Janumet Sitagliptin & metformin 50/1000 mg 56 tabs

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Compassionate insight your individual specialist before you start taking any kind of medication. Estimations AND ADMINISTRATION: General: The dosage of antihyperglycemic treatment with JANUMET ® * must be individualized centered around the tolerant's available treatment , suitability and tolerability , without surpassing the most amazing recommended step by step estimation of 100 mg sitagliptin. * Generally JANUMET ® should be administered twice step by step with food , bit by bit extending the estimations to decline gastrointestinal responses associated with metformin. Estimation recommendations : The starting measurement of JANUMET ® * should be centered around the current treatment of the patient. ® * JANUMET should be given twice step by step with sustenance. It comes in the going hand in hand with measurements: Sitagliptina/500 mg 50 mg metformin hydrochloride . Sitagliptina/850 mg 50 mg metformin hydrochloride . Sitagliptin 50 mg/ 1,000 mg metformin hydrochloride . Starting treatment: In patients with sort 2 diabetes inadequately controlled with hyperglycemia with consuming approach and movement , the recommended starting dose of JANUMET ® * is 50 mg of sitagliptina/500 mg metformin hydrochloride twice step by step . The patient estimations may be titrated to 50 mg of sitagliptin/ 1000 mg metformin hydrochloride twice step by step . For patients inadequately controlled on metformin monotherapy : In patients in whom metformin alone does not sufficiently control glucose, the common starting estimations of JANUMET ® * should search for sitagliptin 50 mg twice step by step (indicate step by step estimation 100 mg ) notwithstanding the measurement of metformin viably taking . For inadequately controlled on sitagliptin monotherapy patients : In patients on sitagliptin alone does not sufficiently control glucose , the typical starting estimations of JANUMET ® * is 50 mg of sitagliptina/500 mg metformin hydrochloride twice consistently , and can be extended to 50 mg sitagliptin/ 1,000 mg metformin hydrochloride twice step by step . Patients who are taking sitagliptin alone at an estimations adjusted for renal inadequacy should not change them to JANUMET ® * (see Contraindications) . For patients bringing metformin coadministered with sitagliptin : In patients taking sitagliptin and metformin , you can start JANUMET ® * at estimations of sitagliptin and metformin viably getting . For patients inadequately controlled on twofold mixture treatment with any two of the going with three medicines ; sitagliptin , metformin or a sulfonylurea : The standard starting estimations of JANUMET ® * should search for sitagliptin 50 mg twice consistently (signify step by step estimation 100 mg). To center the initial estimation of the metformin part must consider the level of glycemic control of the patient and the current estimations ( if any) of metformin. To decrease gastrointestinal effects associated with metformin should consider modifying the estimations bit by bit . Patients starting or at present taking sulfonylurea may oblige a lower estimation of the sulfonylurea to lessen the threat of sulfonylurea -impelled hypoglycemia ( see WARNINGS) . For patients inadequately controlled on twofold combo treatment with any two of the going with three meds ; sitagliptin , metformin or PPAR agonist (eg, thiazolidinediones ): The standard starting estimation of JANUMET ® * should search for sitagliptin 50 mg twice step by step (mean step by step estimations 100 mg). To center the starting estimations of the metformin part must consider the level of glycemic control of the patient and the current estimation ( if any) of metformin. To diminish gastrointestinal effects joined with metformin should consider altering the estimation orderly . For patients insufficiently controlled on twofold mix treatment with any two of the going hand in hand with three pharmaceuticals ; sitagliptin , metformin or insulin : The ordinary starting dose of JANUMET ® * should search for sitagliptin 50 mg twice step by step (mean consistently estimation 100 mg). To center the starting measurement of the metformin part must consider the level of glycemic control of the patient and the current estimations ( if any) of metformin. To diminish gastrointestinal effects joined with metformin should consider changing the measurement bit by bit . Patients with insulin or that are starting may oblige lower estimations of this to reduce the peril of hypoglycemia ( see WARNINGS) . There have been no studies especially taking a gander at the security and reasonability of JANUMET ® * in patients being treated with other antihyperglycemic agents were traded to JANUMET ® * . Any movements to the treatment of sort 2 diabetes should be done with caution and sufficient supervision , can happen in light of the fact that c


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Shipping & Returns

 we are a Registered and Licensed Mexican pharmacy we assure you top quality medicines without the worry of your health care provider, employer or any other group finding out what rightfully is a private issue.

Did you know that your private medical file can be used against you to raise your insurance rates or in some cases and countries to lose your job? We take your privacy very seriously and by using these payment methods and the way in which we use them your bank does not directly get charged from our pharmacy. This way your medical needs stay as private as possible.

You will also receive a complete invoice in your email with payment totals and simple payment instructions toward the bottom of the email should you wish to pay at a later convenience.

IMPORTANT: If you need to make some changes in regards an existing order, contact us within 24 hours, otherwise, Mexican Pharm is not liable due to errors on customer’s information or products presentation. 


Shipping Methods.

To ensure the delivery of your order we handle EXPRESS SHIPPING only. Signature is required.
Tracking numbers for all orders will be sent with instructions once shipped.


How long does it take to ship the drugs to my home or office?

  • Express USA time frame: 10-21 business days.   ($24.95 USD Signature required)
  • Express World Wide time frame: 15-30 business days.  ($39.95 USD Signature required)


*Due to unexpected Postal Service changes, one of the shipping methods above could be temporarily disabled.

IMPORTANT: Please ensure your mail program is configured to accept email from www.mexicanpharm.com sender, add our email to your non blocked email address so we may send invoices, order status and shipping confirmations. If you do not receive your invoice immediately after this, please check your spam filter and make necessary changes. 

We reply promptly to your enquiries and requests emails, but are too busy to repeatedly resend email that customers do not receive because our replies have been moved to a customers’ Spam, Junk or Bulk email folder.

Online pharmacy Medicines Mexico shipping terms and conditions.
Our team endeavors to process all orders and ship within 72 business hours. All credit card and electronic check payments for your mexicanpharm take 24 to 48 hours to be approved by our Payment Processor; upon verification your order will be processed. If there are any problems with your order, we will contact you, so please ensure the email address and phone number you provide is correct, and that any spam filtering software you use accepts email from www.mexicanpharm.com

Express Shipping.
We offer Mex Post Express Shipping as an option. This option costs from $24.95 depending on the quantity of medications in your order (up to 9 medications). This option requires a customer signature on delivery. For all other locations Express Shipping is $39.95. All packages are shipped in plain packaging to guarantee your privacy. All packages are sent by parcel express mail from Mexico. Some parcels require a signature upon delivery at our discretion. There are no other handling fees, drug dispensing fees, or Mexican customs charges. If two or more people are ordering their prescription drugs from the same address at the same time, you will be billed for only one shipping charge from our Mexico pharmacy, up to our maximum order quantities limited by customs to 90 day supply. We are able to provide a tracking number on your express shipping parcels. If after 30 business days your order has not arrived, first check with your local postal office to ensure that your package is not being held for pick-up. If you still have problems, please contact us by email and we will attempt to assist you.

Notice Left
If no one is at home at the time of delivery, the status of you order on the Postal System will be updated to “Notice Left” which means USPS attempted to deliver your item and a notice was left because an authorized recipient was not available. You may arrange redelivery by visiting or calling 800-ASK-USPS, or may pick up the item at the Post Office indicated on the notice. If this item is unclaimed after five days then it will be returned to the sender. You can pay for reshipping $24.95 in order to receive a new tracking number. (Reshipping will be issued until the package is received back in our offices).

Note that on Holidays season, the Mexican Postal, USA and other countries will be extra busy; therefore a delay is expected in packages shipped during this season. You will need to consider as well the Mexican holidays. We appreciate your understanding, our customer service will be happy to assist you and available to inform you the latest status on your existing order shipped, you can always contact us at Toll Free number or email address.

Order Cancellation
Due to our policy of same day payment processing, ORDERS CANNOT BE CANCELLED.

Due to government regulations and the possibility of tampering with medications, returns cannot be accepted. In case your package is returned due to no one was available to sign for it. You can pay for reshipping $24.95 in order to receive a new tracking number. (Reshipping will be issued until the package is received back in our offices).

How to find the online pharmacy drug you need.
There are many more medications available in Mexico that are not listed on our website. If you can’t find the Mexican drug or medication you require, please contact us and we may be able to help. Some products are listed only in a single dosage size or medicine type, but may be available in other dosages and forms. Our experienced Mexican pharmacy Pharmacists will do their best to accommodate your requirements. Please always specify the chemical name of the medication (and any applicable brand name) with all inquiries. Please feel free to ask about ANY drug. We will reply promptly to your request.

What you should know about brand and generic drug alternates.
Prescription drugs are a costly medical expense, especially for the elderly, those who are chronically ill and those with no or minimal drug coverage on their Health Insurance. However, each state in America has a law that allows pharmacists to substitute less expensive generic drugs for many brand name products. Depending on your prescription needs, your savings could be very significant. Before you talk with your doctor or pharmacist about switching, there are things you should know about generic drugs.

What is the difference between a generic and brand name drug?
Nothing except for the name, packaging, and the price, a generic drug is called by its chemical name; manufacturers assign their own brand name. The generic products have the same ingredients. Standard practice and most state laws require that a generic drug be generically equivalent to its brand name counterpart. That is, it must have the same active ingredients, strength, and dosage form, be it a pill, liquid, or injection. The generic drug also must be therapeutically equivalent. It must be the same drug chemically and have the same medical effect.

Do all drugs have generic equivalents?
No. Some drugs are protected by patents and are supplied by only one company. However, when the patent expires, other manufacturers can produce its generic version. Currently, about half the drugs on the market are available in generic form.

Will my doctor automatically prescribe generic drugs?
It depends on the physician. You can ask your doctor to write a prescription permitting substitution of a generic drug product when appropriate or to define the chemical name for the prescription. This will ensure you are purchasing the correct Mexico drug. Generic products will be as effective and less costly. Or, you can order only brand name products if you wish. www.mexicanpharm.com Mexico pharmacy offers a wide selection of both Brand Name & Generic Mexico medicine. Our Mexican generic drugs are of the highest quality, selected only from the most reputable manufacturers, and are safe to replace brand name medications costing much more.



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When contacting a service center with you, you must take:

  • original warranty card;
  • document confirming payment for the goods (check).

The warranty is provided for a period of 2 weeks to 99 months. Please check the completeness and absence of defects in the goods upon receipt.


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