For patients without health insurance, diabetes medication costs 200 to 500 or more a month for a multi-drug regimen that could include other classes of oral medications, including newer medications such as the brand name januvia, or injectable medications such as the brand name byetta.

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Your doctor may do blood tests before and during treatment with JANUVIA to see how well your kidneys are workingBased on these resultsyour doctor may change your dose of JANUVIAThe most common side effects of JANUVIA are upper respiratory tract infectionstuffy or runny nose and sore throatand headache.

JANUVIA should not be used in patients with type 1 diabetes or with diabetic ketoacidosisincreased ketones in the blood or urineIf you have had pancreatitisinflammation of the pancreasit is not known if you have a higher chance of getting it while taking JANUVIA.

Follow your doctor’s instructions about any restrictions on foodbeveragesor activity.

Symptoms of heart failure shortness of breatheven while lying downswelling in your legs or feetrapid weight gain.

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patients who failed to meet specific glycemic goals during the studies were treated with metformin rescue, added on to placebo or januvia.

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