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 [...]

Patient was educated on how to take 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. Maintain compliance with your dietary recommendations, as ordered. Maintain compliance with any exercise scheduled prescribed by your doctor. Try not to overdo on your exercise. Take weight reading at least twice a week and maintain a log of every reading for comparative [...]

Patient was educated on Janumet and its mechanism of action as follows: Janumet is an oral antidiabetic drug, that is a combination of Metformin and Sitagliptin, used especially in patients with type-2 diabetes. Janumet controls the blood sugars by the following mechanisms: Decreasing gluconeogenesis – Gluconeogenesis is a process that occurs in the human body in which glucose is made from sources other than carbohydrates, such as, proteins and fats. Gluconeogenesis results in increased blood [...]