Patient was educated on precautions to be exercised while taking Janumet as follows:

  1. 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.
  2. Report any signs and symptoms of fluid retention, such as, edema, weight gain, trouble breathing, shortness of breath, and fatigue.
  3. Maintain compliance with any exercise schedule prescribed by your doctor. Try not to overdo on your exercise.
  4. Maintain strict compliance with intake of Janumet as ordered, with regards to dosage and frequency, to derive the benefit of the medication.
  5. Do not change the dose on Janumet without consulting your doctor.