Patient was educated on the side effects of using Janumet as follows:

  1. Stomach upset
  • Nausea, vomiting, diarrhea, metallic taste in the mouth, and feeling sick to stomach are the most common side effects of using Janumet.
  1. Metabolic acidosis
  • Metabolic acidosis secondary to increased lactic acid production is a rare, but a dangerous side effect of using Janumet.
  • Be aware of symptoms of metabolic acidosis, such as, rapid breath and heart rate, confusion, and stomach upset with nausea and vomiting.
  1. Muscle pain
  • Janumet can sometimes increase risk of muscle and skeletal pains and fatigue.
  1. Acute renal failure
  • A serious, but rare side effect of use of Janumet is acute renal failure, with an acute gross reduction in urine volume.