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Janumet® Tablets for Type 2 Diabetes
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Janumet is a prescription tablet that combines sitagliptin and metformin for adults with type 2 diabetes. This page explains how it works, typical dosing, strengths, safety, and how to access it with US delivery from Canada. Many people search for Janumet 50/1000 price without insurance; the details below help you compare options with your prescriber’s guidance.
What Janumet Is and How It Works
Janumet® contains two medicines: sitagliptin, a DPP-4 inhibitor, and metformin, a biguanide. Together, they help lower blood glucose when used with diet and exercise. Sitagliptin helps increase incretin activity, which can boost insulin release after meals and reduce glucagon. Metformin reduces liver glucose output and improves how your body uses insulin.
CanadianInsulin.com is a prescription referral platform. We verify prescriptions with your prescriber when required, and licensed Canadian pharmacies dispense your order.
This combination may be suitable when metformin alone does not provide enough control. XR versions can offer once-daily convenience, while immediate-release tablets are taken twice daily with meals.
Who It’s For
This treatment is indicated for adults with type 2 diabetes to improve glycemic control, alongside diet and activity. It is not for type 1 diabetes or diabetic ketoacidosis. People with severe kidney problems, metabolic acidosis, or a history of serious hypersensitivity to components should not use it. Caution is advised in those with liver disease, frequent alcohol intake, heart failure, or a history suggestive of pancreatitis. Discuss use during pregnancy or breastfeeding with your healthcare professional.
Dosage and Usage
Follow your prescriber’s instructions and the product label. Immediate-release tablets are generally taken twice daily with meals. XR tablets are usually taken once daily with a meal, often in the evening. Swallow XR tablets whole. Do not crush, split, or chew XR tablets. Taking doses with food can reduce stomach upset.
When starting therapy, clinicians often choose a regimen that reflects your current medicines and kidney function. Metformin-containing products are typically titrated gradually to improve tolerance. If you notice persistent gastrointestinal effects, contact your healthcare professional for advice based on the official label.
If you take other glucose-lowering therapies that can cause low blood sugar, your prescriber may monitor you more closely. Always review the full Patient Information before use.
Strengths and Forms
Common presentations include immediate-release 50/500 mg and 50/1000 mg tablets, and extended-release (XR) combinations in similar strengths. Availability can vary by pharmacy and jurisdiction. If you are comparing options such as Janumet 50/1000 price, note that strength, pack size, and brand versus generic status can affect what you pay.
Tablet colors and markings differ by strength and manufacturer. Your label and the imprint on the tablet should match the prescribed strength. Ask your pharmacist if packaging or appearance changes unexpectedly.
Missed Dose and Timing
If you miss a dose, take it as soon as you remember unless it is almost time for the next dose. If it is close to your next scheduled time, skip the missed dose and resume your regular schedule. Do not take two doses at once. For XR tablets, keep a consistent once-daily routine with a meal. Check the Patient Information Leaflet for additional guidance.
Storage and Travel Basics
Store tablets at room temperature in a dry place, away from excess heat and moisture, and out of reach of children. Keep the medicine in the original container with the pharmacy label. When you travel, pack your prescription-labeled bottle in your carry-on, along with a copy of your prescription. Bring enough tablets for the entire trip and a few extra days in case plans change. Our site uses encrypted checkout to protect your information.
Benefits
This medicine targets high blood sugar through complementary mechanisms. Many people prefer the convenience of once-daily XR, while others do well on twice-daily immediate-release tablets taken with meals. Combining two agents in one tablet can simplify therapy compared with separate prescriptions, which may help with adherence.
Side Effects and Safety
- Stomach upset or diarrhea
- Nausea or gas
- Headache
- Upper respiratory symptoms
- Fatigue
Metformin can rarely cause lactic acidosis, a serious medical emergency, especially in those with significant kidney disease or conditions leading to poor oxygenation. Pancreatitis has been reported with DPP-4 inhibitors; severe and persistent abdominal pain may require prompt medical attention. Serious allergic reactions can occur. Vitamin B12 levels may decrease with long-term metformin use; periodic monitoring may be considered by your clinician. Hypoglycemia risk may increase when used with insulin or sulfonylureas.
Drug Interactions and Cautions
Tell your healthcare professional about all medicines and supplements you take. Iodinated contrast imaging may require temporary interruption of metformin-containing products. Excessive alcohol increases the risk of lactic acidosis. Some medicines that affect kidney function or hydration can influence safety. With insulin or sulfonylureas, low blood sugar may occur more often, so your prescriber may monitor closely. Review the package insert for a fuller list of interactions and precautions.
What to Expect Over Time
Glucose measures may improve as you take the medicine as directed and continue lifestyle measures. Gastrointestinal effects often lessen after the first weeks for many people. Your clinician may check A1C periodically and monitor kidney function and B12 as appropriate. Keep consistent meal timing and regular activity, and use reminders to help maintain your schedule. Contact your prescriber if your readings trend higher or you develop new symptoms.
Compare With Alternatives
For some adults, a DPP-4 inhibitor alone can be considered. Januvia® contains sitagliptin without metformin. Another option is a different DPP-4 plus metformin combination, such as Jentadueto®, which pairs linagliptin with metformin. If you are weighing convenience, tolerability, or Janumet XR 50/1000 price versus other therapies, discuss choices with your prescriber.
Pricing and Access
We list current options so you can review Janumet 50/1000 cost with your prescriber’s plan. If you are looking for a Janumet 50/1000 coupon, check our page for available offers and pack sizes. We provide Canadian pricing with transparency, and your order Ships from Canada to US after prescription verification. For seasonal deals, see our Promotions page.
You can also explore related therapies and classes to compare total out-of-pocket spending and dosing frequency. Learn more about choices in Blood Sugar Control and broader categories under Oral Insulin Medications.
Availability and Substitutions
Stock status can vary by strength and pack size. If a specific combination is unavailable, a prescriber may recommend an alternative that fits your clinical plan. Pharmacists dispense according to your prescription and local substitution rules. When switching between immediate-release and XR, your clinician will determine the appropriate regimen.
Patient Suitability and Cost-Saving Tips
Candidates often include adults whose glucose is not adequately controlled with metformin alone and who do not have contraindications such as severe kidney impairment or metabolic acidosis. Those with a history of pancreatitis or significant liver disease require careful evaluation. If you experience persistent gastrointestinal intolerance, discuss the XR option with your clinician.
Cost-conscious steps may include larger refills, if appropriate, which can reduce per-tablet spending. Set refill reminders so you do not miss doses. Ask your prescriber whether generics are suitable in your region. For quotes on Sitagliptin/Metformin 50/1000 price and other strengths, review the product page and consult our team about availability.
To learn more about therapy classes and how they compare, see Type 2 Diabetes and read background guides like Common Diabetes Medications, Oral Diabetes Medications, and Acceptable Combinations.
Questions to Ask Your Clinician
- Starting strength: Which tablet strength and release form match my goals?
- Other medicines: How might insulin or a sulfonylurea affect lows?
- Kidney checks: How often should renal function be monitored?
- GI tolerance: What meal timing or XR options can improve comfort?
- Pancreatitis signs: What symptoms require urgent evaluation?
- Imaging plans: How should I handle contrast studies while on metformin?
- Long-term labs: Should B12 be checked periodically?
Authoritative Sources
| Reference | Link |
|---|---|
| US Prescribing Information | Manufacturer PI |
| DailyMed Label | FDA DailyMed |
| Health Canada | DPD Monograph |
Ready to proceed? Place your request for this medicine with prompt US shipping from Canada. Temperature-controlled handling when required. This content is for general information and does not replace medical advice from your healthcare professional.
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Can I switch between immediate-release and XR versions?
Do not switch forms on your own. The XR tablet uses a different release profile and must be swallowed whole. A clinician will decide whether a once-daily XR or a twice-daily immediate-release schedule suits your glucose goals, kidney function, and tolerability. If a change is appropriate, they will set the new dose and timing based on the official label and your current regimen.
Should I take the tablets with food?
Yes. Taking doses with meals can reduce stomach upset associated with metformin. XR tablets are typically taken once daily with a meal, often the evening meal. Immediate-release tablets are generally taken twice daily with meals. If persistent gastrointestinal effects occur, contact your healthcare professional for guidance.
What symptoms require urgent evaluation while on this therapy?
Severe, persistent abdominal pain may suggest pancreatitis. Other urgent signs include shortness of breath, unusual fatigue, muscle pain, or sudden worsening nausea and vomiting, which can be consistent with lactic acidosis. Allergic reactions such as rash, swelling of the face or throat, or difficulty breathing also require immediate medical attention.
How do alcohol and imaging contrast affect safety?
Excessive alcohol intake increases the risk of lactic acidosis with metformin. Iodinated contrast used for certain imaging procedures may require temporary interruption of metformin-containing medicines. Tell your clinician and radiology team about your therapy before scans, and follow the guidance in the official Patient Information.
Can this medicine cause low blood sugar?
By itself, the combination has a low risk of hypoglycemia. The risk can increase when used with insulin or sulfonylureas. Monitor glucose as directed by your prescriber and watch for symptoms such as shakiness, sweating, or confusion. Ask your clinician how to handle potential lows if you use multiple glucose-lowering therapies.
Is there a generic option for this combination?
Availability of generics can vary by region and over time. Some places may offer sitagliptin and metformin as a combination from different manufacturers. Your pharmacist can advise what is stocked locally, and your prescriber can determine if a substitution is appropriate for your situation.
What if I have kidney problems or older age?
Kidney function is important for medicines that include metformin. Those with significant renal impairment or advanced age may need closer monitoring or may not be candidates. Your clinician will check kidney function before starting and periodically during treatment, based on the official label and your overall health.
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