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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:
Byetta would be the closest alternative to Januvia but that has it's own problems with nausea. Janumet will not upset your stomach like the Metformin does. It does contain Metformin but not enough to upset your stomach. I know many people that has a upset stomach taking Metformin that take Janumet with no problem. It is best to call your insurance. It is not on my Insurance's list either but they do cover it.