any ingredient in Janumet (Sitagliptin phosphate + Metformin) •you have type 1 diabetes •you have congestive heart failure that is treated by medicine •you have a severe infection low blood oxygen levels kidney or liver problems or high blood ketone or acid levels (eg diabetic ketoacidosis) or you are severely dehydrated •you have had a stroke or a recent heart attack or you are in shock •you are 80 years old or older and have not had a kidney function test •you will be having surgery or certain lab procedures. Contact your doctor or health care provider right away if any of these apply to you. Before using Janumet (Sitagliptin phosphate + Metformin): Some medical conditions may interact with Janumet (Sitagliptin phosphate + Metformin). Tell your doctor or pharmacist if you have any medical conditions especially if any of the following apply to you: •if you are pregnant planning to become pregnant or are breast-feeding •if you are taking any prescription or nonprescription medicine herbal preparation or dietary supplement •if you have allergies to medicines foods or other substances •if you have a history of heart problems (eg heart failure) lung or breathing problems thyroid problems stomach or bowel problems (eg blockage paralysis) adrenal or pituitary problems or lactic acidosis •if you have a history of inflammation of the pancreas (pancreatitis) •if you have vomiting diarrhea poor health or nutrition low blood calcium or vitamin B12 levels or anemia or if you are dehydrated •if you have an infection fever recent injury or moderate to severe burns •if you drink alcohol or have a history of alcohol abuse •if you will be having surgery or certain lab procedures •if you take a beta-blocker (eg propranolol). Some MEDICINES MAY INTERACT with Janumet (Sitagliptin phosphate + Metformin). Tell your health care provider if you are taking any other medicines especially any of the following: •Amiloride cimetidine digoxin morphine procainamide quinidine quinine ranitidine triamterene trimethoprim or vancomycin because they may increase the risk of Janumet (Sitagliptin phosphate + Metformin)'s side effects •Calcium channel blockers (eg nifedipine) corticosteroids (eg prednisone) diuretics (eg furosemide hydrochlorothiazide) estrogen hormonal contraceptives (eg birth control pills) insulin isoniazid nicotinic acid phenothiazine (eg chlorpromazine) phenytoin sulfonylureas (eg glipizide) sympathomimetics (eg albuterol pseudoephedrine) or thyroid hormones (eg levothyroxine) because the risk of high or low blood sugar may be increased. This may not be a complete list of all interactions that may occur. Ask your health care provider if Janumet (Sitagliptin phosphate + Metformin) may interact with other medicines that you take. Check with your health care provider before you start stop or change the dose of any medicine. How to use Janumet (Sitagliptin phosphate + Metformin): Use Janumet (Sitagliptin phosphate + Metformin) as directed by your doctor. Check the label on the medicine for exact dosing instructions. •An extra patient leaflet is available with Janumet (Sitagliptin phosphate + Metformin). Talk to your pharmacist if you have questions about this information. •Take Janumet (Sitagliptin phosphate + Metformin) by mouth with food. •Take Janumet (Sitagliptin phosphate + Metformin) on a regular schedule to get the most benefit from it. Taking Janumet (Sitagliptin phosphate + Metformin) at the same times each day will help you remember to take it. •Continue to take Janumet (Sitagliptin phosphate + Metformin) even if you feel well. Do not miss any doses. •If you miss a dose of Janumet (Sitagliptin phosphate + Metformin) take it as soon as possible. If it is almost time for your next dose skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. Ask your health care provider any questions you may have about how to use Janumet (Sitagliptin phosphate + Metformin). Important safety information: •Janumet (Sitagliptin phosphate + Metformin) may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Janumet (Sitagliptin phosphate + Metformin) with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it. •Follow the diet and exercise program given to you by your health care provider. •Do not drink large amounts of alcohol while you use Janumet (Sitagliptin phosphate + Metformin). Talk to your doctor or health care provider before you drink alcohol while you use Janumet (Sitagliptin phosphate + Metformin). •Do NOT take more than the recommended dose without checking with your doctor. •Be careful not to become dehydrated especially during hot weather or while you are being active. Dehydration may increase the risk of Janumet (Sitagliptin phosphate + Metformin)'s side effects. •Tell your doctor or dentist that you take Janumet (Sitagliptin phosphate + Metformin) before you receive any medical or dental care emergency care or surgery. •If vomiting or diarrhea occurs you will need to take care not to become dehydrated. Contact your doctor for instructions. •Carry an ID card at all times that says you have diabetes. Check your blood sugar levels as directed by your doctor. If they are often higher or lower than they should be and you take Janumet (Sitagliptin phosphate + Metformin) exactly as prescribed tell your doctor. •Janumet (Sitagliptin phosphate + Metformin) does not usually cause low blood sugar. Low blood sugar may be more likely to occur if you skip a meal exercise heavily or drink alcohol. It may also be more likely if you take Janumet (Sitagliptin phosphate + Metformin) along with certain medicines for diabetes (eg sulfonylureas insulin). It is a good idea to carry a reliable source of glucose (eg tablets gel) to treat low blood sugar. If this is not available you should eat or drink a quick source of sugar like table sugar honey candy orange juice or non-diet soda. This will raise your blood sugar level quickly. Tell your doctor right away if this happens. To prevent low blood sugar eat meals at the same time each day and do not skip meals. •Fever infection injury or surgery may increase your risk for high or low blood sugar levels. If any of these occur check your blood sugar closely and tell your doctor right away. •Janumet (Sitagliptin phosphate + Metformin) may commonly cause stomach upset indigestion nausea vomiting or diarrhea at the beginning of treatment. If you develop unusual or unexpected stomach problems or if you develop stomach problems later during treatment contact your doctor at once. This may be a sign of lactic acidosis.•Lab tests including kidney function liver function fasting blood glucose hemoglobin A1c and complete blood cell counts may be performed while you use Janumet (Sitagliptin phosphate + Metformin). These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments. •Use Janumet (Sitagliptin phosphate + Metformin) with caution in the ELDERLY; they may be more sensitive to its effects. Low blood sugar levels may also be more difficult to recognize in the elderly. •Janumet (Sitagliptin phosphate + Metformin) should be used with extreme caution in CHILDREN younger than 18 years old; safety and effectiveness in these children have not been confirmed. •PREGNANCY and BREAST-FEEDING: If you become pregnant contact your doctor. You will need to discuss the benefits and risks of using Janumet (Sitagliptin phosphate + Metformin) while you are pregnant. It is not known if Janumet (Sitagliptin phosphate + Metformin) is found in breast milk. If you are or will be breast-feeding while you use Janumet (Sitagliptin phosphate + Metformin) check with your doctor. Discuss any possible risks to your baby. When used for long periods of time Janumet (Sitagliptin phosphate + Metformin) may not work as well. If your blood sugar has been under control and then becomes hard to manage contact your doctor. Do not change the dose of your medicine without checking with your doctor. Possible side effects of Janumet (Sitagliptin phosphate + Metformin): All medicines may cause side effects but many people have no or minor side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome: •Diarrhea; gas; headache; indigestion; nausea; sore throat; stomach upset; stuffy or runny nose; vomiting; weakness. Seek medical attention right away if any of these SEVERE side effects occur: •Severe allergic reactions (rash; hives; itching; difficulty swallowing or breathing; tightness in the chest; swelling of the mouth face lips or tongue; unusual hoarseness); chest pain or discomfort; dizziness or lightheadedness; fast or difficult breathing; feeling of being unusually cold; fever chills or persistent sore throat; general feeling of being unwell; muscle pain or weakness; red blistered swollen or peeling skin; slow or irregular heartbeat; symptoms of pancreas inflammation (eg severe stomach or back pain with nausea or vomiting stomach tenderness or swelling fast heartbeat); unusual drowsiness; unusual or persistent stomach pain or discomfort; unusual tiredness or weakness. This is not a complete list of all side effects that may occur. If you have questions about side effects contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency please read the Guide to Reporting Problems to FDA. If OVERDOSE is suspected: Symptoms may include: •dizziness or lightheadedness; •fast or difficult breathing; •feeling of being unusually cold; •general feeling of being unwell; •muscle pain or tenderness; •slow or irregular heartbeat; •unusual drowsiness; •unusual stomach discomfort; •unusual weakness or tiredness. Proper storage of Janumet (Sitagliptin phosphate + Metformin): Store Janumet (Sitagliptin phosphate + Metformin) at room temperature between 68 and 77 degrees F (20 and 25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat moisture and light. Do not store in the bathroom. Keep Janumet (Sitagliptin phosphate + Metformin) out of the reach of children and away from pets.

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Discount Prescription Drugs & Pain Medicine: Anaprox (Naproxen) Anaprox (Naproxen) is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain and swelling (inflammation). It is also used to treat headaches muscle aches backaches etc. Buy Anaprox (Naproxen) and other Pain Medicine products online at Medstore. About Anaprox (Naproxen): Product Type: Pain Medicine Brand name: Anaprox Generic name: Naproxen What is anaprox? Naproxen is in a group of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Naproxen works by reducing hormones that cause inflammation and pain in the body. Naproxen is used to treat pain or inflammation caused by conditions such as arthritis ankylosing spondylitis tendinitis bursitis gout or menstrual cramps. Naproxen may also be used for purposes other than those listed in this medication guide. What is the most important information I should know about anaprox? This medicine can increase your risk of life-threatening heart or circulation problems including heart attack or stroke. This risk will increase the longer you use anaprox. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft or CABG). Seek emergency medical help if you have symptoms of heart or circulation problems such as chest pain weakness shortness of breath slurred speech or problems with vision or balance. This medicine can also increase your risk of serious effects on the stomach or intestines including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking anaprox. Older adults may have an even greater risk of these serious gastrointestinal side effects. Call your doctor at once if you have symptoms of bleeding in your stomach or intestines. This includes black bloody or tarry stools or coughing up blood or vomit that looks like coffee grounds. Do not use any other over-the-counter cold allergy or pain medication without first asking your doctor or pharmacist. Many medicines available over the counter contain aspirin or other medicines similar to anaprox (such as ibuprofen or ketoprofen). If you take certain products together you may accidentally take too much of this type of medication. Read the label of any other medicine you are using to see if it contains aspirin ibuprofen or ketoprofen. Do not drink alcohol while taking anaprox. Alcohol can increase the risk of stomach bleeding caused by anaprox. Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Naproxen can make your skin more sensitive to sunlight and sunburn may result. What should I discuss with my healthcare provider before taking anaprox? Taking an NSAID can increase your risk of life-threatening heart or circulation problems including heart attack or stroke. This risk will increase the longer you use an NSAID. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft or CABG). NSAIDs can also increase your risk of serious effects on the stomach or intestines including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking an NSAID. Older adults may have an even greater risk of these serious gastrointestinal side effects. Do not use this medication if you are allergic to anaprox or if you have a history of allergic reaction to aspirin or other NSAIDs. Before taking anaprox tell your doctor if you are allergic to any drugs or if you have: • a history of heart attack stroke or blood clot; • heart disease congestive heart failure high blood pressure; • a history of stomach ulcers or bleeding; • liver or kidney disease; • asthma; • polyps in your nose; • a bleeding or blood clotting disorder; or • if you smoke. If you have any of these conditions you may not be able to use anaprox or you may need a dosage adjustment or special tests during treatment. FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Taking anaprox during the last 3 months of pregnancy may result in birth defects. Do not take anaprox during pregnancy unless your doctor has told you to. Naproxen can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not give this medicine to a child younger than 2 years old without the advice of a doctor. How should I take anaprox? Take this medication exactly as directed on the label or as it has been prescribed by your doctor. Do not use the medication in larger amounts or use it for longer than recommended. EC-Naprosyn is a slower-acting form of anaprox and this brand should be used only for treating arthritis or ankylosing spondylitis. Follow your doctor's instructions. Do not crush chew or break an extended-release or enteric-coated tablet. Swallow the pill whole. The extended-release pill is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time. The enteric-coated pill has a special coating to protect your stomach. Breaking the pill could damage this coating. Shake the oral suspension (liquid) well just before you measure a dose. To be sure you get the correct dose measure the liquid with a marked measuring spoon or medicine cup not with a regular table spoon. If you do not have a dose-measuring device ask your pharmacist for one. If you take anaprox for a long period of time your doctor may want to check you on a regular basis to make sure this medication is not causing harmful effects. Do not miss any scheduled visits to your doctor. Store anaprox at room temperature away from moisture and heat. What happens if I miss a dose? Since anaprox is sometimes taken as needed you may not be on a dosing schedule. If you are taking the medication regularly take the missed dose as soon as you remember. If it is almost time for your next dose skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a anaprox overdose may include nausea vomiting stomach pain confusion drowsiness black or bloody stools coughing up blood shallow breathing fainting or coma. What should I avoid while taking anaprox? Do not use any other over-the-counter cold allergy or pain medication without first asking your doctor or pharmacist. Many medicines available over the counter contain aspirin or other medicines similar to anaprox (such as ibuprofen or ketoprofen). If you take certain products together you may accidentally take too much of this type of medication. Read the label of any other medicine you are using to see if it contains aspirin ibuprofen or ketoprofen. Do not drink alcohol while taking anaprox. Alcohol can increase the risk of stomach bleeding caused by anaprox. Avoid prolonged exposure to sunlight. Naproxen may increase the sensitivity of the skin to sunlight. Use a sunscreen and wear protective clothing when exposure to the sun is unavoidable. Naproxen side effects Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face lips tongue or throat. Stop taking anaprox and seek medical attention or call your doctor at once if you have any of these serious side effects: • chest pain weakness shortness of breath slurred speech problems with vision or balance; • black bloody or tarry stools; • coughing up blood or vomit that looks like coffee grounds; • swelling or rapid weight gain; • urinating less than usual or not at all; • nausea stomach pain low fever loss of appetite dark urine clay-colored stools jaundice (yellowing of the skin or eyes); • fever sore throat and headache with a severe blistering peeling and red skin rash; • bruising severe tingling numbness pain muscle weakness; or • fever headache neck stiffness chills increased sensitivity to light purple spots on the skin and/or seizure (convulsions). Keep taking anaprox and talk to your doctor if you have any of these less serious side effects: • upset stomach mild heartburn or stomach pain diarrhea constipation; • bloating gas; • dizziness headache nervousness; • skin itching or rash; • blurred vision; or • ringing in your ears. Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect anaprox? 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Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Generic Anaprox (Naproxen) Aleve Bonyl Diocodal Dysmenalgit Ec-naprosyn Equiproxen Floginax Laraflex Laser Mnpa Naixan Naprelan Napren Naprium Naprius Naprosine Naprosyn Naprux Naxen Naxyn Niaxan Nycopren Opipramol Panoxen Pranoxen Prexan Proxen Proxine Reuxen Veradol Xenar 250mg 100 pills 250mg 120 pills 250mg 60 pills 250mg 240 pills 250mg 80 pills Naproxen Anaprox