• Diabetes

Diabetes:

Indications for TRULICITY:

Adjunct to diet and exercise, to improve glycemic control in adults with type 2 diabetes.

Limitations of Use:

Not recommended as first-line treatment for patients inadequately controlled on diet and exercise. Not studied in patients with history of pancreatitis. Not for treating type 1 diabetes or diabetic ketoacidosis. Not a substitute for insulin. Not recommended in patients with pre-existing severe GI disease.

Adult:

Give by SC inj in the abdomen, thigh, or upper arm any time of the day, with or without food. ≥18yrs: initially 0.75mg once weekly; may increase to max 1.5mg once weekly if inadequate response.

Children:

<18yrs: not recommended.

Contraindications:

History (personal or family) of medullary thyroid carcinoma. Multiple endocrine neoplasia syndrome type 2.

Boxed Warning:

Risk of thyroid C-cell tumors.

Warnings/Precautions:

Risk of thyroid C-cell tumors; inform patients of risk and symptoms. Monitor for pancreatitis; discontinue if suspected; do not restart if confirmed. History of pancreatitis; consider alternative antidiabetics. History of anaphylaxis or angioedema with other GLP-1 receptor agonist. Renal impairment: caution with initiating or escalating doses. Monitor renal function in renally-impaired patients reporting severe GI reactions. ESRD. Hepatic impairment. Pregnancy. Nursing mothers.

Pharmacologic Class:

Glucagon-like peptide-1 (GLP-1) receptor agonist.

Interactions:

Increased risk of hypoglycemia with concomitant sulfonylureas or insulin; consider reducing their doses. May affect absorption of other oral drugs (delayed gastric emptying); monitor drugs with narrow therapeutic index.

Adverse Reactions:

Nausea, diarrhea, vomiting, abdominal pain, decreased appetite; pancreatitis, hypersensitivity reactions (discontinue if occur), acute kidney injury.

REMS:

YES

Generic Availability:

NO

How Supplied:

Single-dose pen—4

Pricing for TRULICITY

4 pens of 1.5mg/0.5ml carton (Qty: 1)
Appx. price $761
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