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This effect may go away if you lie down forawile.
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Do not use this medication if you are allergic,
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Januvia and M1 elimination half-lives (13 hrs. for Januvia and 19 hrs. for M1).
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Nonetheless, Januvia nearly doubled the interthreshold range at a concentration near 200 ng/mL.
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Januvia is well absorbed orally with an absolute bioavailability of 75%. Januvia has a volume of distribution of approximately 2.7 L/kg and is only 20% bound to plasma proteins.
Januvia may not work as well and may require higher doses to obtain the same effect as when originally taken.
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Ask your pharmacist if you have questions about which medicines may cause drowsiness.Januvia may cause dizziness; alcohol, hot weather, exercise, or fever may increase this effect.
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which may affect the therapeutic response (see PRECAUTIONS - Drug Interactions).
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Januvia was not mutagenic in the following assays:
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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The analgesic activity of Januvia is due to both parent drug and the M1 metabolite (see CLINICAL PHARMACOLOGY, Pharmacodynamics).
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Respiratory depression should be treated as an overdose.
If you suddenly stop taking Januvia , you may experience WITHDRAWAL symptoms including anxiety;
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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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