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Januvia Substitutes. If JanuviaÂ® (sitagliptin) is not working for you, or if it is causing bothersome side effects, you may want to ask your healthcare provider about substituting another medication. Several alternatives to Januvia are available for type 2 diabetes. These include other oral diabetes drugs, such as:
BYDUREON is not a substitute for insulin and is not for people with type 1 diabetes or people with diabetic ketoacidosis. BYDUREON is a long-acting form of the medication in BYETTAÂ® (exenatide) injection so both drugs should not be used at the same time. It is not known if BYDUREON can be used in people with a history of pancreatitis or if BYDUREON is safe and effective for use in children.