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Januvia® Tablets for Type 2 Diabetes
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Applies to all products originating from Canada. Maximum allowable quantity equal to a 90-day supply per single order.
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Price range: $54.99 through $161.99
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Januvia is a prescription tablet for adults with type 2 diabetes. It works with diet and exercise to help improve blood sugar control. This page explains how it works, who it suits, and how you can access it with US shipping from Canada. Many visitors review the Januvia price without insurance to plan their budget.
What Januvia Is and How It Works
Januvia® contains sitagliptin, a DPP-4 inhibitor. This treatment increases incretin activity, which can raise insulin release and lower glucagon when glucose is high. The class may help reduce both fasting and after-meal glucose. It is often used alone or with other oral agents such as metformin. Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
The medicine is taken by mouth once daily, with or without food. It is not insulin and is not for sudden high blood sugar episodes. Your prescriber determines if this therapy fits your overall plan for Type 2 Diabetes.
Who It’s For
This therapy is for adults with type 2 diabetes as an add-on to diet and exercise. It is not used for type 1 diabetes or diabetic ketoacidosis. People with a history of pancreatitis, severe kidney problems, or serious allergic reactions to sitagliptin should discuss risks carefully with a clinician. Dose changes may be required in kidney impairment. Children and pregnant or breastfeeding individuals should review the official label and consult a healthcare professional.
Dosage and Usage
Take the tablet once daily at about the same time each day. You can take it with meals or on an empty stomach. Swallow tablets whole with water. If other diabetes medicines are also used, your prescriber may monitor for low blood sugar and adjust the overall plan. Some adults are prescribed Sitagliptin 100 mg once daily per the approved labeling, but only your prescriber can determine the appropriate dose.
Do not change your regimen on your own. Read the Patient Information that comes with the pack. If anything is unclear, ask your clinician or pharmacist. For background on combination therapy, you can review our overview of the Diabetes Drugs List.
Strengths and Forms
Tablets are available in commonly published strengths for adults. Strength availability can vary by market and manufacturer. Your prescription will specify the exact tablet strength and quantity.
| Form | Typical Adult Strengths |
|---|---|
| Film-coated tablets | 25 mg, 50 mg, 100 mg |
Supply options may differ by origin. See our broader Diabetes Care section for related items.
Missed Dose and Timing
If you miss a dose, take it when you remember. Skip the missed dose if it is almost time for your next dose. Do not take two doses at the same time. Try to take it at a consistent time daily to support steady use. Set reminders or use a weekly pill organizer if helpful.
Storage and Travel Basics
Store tablets at room temperature as directed on the label. Keep the bottle tightly closed and protect from moisture. Do not store in a bathroom. Keep out of reach of children and pets. When traveling, carry medicines in original labeled containers in your hand luggage. Bring a copy of your prescription and a medication list. For broader background on injectable backups some clinicians use, see Types Of Insulin And Their Uses. Our checkout uses encrypted systems.
Benefits
This medicine can improve A1C when used as directed with diet and exercise. The treatment is taken once daily, which many find convenient. It can be combined with metformin and other oral agents when clinically appropriate. When used without insulin or sulfonylureas, it may have a lower risk of low blood sugar compared to some alternatives in different classes.
Side Effects and Safety
- Common: upper respiratory tract symptoms, stuffy or runny nose, sore throat
- Headache or mild stomach discomfort
- Joint or muscle pain in some people
Serious effects are uncommon but can include pancreatitis, severe joint pain, skin reactions such as blistering, or allergic reactions including swelling of the face, lips, tongue, or throat. Stop the medicine and seek urgent care for signs of pancreatitis or an allergic reaction. Low blood sugar can occur when used with insulin or sulfonylureas; your prescriber may adjust the overall plan.
Drug Interactions and Cautions
Tell your clinician about all medicines and supplements you take. Combining with insulin or a sulfonylurea can raise the risk of hypoglycemia. Digoxin levels can increase, so monitoring may be advised if you use digoxin. Discuss kidney function, history of pancreatitis, and any skin blistering disorders before starting. If you develop severe stomach pain, stop the medicine and contact a clinician.
What to Expect Over Time
Glucose control usually improves with steady daily use, diet changes, and regular activity. Your clinician may check blood tests and A1C periodically to track progress. Some people notice fewer highs after meals as the plan takes shape. Keep logging meters or CGM trends, bring readings to visits, and follow the plan on sick days per your clinician’s advice. For background on insulin strategies if your plan changes, see our article on Lantus Insulin.
Compare With Alternatives
Prescribers sometimes consider the authorized or approved generics. You can discuss the option of Sitagliptin with your clinician. Another listing is Sitagliptin Malate, which your prescriber may evaluate for suitability. When comparing, look at your A1C goals, kidney function, and other medicines. Some people ask about GLP-1 options; for diet pairing ideas, see Mounjaro Diet Plan.
People sometimes search for a Januvia generic; availability varies by market and prescriber guidance. Always confirm the exact product written on your prescription.
Pricing and Access
We list current options and show Canadian pricing alongside U.S. fulfilment details. You can compare choices that ship direct to your address. This section helps you review total out-of-pocket considerations and typical dispensing quantities. Some shoppers look up Sitagliptin cash price to understand the range they may encounter. We offer transparent listings that highlight origin and pack size.
For cross-border clarity, eligible products are filled by licensed partners and Ships from Canada to US after prescription verification. If you are looking for budget planning tips, see our guide on Drugs Cost Without Insurance. For periodic offers, check our Promotions page.
Availability and Substitutions
From time to time, a given strength or pack may be out of stock. In those cases, a prescriber may recommend a clinically appropriate alternative. Generic sitagliptin may be considered when approved and available in your region. Your exact product will match your prescription and the origin shown on the listing. To explore related therapies, browse our Canada and India origin filters.
Patient Suitability and Cost-Saving Tips
This tablet suits many adults who need an oral option added to diet and exercise. It may not fit those with a history of pancreatitis, severe renal disease without a tailored plan, or specific skin blistering conditions. Review allergies and all medicines before starting. Consider multi-month fills to reduce per-fill fees, and set up refill reminders so you do not miss doses. You can also compare generics where appropriate. Some people explore Januvia pills then switch to an approved generic after discussing coverage and access with a clinician.
For lifestyle planning, you may find our article on Insulin Resistance helpful, and our overview on Type 2 Diabetes Facts offers broader context. If injectables are part of your plan, you can also read about Fiasp Insulin.
Questions to Ask Your Clinician
- Starting goals: What A1C or glucose targets are appropriate for me?
- Kidney checks: How often should renal function be monitored?
- Combination plan: Do I need changes to metformin, insulin, or a sulfonylurea?
- Warning signs: What should prompt me to stop and call you?
- Interactions: Should I monitor digoxin levels if I take it?
- Follow-up cadence: When should I schedule labs and visits?
Authoritative Sources
Ready to proceed? You can add the tablet to your cart, upload your prescription, and check out with prompt, express shipping. Temperature-controlled handling when required. This information is educational and does not replace your clinician’s advice.
Express Shipping - from $25.00
Shipping with this method takes 3-5 days
Prices:
- Dry-Packed Products $25.00
- Cold-Packed Products $35.00
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
Standard Shipping - $15.00
Shipping with this method takes 5-10 days
Prices:
- Dry-Packed Products $15.00
- Not available for Cold-Packed products
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
What is Januvia used for?
Januvia (sitagliptin) is a prescription medication used to treat type 2 diabetes. It helps regulate blood sugar levels by increasing insulin release and decreasing sugar production in the liver, particularly after meals. It’s often used alongside diet and exercise.
How should I take Januvia?
Januvia is usually taken once daily, with or without food. It’s important to take it at the same time each day to maintain consistent blood levels. Follow your doctor’s dosage instructions carefully for best results.
Can Januvia cause low blood sugar?
Januvia on its own rarely causes hypoglycemia. However, when used with other diabetes medications like insulin or sulfonylureas, the risk of low blood sugar increases. Always monitor your blood sugar levels and know the signs of hypoglycemia.
What are the side effects of Januvia?
Common side effects include headaches, upper respiratory infections, and stomach discomfort. Rare but serious effects like pancreatitis or allergic reactions should be reported to a healthcare provider immediately.
Is Januvia safe for people with kidney problems?
Yes, but dosage adjustments may be necessary. Your doctor may lower the dose depending on your kidney function. Routine kidney monitoring is recommended while taking Januvia.
How does this DPP-4 inhibitor help lower blood sugar?
It blocks the DPP-4 enzyme, which raises levels of incretin hormones. Those hormones help your pancreas release more insulin and reduce glucagon when glucose is elevated. The result can be improved fasting and after-meal control when used with diet and exercise. It is not insulin and does not replace lifestyle changes. Your healthcare professional can explain how it fits with metformin or other agents in your plan.
Can I take it with metformin or insulin?
Many people use it with metformin. Hypoglycemia risk is usually low with this class alone, but the risk increases when combined with insulin or a sulfonylurea. Your prescriber may adjust your overall regimen to reduce lows. Never change doses on your own. Keep glucose logs and report any symptoms such as shakiness, sweating, or confusion to your clinician.
What are important side effects to watch for?
Common effects include cold-like symptoms, stuffy or runny nose, sore throat, headache, or mild stomach upset. Serious but uncommon risks include pancreatitis, severe joint pain, blistering skin reactions, or allergic reactions with swelling of the face, lips, tongue, or throat. Stop the medicine and seek urgent care for severe stomach pain or signs of an allergic reaction. Discuss your history and all medicines with your healthcare professional.
Do kidney problems affect use?
Kidney function can affect dosing for sitagliptin. Your clinician will check creatinine or eGFR and choose a regimen based on the official label. If kidney function changes over time, the plan may be re-evaluated. Tell your prescriber if you notice swelling, less urine, or fatigue. Do not make dose changes without medical guidance.
Can I drink alcohol while taking it?
Light to moderate alcohol may affect blood sugar and can increase the risk of lows when you use other diabetes medicines. Alcohol also raises the risk of pancreatitis. If you drink, do so in moderation and monitor glucose closely. Ask your clinician whether alcohol fits your plan and how to manage sick days or dehydration.
How soon might A1C improve?
Improvements often become apparent over weeks with steady use, diet, and activity. Your clinician may check A1C every few months and review meter or CGM data sooner. Everyone responds differently, and changes depend on your full regimen. Keep taking the medicine as directed and bring your readings to visits so the plan can be adjusted if needed.
Is travel with this tablet complicated?
Travel is straightforward. Keep tablets in the original labeled bottle in carry-on bags. Store at room temperature away from moisture. Bring your prescription, a medication list, and contact details for your prescriber. Time zone changes can be handled by keeping roughly the same interval between doses. Ask your clinician if you need help planning long trips.
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