Patient was educated on the side effects of using Januvia as follows: Fluid retention Though not common, Januvia 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 Januvia is acute pancreatitis with a severe upper abdominal pain, radiating to the back, along with nausea and vomiting. Acute renal failure A serious, but rare [...]

Patient was educated on the side effects of using Januvia as follows: Stomach upset Nausea, vomiting, and diarrhea are the most common side effects of using Januvia. Hypoglycemia Januvia can increase the action of incretins, contributing to increase in insulin secretion, thereby reducing the blood sugars. Januvia can sometimes result in episodes of serious hypoglycemia. Muscle pain Januvia can sometimes increase risk of muscle and skeletal pains and fatigue.

Patient was educated on how to take Januvia as follows: Take Januvia 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 Januvia and its mechanism of action as follows: Rise in the blood sugars stimulates release of a natural hormone in the human body, called Incretin. Incretin brings about the secretion of insulin from the pancreas and insulin helps with uptake of glucose by the tissues and lowers the blood glucose. As the blood sugar decreases, the need for incretin and insulin also decreases. Consequently, the stimulus for fresh incretin and insulin [...]