Janumet is a combination medication which contains metformin and sitagliptin, both of which are used to lower blood sugar levels in patients with type 2 diabetes who do not use insulin. According to Drugs.com, metformin works by decreasing glucose production in the liver and decreasing absorption of glucose by the intestines. Sitagliptin works by regulating the levels of insulin the body produces after eating. Janumet may be used in conjunction with diet modification to help maintain a healthy blood sugar. Some of the side effects associated with Janumet may improve over time.
Headache and Mild Weakness
Users of Janumet may experience headache and mild weakness. A physician may recommend the use of an over-the-counter pain reliever for the occasional treatment of headache. In some cases, headache may be a symptom of low blood sugar. Patients with diabetes should be instructed on how to take their blood sugar at home and when to contact their physician. Drinking alcohol, exercise and stress may also lead to low blood sugar. Users who develop low blood sugar should contact their doctor prior to taking another dose of Janumet.
Nausea and Vomiting
Janumet may cause nausea and vomiting in some patients. According to PDRHealth, Janumet should be taken with food to decrease the chances of getting an upset stomach. Adherence to a bland diet may help lessen nausea and vomiting. Vomiting that becomes severe should be reported to a physician, as it can lead to the development of dehydration, which may be dangerous and lead to changes in blood sugar.
Flu-Like Symptoms
Some patients taking Janumet may develop flu-like symptoms. Runny or stuffy nose and sore throat can occur, states Drugs.com. The use of saline nasal spray or throat lozenges can help lessen such symptoms. If these symptoms occur in conjunction with fever, chills, swollen lymph glands, sinus pain or pressure, yellow or green tinged sputum, or cough, it may be a sign of a bacterial infection which requires medical treatment.
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