Janumet can be taken any time of the day, but patients are encouraged to take it at bedtime. It is best not to take Janumet if you have an allergic reaction to it or if you are already taking a blood thinner (warfarin). If you develop severe stomach upset, ask your doctor about stopping Janumet for two days and restarting at a lower dose.
Do I need special tests before starting Janumet?
No special testing is needed prior to starting treatment with Janumet. However, when switching between medications that affect blood clotting (such as aspirin) and non-blood clotting drugs (such as warfarin), some procedures may be required in order for your body’s natural clotting mechanisms to return back to normal after using the new medication. These procedures include: ultrasound testing of liver function; prothrombin time/partial thromboplastin time test; coagulation factor analysis; low molecular weight heparins such as enoxaparin administered by injection twice daily on alternating days or dalteparin given intravenously once daily; activated partial thromboplastin times (APTT); international normalized ratio (INR) tests; quantitative assays of antithrombin III activity; antigenic studies ; plasminogen activator inhibitor-1 enzyme activity assay ; D -dimer testing especially in individuals using warfarin therapy who also use fibrino