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The practitioner must modify the actual pelvic floor muscles will decrease the pressure on the spinal vertebrae or on radiographs.

What may interact with Januvia?

Using certain medicines can make it harder for you to tell when you have low blood sugar. Tell your doctor if you use albuterol, clonidine, reserpine, or a beta-blocker (atenolol, metoprolol, propranolol, and others).

Before you take Sitagliptin, tell your doctor if you are also taking digoxin (Lanoxicaps, Lanoxin).

Although Sitagliptin is not as likely to cause hypoglycemia (low blood sugar) as some other oral diabetes medications, tell your doctor if you are taking any other drugs that can potentially lower blood sugar, such as:

  • probenecid (Benemid);
  • nonsteroidal anti-inflammatory drugs (NSAIDs);
  • aspirin or other salicylates (including Pepto-Bismol);
  • a blood thinner (warfarin, Coumadin);
  • sulfa drugs (Bactrim, SMX-TMP, and others);
  • a monoamine oxidase inhibitor (MAOI); or
  • beta-blockers (Tenormin and others).
  • insulin or other oral diabetes medications.

This list is not complete. Other drugs may interact with Sitagliptin, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

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