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Tell your doctor about all other medicines you use, especially:

acetazolamide (Diamox);
cimetidine (Tagamet), ranitidine (Zantac);
morphine (MS Contin, Kadian, Oramorph);
ranitidine (Zantac);
topiramate (Topamax);
trimethoprim (Proloprim, Primsol, Bactrim, Cotrim, Septra) or vancomycin (Vancocin, Lyphocin);
glipizide (Glucotrol, Metaglip), glimepiride (Amaryl, Avandaryl, Duetact), glyburide (DiaBeta, Micronase, Glucovance); or
heart or blood pressure medications such as amiloride (Midamor), digoxin (Lanoxin), furosemide (Lasix), nifedipine (Nifedical, Procardia), procainamide (Procan, Pronestyl, Procanbid), quinidine (Quin-G), triamterene (Dyrenium).

You may be more likely to have hyperglycemia (high blood sugar) if you take Janumet with other drugs that can raise blood sugar, such as:

isoniazid;
diuretics (water pills);
steroids (prednisone and others);
heart or blood pressure medication (Cartia, Cardizem, Covera, Isoptin, Verelan, and others);
niacin (Advicor, Niaspan, Niacor, Simcor, Slo-Niacin, and others);
phenothiazines (Compazine and others);
thyroid medicine (Synthroid and others);
birth control pills and other hormones;
seizure medicines (Dilantin and others); or
diet pills or medicines to treat asthma, colds or allergies.

These lists are not complete and there are many other medicines that can increase or decrease the effects of Janumet on lowering your blood sugar. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

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