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Oral contraceptives coadministration with januvia did not meaningfully alter the steady-state pharmacokinetics of norethindrone or ethinyl estradiol.

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Eating a lot of foods and drinking beverages with simple carbohydrates (pizza.white breads.pastas.cereals.pastries.etc.) and simple sugars (donuts.candy.etc.)

Before having surgery.tell your doctor or dentist about all the products you use (including prescription drugs.nonprescription drugs.and herbal products).

Before you start taking JANUVIA.tell your doctor if you have ever had heart failure (your heart does not pump blood well enough) or have problems with your kidneys. Contact your doctor right away if you have increasing shortness of breath or trouble breathing (especially when you lie down). swelling or fluid retention (especially in the feet.ankles.or legs). an unusually fast increase in weight. or unusual tiredness. These may be symptoms of heart failure.

In the event of an overdose.it is reasonable to employ the usual supportive measures.e.g..remove unabsorbed material from the gastrointestinal tract.employ clinical monitoring (including obtaining an electrocardiogram).and institute supportive therapy as dictated by the patient’s clinical status.

Also watch for signs of high blood sugar (hyperglycemia) such as increased thirst or urination.blurred vision.headache.and tiredness.

Before having surgery.tell your doctor or dentist about all the products you use (including prescription drugs.nonprescription drugs.and herbal products).

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