Semaglutide
emaglutide is a GLP-1 analog that:
- Stimulates insulin secretion.
- Reduces glucagon secretion.
- Delays gastric emptying.
- Reduces appetite and caloric intake.
WEGOVY is a GLP-1 receptor agonist indicated for:
Reducing cardiovascular events in adults with cardiovascular disease and obesity or overweight.
Chronic weight management in:
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Adults and adolescents (12+) with obesity.
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Adults with overweight and at least one weight-related comorbidity.
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Initiation & Titration Schedule:
- Weeks 1–4: 0.25 mg
- Weeks 5–8: 0.5 mg
- Weeks 9–12: 1 mg
- Weeks 13–16: 1.7 mg
- Week 17 onward: 2.4 mg (recommended maintenance dose)
Common (≥5%):
- GI issues: nausea, vomiting, diarrhea, constipation, abdominal pain.
- Others: headache, fatigue, dizziness, hypoglycemia (in T2DM), dyspepsia.
Serious:
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Acute pancreatitis, gallbladder disease, kidney injury, suicidal ideation, allergic reactions.
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History of MTC or MEN 2.
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Prior serious hypersensitivity to semaglutide or formulation ingredients.
Includes risks of:
- Thyroid tumors
- Acute pancreatitis
- Gallbladder disease (e.g., cholelithiasis, cholecystitis)
- Hypoglycemia (especially with insulin or sulfonylureas)
- Kidney injury (especially with severe GI symptoms or pre-existing impairment)
- Severe GI events
- Hypersensitivity reactions (e.g., anaphylaxis)
- Diabetic retinopathy complications
- Increased heart rate
- Suicidal ideation
- Pulmonary aspiration during anesthesia