Table of Contents
Trulicity – Uses, Side Effects, Warnings, and More
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How to use Trulicity Pen Injector
Before beginning treatment with dulaglutide and whenever you get a refill, make sure you thoroughly go through the Medication Guide and Instructions for Use that was provided by your pharmacist. If you have any questions, you should consult with either your physician or your pharmacist.
Before you use this product, make sure to visually inspect it for any particles or discoloration. If either of these is present in the drink, you should not use it. Use some rubbing alcohol to sterilize the injection site every time before administering a dose. Alter the location of the injection each time to reduce the risk of causing damage to the dermis.
As prescribed by your physician, inject this medication just beneath the skin in the thigh, abdomen, or upper arm. The frequency of this injection is typically once every seven days. Never inject the medication into a vein or a muscle. You can take it either with or in place of meals.
If you are also injecting insulin, you should give the dulaglutide and insulin injections at separate times. They should not be combined. It is permissible to inject these medications in the same region of the body; however, the injection sites should not be in close proximity to one another.
Do not allow another individual to use your pen device under any circumstances, even if the needle has been replaced. You could transfer serious infections to other people, or you could catch serious infections from other individuals. Acquire the knowledge necessary to safely store and dispose of medical supplies.
Take this drug as directed in order to experience the full extent of its benefits. Utilize it on the same day of the week in order to facilitate easier recall. Putting a note on your calendar as a reminder might be helpful. Be sure to adhere to the prescribed medical treatment plan, meal plan, and exercise program that your physician has outlined for you.
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Your current health status and how well you respond to treatment will determine the appropriate dosage. Your stomach and gastrointestinal side effects risk will be reduced to a manageable level by beginning treatment with a low dose prescribed by your physician, who will then gradually raise your dosage. Be sure to pay close attention to the directions that your doctor gives you.
If your situation does not improve or if it gets worse, you should let your doctor know (such as if your blood sugar remains high or increases).
Adverse Reactions
Please also see the section labeled Warning.
It is possible that you will experience nausea, vomiting, diarrhea, abdominal discomfort, stomach distress, decreased appetite, weariness, or weakness. Notify your doctor or pharmacist as soon as possible if any of these side effects continue or become worse.
Keep in mind that the reason your doctor has recommended that you take this medication is that he or she believes that the potential benefits to you outweigh the potential risks of doing so. The majority of persons who take this medicine do not report experiencing any severe adverse effects.
Notify your primary care physician as soon as possible if you experience any severe adverse effects, such as a slow or irregular heartbeat, evidence of kidney problems (such as a change in the volume of urine), or changes in your vision.
If you have persistent nausea or diarrhea, you run the risk of becoming dehydrated and damaging your kidneys. If you observe any symptoms of dehydration, such as unusually decreased urination, unusually dry mouth or thirst, fast heartbeat, or dizziness or lightheadedness, you should make an appointment with your doctor as soon as possible.
You should seek immediate medical attention if you experience any very significant side effects, such as indicators of pancreas or gallbladder illness (such as nausea and vomiting that does not stop, severe stomach or abdominal pain).
Although dulaglutide does not typically produce low blood sugar (hypoglycemia) when taken on its own, hypoglycemia can still occur when this drug is combined with other diabetic medication and taken as directed.
Have a discussion about the possibility of reducing the dosage of your other diabetes medications with your primary care physician or your pharmacist. A low blood sugar level may also be the result of drinking significant quantities of alcohol, not consuming enough calories through food, or engaging in particularly strenuous physical activity. There is a possibility that you will have abrupt sweating, trembling, a rapid heartbeat, hunger, blurred vision, dizziness, or tingling in your hands and feet.
When treating low blood sugar, it is a good practice to always have glucose tablets or gel on hand. In the event that you do not own these dependable sources of glucose, you can quickly elevate your blood sugar by consuming a source of sugar that digests quickly, such as table sugar, honey, or sweets; alternatively, you can drink fruit juice or regular soda. Immediately discuss the reaction and the use of this product with your primary care physician. Eating meals on a regular schedule and avoiding skipping meals are two things you may do to help prevent low blood sugar. If you don’t eat for a while, you should talk to your primary care physician or your pharmacist about what you should do.
The condition known as hyperglycemia is characterized by symptoms such as thirst, increased urination, confusion, tiredness, flushing, fast breathing, and a fruity stench emanating from the breath. If you experience any of these symptoms, you should contact your doctor as soon as possible. It’s possible that your dosage has to be raised.
It is quite unusual for this medicine to cause an extremely severe allergic reaction. However, you should seek immediate medical attention if you notice any symptoms of a serious allergic reaction, such as a rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, or difficulty breathing. These symptoms may indicate anaphylaxis.
This list of potential adverse effects is not exhaustive in any way. Please consult your physician or pharmacist if you have any side effects that are not listed above.
In the United States, if you are experiencing any adverse effects, please consult your primary care physician. You can call the FDA at 1-800-FDA-1088 or visit their website at www.fda.gov/medwatch to report any adverse effects.
In Canada, if you are experiencing any adverse effects, please consult your primary care physician. You can call Health Canada at 1-866-234-2345 to report any adverse effects you experience.
Precautions
Please also see the section labeled Warning.
Inform your doctor or pharmacist that you are allergic to dulaglutide, as well as if you have any other allergies, before beginning treatment with dulaglutide. There is a possibility that this product contains inactive ingredients, which, if present, could result in allergic reactions or other complications. Discuss the matter further with your pharmacist for further information.
Inform your doctor or pharmacist of all of your medical conditions, including but not limited to the following: kidney disease, disease of the pancreas (pancreatitis), gallbladder disease, stomach/intestinal disorders (such as gastroparesis), and a specific eye problem, before beginning treatment with this medication (diabetic retinopathy).
If your blood sugar is extremely low or extremely high, you may experience symptoms such as blurred vision, dizziness, or drowsiness. Do not operate a motor vehicle, or any machinery, or engage in any activity that demands alertness or clear eyesight until you have established that you are capable of carrying out such activities in a secure manner.
While you are taking this medicine, you should limit your use of alcohol since it may increase the likelihood that you will experience low blood sugar.
When your body is under stress, it could make it more difficult to maintain proper management of your blood sugar (such as due to fever, infection, injury, or surgery). You should discuss this with your physician because it could call for a modification to your treatment plan, medications, or blood sugar monitoring.
Before undergoing surgery, it is important to discuss all of the products you use with your dentist or doctor (including prescription drugs, nonprescription drugs, and herbal products).
During pregnancy, it is important to only use this drug when it is absolutely necessary. Talk to your healthcare provider about the potential drawbacks and advantages.
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Diabetes is a condition that could be brought on by pregnancy or made worse by it. Talk to your prenatal care provider about developing a strategy for keeping your blood sugar under control while you are expecting. During your pregnancy, your doctor may decide to make adjustments to the way you treat your diabetes (such as diet and medications including insulin).
It is not known whether this medication is found in breast milk. Before starting to breastfeed, you should talk to your healthcare provider.
Please seek the advice of your pharmacist or physician.
Interactions
Drug interactions can alter the way in which your prescriptions work or raise the likelihood that you will have major adverse effects. This document does not contain all possible medication interactions. Maintain a list of all the goods you use, including prescription and over-the-counter medications, as well as herbal remedies, and give it to both your primary care physician and your pharmacist. Without first consulting your physician, you should never alter the dosage of any medication, stop taking any medication, or start taking any new medication.
Beta-blocker drugs, such as metoprolol, propranolol, and glaucoma eye drops such as timolol, have the potential to prevent the rapid and pounding heartbeat that you would normally experience when your blood sugar is too low (hypoglycemia). These medications have no effect on the other symptoms of low blood sugar, such as dizziness, hunger, or sweating, but they can make you sweat more.
There are numerous medicines that can have an effect on your blood sugar, making it more difficult to control. Talk to your doctor or pharmacist about the potential effects every medicine you take could have on your blood sugar before you begin, stop, or change any medication you are already taking.
Check your blood sugar on a regular basis as instructed by your doctor, and then discuss the results with them. If you experience any symptoms of high or low blood sugar, you should consult your doctor as soon as possible. (For more information, see the section on Side Effects.) It’s possible that your diabetic medication, exercise routine, or diet will need to be adjusted by your doctor.
Overdose
Dial 911 if you suspect that someone has overdosed and they are exhibiting serious symptoms such as passing out or having problems breathing. In any other case, you should immediately contact a poison control center. To reach the poison control center for your area in the United States, dial 1-800-222-1222. Canada residents can call a provincial poison control center.
Notes
It is imperative that you do not provide this medication to anyone else.
Attend a diabetes education session to gain a better understanding of how to control your diabetes through the use of medications, a healthy diet, physical activity, and frequent checkups with a doctor.
Acquaint yourself with the signs of high and low blood sugar, as well as the treatments for low blood sugar. Make sure you keep a close eye on your blood sugar levels as instructed.
While you are taking this drug, you should have regular medical exams and/or lab testing (such as checking your kidney function, fasting blood glucose levels, hemoglobin A1c, and eye exams). Make sure you don’t miss any of your doctor or lab appointments.
Neglected Dose
If you forget to take a dose, take it as soon as you realize you forgot it. If it will still be more than three days before the following dose, you should skip the one you missed. Apply the following dose at the typical interval. It is not necessary to double the dose in order to catch up.
Storage
Place in the refrigerator to keep cool. Do not freeze. It is also possible to store this drug at room temperature; however, it must be used within two weeks after being opened. Always make sure that children and animals are kept well away from any medications.
Unless you have been specifically told to do so, you should not flush drugs down the toilet or pour them down a drain. When it is no longer needed or has passed its expiration date, dispose of this product in the appropriate manner. Talk to your neighborhood pharmacy or the firm that handles garbage disposal in your area.