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Initial dose: 150 mg orally per day in divided doses; this may be increased by 50 mg orally per day every 3 to 4 days Maximum dose:-Inpatients: 600 mg/day-Outpatients: 400 mg/day Comments:-Patients should be screened for a personal/family history of bipolar disorder, mania, or hypomania prior to initiating treatment. It contains the active ingredient Sitagliptin and is used to manage high blood sugar levels in individuals with type 2 diabetes when used alongside proper diet and exercise. Januvia

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