Patient was educated on precautions to be exercised while taking Janumet as follows: If a dose is missed, it should be taken at the earliest notice of noncompliance. Report the noncompliance to your physician. If it is time for the next dose, the missed dose can be skipped. Compensating for the missed dose by taking an extra dose can pose serious risk for an episode of extremely low blood sugars, thus precipitating an emergency. Report [...]
Patient was educated on precautions to be exercised while taking Janumet as follows: Take Janumet at the same time every day, to avoid forgetting the medication. Maintain good regular eating habits. Do not skip your meals. Be aware of signs and symptoms of hypoglycemia, such as, dizziness, lightheadedness, sweating, and hunger, to avoid any episodes of altered levels of consciousness and accidental falls. One should stay away from activities, such as, driving and operating heavy [...]
Patient was educated on contraindications for using Janumet as follows: Janumet for the significant part is excreted unchanged by the kidneys with very small portion being metabolized in the liver. Individuals with liver and renal dysfunction, cannot metabolize and excrete Janumet normally. In such patients with compromised liver and renal functions, Janumet can stay active in circulation for longer time and can result in serious hypoglycemic episodes. So, Janumet is contraindicated in such individuals. Avoid [...]
Patient was educated on the side effects of using Janumet as follows: Stomach upset Nausea, vomiting, diarrhea, metallic taste in the mouth, and feeling sick to stomach are the most common side effects of using Janumet. 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 [...]
Patient was educated on the side effects of using Janumet as follows: Fluid retention Though not common, Janumet can sometimes result in fluid retention and patients can present with edema, weight gain, trouble breathing, shortness of breath, and fatigue. Acute pancreatitis A rare, but serious side effect of using Janumet is acute pancreatitis with a severe upper abdominal pain, radiating to the back, along with nausea and vomiting. Hypoglycemia: Janumet can increase the action of [...]