Sitagliptin
Brand: Januvia
No boxed warning on the current FDA label. On the ISMP high-alert list.
- Caution
- Pancreatitis, severe joint pain, and bullous pemphigoid; dose reduced in kidney impairment.
Common side effects
- Headache
- Stuffy or runny nose
- Upper respiratory infection
- Joint pain
- Nausea
Key interactions
- Adds low blood sugar risk with sulfonylureas
- Adds low blood sugar risk with insulin
Counseling points
- May be taken with or without food
- Report severe or persistent stomach pain
- Report signs of allergic reaction or blisters
- Continue diet and exercise
- Monitor blood sugar as directed
- Dose is lowered in kidney impairment
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