Important! We do not offer any products ourselves, but offer the possibility to request a treatment (possibly with medication).
If you wish to obtain certain medication, you can buy these products at your own pharmacy or instruct us to arrange this in your name at a registered EU pharmacy. For prescription only medication we also arrange a consultation for you with a registered EU doctor.
* Instruction costs include VAT.
What is Janumet?
Janumet tablets are used to lower the glucose level in the blood (blood sugar level). It contains the active ingredients sitagliptin, which stimulates the pancreas to produce insulin, and metformin, which enables the liver and muscles to remove glucose from the blood more effectively. The combination of these two medicines helps control blood sugar levels in people with type 2 diabetes.
What is it used for?
Janumet is used to treat patients with type 2 diabetes mellitus. This type of diabetes is characterised by insufficient secretion of insulin by the pancreas and a resistance to the activity of insulin. Insulin is important for the body’s sugar metabolism. In patients with type 2 diabetes, the pancreas does not produce enough insulin to maintain a normal blood glucose level, causing symptoms as increased thirst, fatigue, frequent urination and slow-healing sores or cuts. If diabetes is not properly treated, this disease can lead to serious complications. Janumet increases the production of insulin and prevents the glucose level in the blood from rising too high.
How to use Janumet
Janumet tablets should be swallowed whole with some water, preferably with meals to avoid stomach distress. If you have forgotten to take a dose of Janumet, you may take it as soon as you remember unless it is almost time for your next scheduled dose. Never take a double dose to make up for the forgotten one.
Unless otherwise prescribed by your doctor, the usual dose is for adults aged 18 and above is:
- One tablet, twice a day.
The duration of treatment is decided by your doctor. Always follow the prescription exactly - never take more or less than your doctor recommends.
Janumet may cause side effects. The most commonly reported side effects include:
- Low blood glucose (hypo), causing symptoms such as trembling, headache, perspiration and hunger;
- Gastrointestinal symptoms or loss of appetite;
- Blurred vision, dizziness.
See package leaflet for more side effects, warnings and contraindications.
When not to use this medicine
Janumet is not suitable for everyone. Do not use this medicine if:
- You are allergic to sitagliptin, metformin or any other ingredient in this medicine;
- You recently had a heart attack;
- You have diabetic ketoacidosis;
- You have kidney or liver problems;
- You consume alcohol excessively (incidentally, regularly or daily.
Consult a doctor on the use of Janumet if you have a health condition that is not listed above. Janumet may interact with other medicines. You should therefore tell your doctor what medicines you are already using. For more information on the above, see the package leaflet.
Do not use Janumet if you are pregnant, planning to conceive or breastfeeding. Consult your doctor about alternative glucose-lowering medications.
Janumet may cause dizziness or a hypo. Stay out of traffic if you experience these side effects and always measure your blood sugar level before leaving home.
The combination of alcohol and Janumet can increase the risk of lactic acidosis. Lactic acidosis is a serious condition that can lead to stomach ache, vomiting, diarrhoea and even loss of consciousness. You should therefore avoid alcohol consumption while taking this medicine.