Janumet Warnings and Precautions

Before starting treatment with Janumet, warnings and precautions for the drug should be reviewed with a healthcare provider. Janumet may cause lactic acidosis, low blood sugar, and decreased vitamin B₁₂ levels. Janumet warnings and precautions also extend to those who are allergic to any components of the drug, have metabolic or diabetic ketoacidosis, have kidney disease, or are about to have an x-ray procedure with contrast dye.

Janumet Drug Information

Janumet: What Should I Tell My Healthcare Provider?

You should talk with your healthcare provider prior to taking Janumet^® (sitagliptin and metformin) if you have:

Kidney problems, including kidney failure (renal failure)
Liver problems, including liver failure or cirrhosis
Low vitamin B₁₂ levels (pernicious anemia)
Congestive heart failure (CHF)
A history of heart attack or stroke
A history of pancreatitis (inflammation or infection of the pancreas)
An upcoming surgery or procedure (including x-rays and other radiology procedures)
Any allergies, including allergies to foods, dyes, or preservatives.

Also, let your healthcare provider know if you are:

Pregnant or thinking of becoming pregnant
Breastfeeding.

Tell your healthcare provider about all other medicines you are currently taking, including prescription and non-prescription medicines, vitamins, and herbal supplements.

(Janumet Warnings and Precautions Continued: Page 2)