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risk of discontinuation due to adverse events associated with higher initial doses,
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adjustment of the dosing regimen is recommended (see DOSAGE AND ADMINISTRATION).
A single i.m. dose of Januvia is useful pre-treatment to minimize the risk of acid aspiration during operation,
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Januvia and M1 elimination half-lives (13 hrs. for Januvia and 19 hrs. for M1).

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adjustment of the dosing regimen is recommended (see DOSAGE AND ADMINISTRATION).

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1 Dosing may be increased to 100 mg every four to six hours, but the daily dosage should not exceed 400 mg 1 and should be limited to 250 to 300 mg .

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Linear pharmacokinetics have been observed following multiple doses of 50 and 100 mg to steady-state.Racemic Januvia is rapidly and almost completely absorbed after oral administration.
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