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Januvia

Januvia is a prescription medication used in the treatment of type 2 diabetes. Type 2 diabetes is a condition that occurs when the body does not make enough insulin or if the body is not effectively using the insulin that it produces, and this leads to high blood sugar levels. If type 2 diabetes is not controlled it can lead to serious health complications such as heart attack or stroke. Type 2 diabetes usually occurs in adulthood as a result of being overweight and inactive, and is a condition that may need lifelong treatment, however, you can reverse type 2 diabetes with a healthy lifestyle.

To control type 2 diabetes medication such as Januvia is prescribed. Januvia contains the active ingredient, sitagliptin, which belongs to a group of medicines called DPP-4 inhibitors which lower blood sugar levels in diabetic patients.

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Januvia
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  • You will read the Patient Information Leaflet supplied with your medication
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Dr. Diana Gall GMC No. 7685129

Dr Diana Gall studied medicine at university graduating in 2005, since then she has finished a 3 year intensive training course in family medicine practice. In 2010 she reached the consultant level in general practice, working in the EU and in the UK. Her past experience relates to aesthetic field, occupational health and general practice.

Shamir Patel GPHC No. 2049338

Shamir is a well-respected pharmacist with extensive experience running online pharmacies in the UK.

How does Januvia work?

The active ingredient in Januvia, sitagliptin, lowers blood sugar levels particularly after meals by increasing the production of insulin. Sitagliptin increases levels of incretin hormones which control blood sugar levels by increasing the release of insulin after a meal and decreasing the amount of sugar produced by the liver.

Januvia is taken alongside a healthy diet and exercise plan, and can be combined with other diabetes medication such as metformin.

Who is suitable for Januvia?

Januvia is suitable for type 2 diabetics or non-insulin dependent diabetics, type 1 diabetes is usually treated with insulin. Januvia is suitable for those who have type 2 diabetes, are overweight and at risk of complications associated with this condition. Januvia should only be taken by adults over the age of 18.

Who is Januvia not suitable for?

Not everyone who has type 2 diabetes will be suitable to take Januvia. There are a number of factors which may make you unsuitable for this type of treatment such as interaction with other medication you may be taking or if you have a health condition which could be worsened by taking Januvia. If you’re pregnant, planning to become pregnant, or are breastfeeding this may also make you unsuitable for this treatment.

Januvia and pregnancy

Diabetes does need to be controlled during pregnancy, however, you should seek advice from your doctor on the safest way to control your blood sugar levels. It is recommended that you should not take Januvia during pregnancy. Taking Januvia while breastfeeding is also not recommended as it is not known whether this medicine passes through breast milk or not.

Januvia and other conditions

Januvia may not be suitable if you have other health conditions which could be worsened by taking this medication. If you have another condition other than diabetes you should check if Januvia is safe for you to take and that there isn’t a risk of this medicine worsening your condition. If you have or have had pancreatitis, gallstones, high levels of fat in your blood, kidney problems, or a dependence on alcohol you should speak to your doctor before taking this medicine as it may not be suitable for you.

Januvia should not be taken by those who have diabetic ketoacidosis which is when the body runs out of insulin and there is a buildup of harmful ketones in the body. This causes nausea, vomiting, high blood sugar, and rapid weight loss, and will need to be treated quickly before it becomes life threatening.

Januvia and other medications

Always tell your doctor if you are taking any other medication before taking Januvia, you should also mention that you’re taking Januvia if you’re starting any new medication. You should be particularly aware of taking Januvia with digoxin. Digoxin is used to treat heart problems and when taken with Januvia this may increase the amount of digoxin in the blood. Speak to your doctor about taking these medicines together, your doctor may need to monitor the levels of digoxin in your blood.

How to take Januvia

A doctor will decide your dosage based on the severity of your condition and your overall general health. Generally, one 100mg tablet is taken once a day by mouth, however, this will depend on whether you have kidney problems, in this case you may be prescribed a lower dose.

What are the side effects of Januvia?

Like all medication you may experience some side effects when taking Januvia, but not everyone will experience these side effects and some are rarer than others. Taking Januvia alone can cause side effects, or you may experience side effects if it is combined with another medicine that lowers blood sugar. Side effects which have been associated with Januvia include severe pain in the abdomen which could be a sign of pancreatitis. This may also be accompanied with nausea and vomiting.

Some people have also experienced an allergic reaction to this medicine. Symptoms of an allergic reaction include a rash, hives, blisters on the skin or peeling of the skin, swelling of the face, lips, tongue and throat, and difficulty breathing or swallowing. Although allergic reactions are rare it’s important to be aware of the symptoms as they’re serious and will need urgent medical help.

When sitagliptin is combined with metformin the following side effects have been reported:

  • Low blood sugar - symptoms include headaches, dizziness, confusion, sweating
  • Nausea
  • Flatulance
  • Vomiting
  • Stomach ache
  • Diarrhoea
  • Constipation
  • Drowsiness

Not everyone will experience side effects in the same way and you should tell your doctor if you’re experiencing any negative changes to your health while taking Januvia. Discuss with your doctor the possible side effects of taking Januvia with another medicine which lowers blood sugar levels.

How effective is Januvia at treating diabetes?

Januvia is effective at treating type 2 diabetes when taken alongside a healthy diet and exercise. It can reduce blood sugar levels and prevent the serious life-threatening complications of diabetes.

Can you buy Januvia online?

Yes, you can buy Januvia safely online at Doctor-4-U. Januvia is available on prescription and if you regularly take this medication buying online may be the most convenient and fastest way of getting access to it, as opposed to visiting your GP surgery. Doctor-4-U has GMC (General Medical Council) registered doctors on hand to review your condition and suitability to take this medication. imply fill in a medical consultation form which will be reviewed by our online doctors and once you have been approved for this medication it will be dispensed in our UK-based pharmacy and delivered via a secure tracked courier service.

How is my order shipped to me?

When an order is ready for shipping, it is collected and delivered by either the Royal Mail or DPD depending on your preference (or possibly your location or the item you ordered). Each order is assigned a tracking number, which will be emailed to you at the time of dispatch. Your medicine will be sent in plain and discreet packaging that’s eco-friendly. We do not include any branding on our packaging nor any labels which inform readers what type of product is contained within.

Dosage Instructions
The recommended dose is at 100 mg taken 1 a day. Dosage may vary if you are taking other anti-diabetic meds.
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Delivery Charges

The following delivery methods are currently available within the UK: All orders are sent in discreet, plain packaging.

UK Standard Delivery, £1.99

Order before 12pm to have your order delivered using Royal Mail Tracked 48 Service

standard UK delivery within 3-5 working days

Additional terms and conditions apply.

UK Express Delivery, £2.99

Order before 12pm to have your order delivered using the Express delivery service* (deliveries are made Monday - Saturday)

If you order after 12pm, your order will be dispatched the next working day and will be with you within 48 hours once dispatched. This excludes weekends and bank holidays

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Anytime, £4.99 (This service includes Saturday)

Order before 12pm to have your order delivered using Royal Mail Special Delivery Service, which includes Saturday deliveries.

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Before 1pm, £7.99 (This service includes Saturday)

Order before 12pm to have your order delivered before 1pm next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Before 9am, £14.99 (This service includes Saturday)

Order before 12pm to have your order delivered before 9am next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

Additional terms and conditions apply.

DPD Next Day Delivery, £4.99 (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Next Day Delivery, by 12 Noon, £9.99 (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 12 noon the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Next Day Delivery, by 10:30am, £14.99  (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Saturday Delivery, £14.99

Orders signed by the doctor before 12 noon the day before will be delivered the following Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply

DPD Saturday Delivery, by 12:00am, £21.99

Orders signed by the doctor before 12 noon the day before will be delivered by 12:00am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Saturday Delivery, by 10:30am, £29.99

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply, please see below.

US and outside the UK

Unfortunately, we can't process orders from outside the UK at this time.


Terms and Conditions

Delivery options exclude Bank Holidays, public holidays and Sundays.All deliveries are subject to Doctor-4-u successfully receiving payment and prescription being approved by the doctor.

All purchases require additional approval, which will involve completion of an online questionnaire and any subsequent approval.

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