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JANUVIA works differently to lower blood sugar in 2 ways. Talk to your doctor about JANUVIA today.

•

It's a once-daily prescription pill that helps your body increase the insulin

made in your pancreas and decrease the sugar made in your liver.

•

Along with diet and exercise, JANUVIA helps lower blood sugar levels in

people with type 2 diabetes.

• JANUVIA is not likely to cause weight gain.

Important Information:

JANUVIA has not been studied with insulin and should not be used to treat patients with type 1

diabetes or diabetic ketoacidosis (increased ketones in the blood or urine) or used if you are allergic to JANUVIA.

Your doctor may perform blood tests from tim e to tim e to measure how well your kidneys are working. If you have

kidney problems, your doctor may prescribe lower doses of JANUVIA. When JANUVIA is used with a sulfonylurea,

low blood sugar (hypoglycemia) can occur. To avoid this risk, your doctor may prescribe lower doses of the sulfonylurea.

Allergic reactions, which may be serious, including rash, hives, and swelling of the face, lips, tongue, and throat that

may cause difficulty breathing or swallowing, can occur. If you have an allergic reaction, stop taking JANUVIA and

call your doctor right away. The most common side effects include upper respiratory tract infection, stuffy or runny

nose and sore throat, and headache.

Call 1-888-JANUVIA or visit Januvia.com.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

This product is available through the

Merck Patient Assistance Program.

JANUVIA is a trademark of Merck & Co.

. Inc Copyright © 2008 Merck & Co.

. Inc. All rights reserved Printed in USA. 20750093(3!<704)-JAN

A different way.