have been reported. using januvia and a sulfonylurea or insulin together may cause low blood sugar. to reduce the risk, your doctor may prescribe a lower dose of the sulfonylurea or insulin. your doctor may perform blood tests before and during treatment to check your kidneys. if you have kidney problems a lower dose may be prescribed. side effects may include upper respiratory tract infection, stuffy or runny nose and sore throat, and headache. for help lowering your blood sugar talk to your doctor about januvia today. even 10 miles away. they can see the light of a single candle. look after them with centrum silver. multivitamins for your eyes, heart and brain. now, with a new easy to swallow coating.