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Januvia (Sitagliptin) prescription available online

Januvia is a prescription that helps lower blood sugar levels in adults with type 2 diabetes. Get a new prescription or refill of Januvia today from a board-certified doctor online.

Book an appointment

Medication services are available for adults and kids (3+)

Top-quality, board-certified doctors

Insurance accepted, but not required

Prescriptions sent to your local pharmacy*

*Prescriptions provided at the doctor’s discretion.

Most major insurance plans accepted

Most patients with in-network insurance pay $30 or less. Paying without insurance? New patient visits are $129, and follow-ups are only $99 for members.

Don’t see your provider listed? Email [email protected]  or call  (888) 564-4454  to talk to a PlushCare specialist.

3 simple steps to request your Januvia prescription today 

Step 1: Book an appointment

Step 1

Book a Januvia prescription request appointment.

Book a same-day appointment from anywhere.

Step 2: Visit with a doctor on your smartphone

Step 2

Talk to your medical provider regarding your Januvia prescription.

Visit a doctor on your smartphone or computer.

Step 3: pick up at local pharmacy

Step 3

Pick up your Januvia prescription.

We can send prescriptions to any local pharmacy.

Januvia prescription pricing details

How pricing works

To get a new or refill on your Januvia prescription, join our monthly membership and get discounted visits.

Paying with insurance

Membership

$14.99/month

First month free

First visit

Copay

For all visits

30 days of free membership

  • Same-day appointments 7 days a week

  • Unlimited messages with your Care Team

  • Prescription discount card to save up to 80%

  • Exclusive discounts on lab tests

  • Free memberships for your family

  • Cancel anytime

Visit price with insurance

Often the same as an office visit. Most patients with in-network insurance pay $30 or less!

  • We accept these insurance plans and many more:

    • Humana
    • Aetna
    • United Healthcare

Paying without insurance

Membership

$14.99/month

First month free

First visit

$129

Repeats only $99

30 days of free membership

  • Same-day appointments 7 days a week

  • Unlimited messages with your Care Team

  • Prescription discount card to save up to 80%

  • Exclusive discounts on lab tests

  • Free memberships for your family

  • Cancel anytime

Visit price without insurance

Initial visits are $129 and follow-ups are only $99 for active members.

Book an appointment

If we're unable to treat you, we'll provide a full refund.

Januvia prescription FAQs

  • How much does Januvia cost?

    When picking up your prescription for Januvia, it is essential to realize that no fixed cost accounts for every situation. This is because prices differ based on several important factors.

    First, consider that Januvia is available in different dosage strength options. This will have an impact on the pricing. Your location and the pharmacy you decide to use can also affect the pricing of Januvia and your specific health insurance plan. Note that Januvia offers certain coupon programs for patients who have difficulty affording the co-payment they need to make. You can consult the manufacturer's official website to understand how the coupon program works. 

  • How much does Januvia lower A1C?

    A few studies have taken a closer look at the overall efficacy that patients can expect from Januvia. The active ingredient, Sitagliptin, seems to provide a 0.8% reduction in A1C levels among patients with type 2 diabetes. Januvia can reduce both fasting and postprandial blood glucose levels. 

  • How can I refill my Januvia prescription?

    The ideal method for refilling your prescription depends on where you received your initial script. If you use a subscription service, then you can sometimes opt to have your diabetes medication delivered to you every month. This can add extra convenience, as you do not have to visit a pharmacy physically. You can also have a pharmacy keep the prescription with them on your profile, allowing you to pick up your medication every month. 

  • Can I cut Januvia in half?

    The diabetes medication Januvia is provided in tablet form. The tablet is relatively small, with both sides featuring a smooth surface. Cutting the pill at the center may also reduce the dose of each side by half. In turn, you may not get the total quantity you need to treat your type 2 diabetes if you decide to cut the pill in half. 

  • Can Sitagliptin be taken at night?

    The ideal dosage for Sitagliptin depends on the patient. You should speak with your doctor to determine the best time to take the medication. The idea is to get the timing right to avoid low or high blood sugar. Some people have a good experience with Januvia when they take the tablet at night. 

  • Can Januvia cause angioedema?

    There are numerous side effects that patients should be aware of when they decide to take Januvia. Those individuals who have an allergic reaction to Januvia may experience a complication known as angioedema. In this case, the patient experiences inflammation below the skin. 

  • Who should not take Januvia?

    People who already use insulin should avoid Januvia. It is also essential to avoid taking Januvia if you take other medication that raises insulin or reduces blood sugar levels. This can cause low blood sugar to develop. 

  • What happens if I miss a dose of Januvia?

    If a person misses a dose of Januvia, they must take it once they remember it. So, avoiding taking two of these drugs on a single day is crucial. Thus, consider it a skipped dose if it is too close to the next dose. Talk to your doctor if you have concerns regarding missed doses. Avoid taking it with other drugs that may cause interactions.

  • What happens if I take too much Januvia?

    Patients should carefully follow the instructions that they are given. Too much of the drug can cause severe complications and health concerns. An overdose of Januvia can result in heart palpitations, tremors, excessive sweating, and even alterations in mental activity. Contacting a poison control center if you experience severe side effects is a good idea. If not, you may still call your doctor and advise them of the situation.

About Januvia (Sitagliptin) Prescription

Januvia is considered a dipeptidyl peptidase-4 inhibitor, or DPP-4 inhibitor, which functions by reducing glucose production by the body while stabilizing insulin levels simultaneously. Like any DPP-4 inhibitor, this medication can only be used for type 2 diabetes. It is ineffective against type 1 diabetes because it will not help to increase insulin due to the inactivity of the pancreas in these patients.

Some conditions that Januvia is known to treat include high blood glucose levels and unstable insulin levels in patients with type 2 diabetes. Januvia is available only by prescription. It is available in a generic formulation under different brand names, including sitagliptin. 

Januvia may be prescribed as a tablet. There are three different tablet strength options on the market, which includes:

  • 25 mg

  • 50 mg

  • 100 mg

It’s always important to follow the specific instructions on your prescription, as they can vary based on the formulation and dosage you are prescribed.

If you are prescribed Januvia, be sure to complete the entire course of the anti-diabetic medication unless your doctor specifically tells you to stop. Talk with your doctor if you have concerns about continuing the prescription drugs.

If you don’t complete your prescription, the DPP-4 inhibitor may not fully treat your type 2 diabetes. 

Januvia (Sitagliptin) prescription uses

There is one FDA-approved use for Januvia, but it may also be used off-label to treat other conditions. Your online medical professional may prescribe it for the following reasons. It’s also possible that your healthcare provider may prescribe it for different reasons not listed here. Ask your online doctor or pharmacist if you have questions about why a medication is prescribed.

  • Type 2 diabetes

    Januvia, or its generic form Sitagliptin, is primarily used in treating type 2 diabetes. The type 2 diabetes drug is a good choice for patients who experience high blood sugar. It is also recommended for people with difficulty with their blood sugar control. Type 2 diabetes is characterized by insulin resistance, high blood sugar, and increased insulin levels. With diet and exercise, Januvia can effectively reduce these complications associated with type 2 diabetes. 

Januvia (Sitagliptin) prescription side effects

  • The side effects associated with taking Januvia are typically mild. Most Januvia side effects are associated with the immune system and respiratory tract. Januvia has some common side effects. They may include:

    • An increased risk of infections that affect the upper respiratory tract. Sinus infections and the common cold are good examples. 

    • Headaches are also relatively common.

    • Some patients experience a stuffy or runny nose when taking the drug.


    Other side effects, which are less common but might be more severe, could include:

    • Hypoglycemia: A condition associated with low blood sugar levels. In hypoglycemia, the drug causes blood sugar levels to decline too much. This can lead to drowsiness, confusion, increased hunger, irritability, sweating, and weakness. A severe case of hypoglycemia can also cause the individual to lose consciousness. 

    • Kidney disease: In some rare cases, Januvia may affect the kidneys. This can lead to the development of kidney disease in certain patients. Symptoms of this side effect may include confusion, fatigue, sleepiness, nausea, seizures, and shortness of breath. Patients may also find their legs, feet, and ankles constantly swollen. 

    • Allergic reactions: While rare, some reports of severe allergic reactions have also been recorded among people who use Januvia. Several symptoms and adverse effects can occur when the patient has allergic reactions to the drug. This includes the development of skin reactions, angioedema, and anaphylaxis. 

    • Joint-related side effects: Patients sometimes complain about joint pain and swelling when they take this medication. Stiffness may also develop alongside the inflammation and joint pain that the patient experiences. There are certain cases where severe joint pain is reported


    You should call your doctor if you notice any of these side effects or develop other new or concerning symptoms.

    Patients should also take note of rashes, trouble breathing, and other symptoms that may suggest complications like diabetic ketoacidosis. Tell your doctor or the healthcare professional in charge of your treatment about any unpleasant symptoms.

    Using Januvia in young children under age 12 is not advised because it can cause serious side effects and is not meant to treat type 1 diabetes. If the patient has type 1 diabetes and uses Januvia, they may experience more severe low blood sugar levels.

How to take Januvia (Sitagliptin) prescription drugs

Your pharmacist will provide you with instructions on how to take your Januvia prescription.

Be sure to read your prescription label and follow the instructions. Call your doctor or pharmacy if you have any questions.

Januvia can come in different forms and doses, so follow the specific instructions on your prescription. It is typically prescribed once per day. Some particular instructions may include the correct timing of the dose. The doctor may also explain how long the patient should remain on the medication. In most cases, this is a long-term treatment solution, which means the patient will not take it for just a few weeks.

What to avoid while taking Januvia (Sitagliptin)

Januvia has certainly recognized drug interactions. Don’t change what you take without checking with your doctor or pharmacist. That includes other medications or supplements, as well as over-the-counter drugs. 

It is crucial to avoid using other medications that affect blood glucose control when taking Januvia. When combined with insulin or other medicines that lower blood glucose levels, the patient is at an increased risk of low blood sugar. This can lead to hypoglycemia, resulting in severe complications for the individual.

Junavia may also interact with a type of heart medication called Digoxin. The generic form of Digoxin is called Lanoxin. This interaction can cause an increase in the amount of Digoxin that remains in the blood circulatory system. In turn, it increases the risk of experiencing side effects associated with the use of Digoxin. The patient may experience severe headaches, dizziness, and diarrhea.

Talking to your doctor if you are taking birth control medications is essential. When you are on birth control, the pills cause specific changes in the hormones circulating through your body. These changes also generally cause an increase in blood sugar levels. When you take Januvia with birth control, the anti-diabetes drug may not work as effectively. Thus, you may still experience high blood sugar levels while you take the medication. 

You should also be wary of taking Januvia with certain herbal products. Combining this drug with natural substances that reduce blood sugar levels may also lead to drug interactions. Fenugreek, aloe vera, astragalus, ginseng, Lycium, olive leaf extract, and St. John’s Wort are a few supplements that may cause blood sugar levels to decline. Combined with Januvia, you are at an increased risk of experiencing low blood sugar. 

Ask your doctor or pharmacist if it is acceptable to consume alcohol while taking Januvia.

Some research shows that regular alcohol consumption may cause low blood sugar and affect the pancreas. Alcohol may also reduce the medication’s ability to do its job, making it harder for you to maintain a healthy blood sugar level. Excessive alcohol consumption may also cause a condition known as pancreatitis. In this condition, the pancreas becomes swollen and may not be as effective at producing insulin. If you previously experienced pancreatitis due to alcohol consumption, then using Januvia may cause a flare-up of the symptoms. 

Some common signs of pancreatitis include nausea, vomiting, diarrhea, fever, and a rapid pulse. Tenderness and a swollen feeling in the abdomen may also be signs of pancreatitis. 

In cases where alcohol causes you to experience a drop in blood sugar levels, using Januvia also increases the risk of hypoglycemia. The combination may cause low blood sugar at a severe level. Thus, tell your doctor if you drink alcohol regularly. 

Tell your doctor if you have recently had a history of severe joint pain, heart failure, and an upper respiratory tract infection. While the medication can help to improve blood sugar control, it may interact with certain health conditions. This is why you should focus on more than drug interactions.

Medication alternatives to Januvia (Sitagliptin)

If your healthcare provider prefers to put you on another treatment, they may suggest another DPP-4 inhibitor or an anti-diabetic medication in another drug class. Here are some common doctor-recommended alternatives based on your health issue.

  • Insulin resistance

    In patients with insulin resistance, early-stage treatments may first be considered. These drugs may include: