What is Januvia?

Januvia is a diabetes drug that is used for control blood sugar levels. It performs by regulating the levels of insulin of patient’s body produces after eating.

Januvia used in treatment of type 2 diabetes. Sometimes doctor can suggest Januvia with other diabetes drugs, but it is not used for treatment of type 1 diabetes. 

In case you are in a state of diabetic ketoacidosis or allergic to allergic to sitagliptin, then you should not use Januvia.

To ensure Januvia is harmless for you, inform your medical expert if you have:

• Pancreatitis;
• Gallstones;
• Kidney disease;
• High triglycerides;
• Pregnancy and Januvia: Januvia is not considered to hurt an unborn baby. Inform your doctor in  case you are pregnant or thinking about to become pregnant.
• Breast feeding and Januvia: It is unknown, sitagliptin passes through baby by breast feeding or not. But you should inform your doctor if you are breast feeding to baby.
• Januvia is not only approved for 18 or above 18 years old.

Dosing Information for Januvia?

• Usual recommended adult dose of Januvia for Diabetes Type 2 is 100 mg orally daily.

• As an addition to exercise and diet to get better glycemic control in patients with type 2 diabetes mellitus.

• For taking Januvia, follow all directions of your medicine expert or prescription label. Health care expert may occasionally change your dose to get the best results.

• You may take it with or without food. Consult with your doctor.

• Go for blood sugar check up in regular basis and you might need other tests too.

• Anyone has diabetes may face low blood sugar that symptoms include hunger, headache, sweating, irritability, pale skin, dizziness, trouble concentrating or feeling shaky.

• Always keep a sugar source with you if you are patient of low blood sugar. In case you have hypoglycemia and cannot drink or eat, utilize a glucagon injection for maintain sugar level. But you should consult your doctor before going for it.

• Test your blood sugar level cautiously in period of stress, illness, surgery, travel or medical emergency, or in case you skip meal or drink alcohol. These things can directly alter your glucose levels and here you may need to change amount of dose. Don’t make any changes in your medication dosing amount or schedule without concerning your doctor.

• Januvia is just part of a entire treatment program, here it may also include exercise, diet, weight control, special medical care and regular blood sugar testing.

• Store Januvia at 20 to 22 °C and keep away from heat, moisture and light.

• If you forget to take a dose, take it as soon as you remember.

• Follow your medical expert's directions about any restrictions on beverages, food or activity.

Sitagliptin (Januvia) side effects:

• Discontinue taking Januvia and go to the doctor immediately in case you have side effects of pancreatitis like intense pain in upper stomach that spreading to your back , loss of appetite, fast heartbeats or nausea and vomiting.
• Get medical help in case you see the symptoms of an allergic reaction like difficulty in breathing, hives, or swelling of your face. And call your doctor for these side effects:
• Severe pain in your joints;
• Swelling;
• Weight gain;
• Little or no urinating;
• Feeling short of breath;
• Severe skin reaction: - sore throat, fever, burning in your eyes, swelling in your face or tongue, skin pain followed by purple or red skin rash that spreads and causes blistering and peeling.

Common side effects of Januvia:

             

• Runny or stuffy nose;
• Sore throat;
• Nausea, diarrhea, stomach pain;
• Constipation;
• Back pain;
• Headache;
• Joint or muscle pain;

This is not an entire list of all side effects of Sitagliptin and others might occur. Inform your medical expert for medical guidance about side effects. 

About Kaletra:

Kaletrais is the combination of Ritonavir and Lopniavir. Ritonavir and Lopniavirboth are antiviral medications that prevent human immunodeficiency virus (HIV) cells from multiplying in human body.

Kaletra is mainly used to prevent HIV, which causes the acquired immunodeficiency syndrome (AIDS). This medicine is not a cure for HIV or AIDS.

Kaletra may also be used for many other purposes which are not mentioned in this medication guide.

Precautions for Kaletra:

• If anyone who ever had a severe allergic reaction to Ritonavir and Loniavopir should not use Kaletra.

• There is a chance of heavy drug interactions when certain medicines are used simultaneously with Ritonavir and Lopniavir. You should Tell your doctors about all medicines you are using and any other medicine which you took in past.

• Alfuzosin, Lovastatin, Pimozide, Simvastatin, Triazolam, Midazolam, Sildenafil (Revatio for pulmonary arterial hypertension) are some medicines which can cause serious effects when used with Kaletra in human body. Your health care provider may need to change treatment plan if anyone who using any of the above drugs.

• Please make a serious concern with your doctor, is consumption of Kaletra safe for you or not? While you are suffering with liver disease (particularly hepatitis B or C); heart disease or a heart beat disorder; a personal or family history of Long QT Syndrome; pancreas problems;diabetes; low levels of potassium in your blood; a bleeding disorder such as haemophilia; high cholesterol or triglycerides; or if you have ever used a protease inhibitor in the past.

• It is also a subject of discussion that whether Kaletra will harm an unborn baby or not. But if you are not treated properly during your pregnancy period then there is fair enough chances that HIV can be passed to your baby. Hence take your all HIV medicines as directed by doctor to control your infection.

• Minimum age limit to take Kaletre is 14 days. There are some other guidelines for women who are suffering from AIDS; she should not breast-feed a baby. There is a possibility that HIV virus may be passed to the baby in your breast milk.

How to take Kaletra (Dosing Information)?

         

• You should take kaletra according to guidelines of your health provider. Anybody who taking Kaletra should follow all directions suggested by doctors and especially in case when Kaletra Taken by child. If there is any change in weight of a child during Kaletra consumption in this case you should make a concern with your doctor. The consuming amount of Kaletra based on weight in children.

• If you take tablet of Kaletra then you just swallow it or in case of liquid form you measure the amount of Kaletra with medicine cup for drink. During the time of Kaletra consumption you should go frequently for blood test. 

• Mainly HIV/AIDS is treated with thecombination of drugs. You should take all medicines under the proper guideline of your doctor and carefully read all instructions mention in cover of any medicine before use it. Another very important precaution is that never change amount of medicine and scheduled time for taking it without doctor’s advice and you should remain under the care of doctor.

• If we talk about storage of Kaletra liquid then you should keep in the refrigerator or at room temperature and take it within 60 days. In case of tablets you should store them at room temperature, and keep away from heat and moisture. Keep the pills in their original container with the cap tightly closed.

If you miss a dose

Whenever you missed your dose then take it as soon as you remember but in case if it is almost time for your next scheduled dose so in this case do not take extra medicine to compensate your missed dose.

What should I avoid while taking Kaletra?

You should avoid drinking alcohol while using this medicine because Kaletra liquid already contains alcohol.

Kaletra medication will not prevent anyone from passing HIV to some other people. You should take care of unprotected sex or sharing razors and toothbrushes. You should keep in touch with your doctor for safe ways to prevent HIV transmission during sex.

Side effects of Kaletra

If you feel any kind of allergic reaction after taking Kaletra like difficulty in breathing, swelling in the areas of face, lips, or in tongue you should take emergency medical help.

• If you have following problems after taking Kaletra in this case you can doctor:
• Headache, chest pain, fainting, fast or pounding heartbeats, severe dizziness;
• Unbearable pain in your stomach which is spreading in you back as well. 
• Itching problem, loss of appetite, dark urine, Jaundice.
• high blood sugar
• Muscle weakness, feeling tired, joint or muscle pain, feeling short of breath; or skin reaction,Sickness, sore throat, swelling in your face or tongue, problem in your eyesight, skin pain followed by a purple or red skin rash that increases (particularly in the face or upper body) and causes blistering and peeling.