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Rybelsus

Rybelsus

semaglutide

Manufacturer:

Novo Nordisk

Distributor:

Zuellig Pharma
Concise Prescribing Info
Contents
Semaglutide
Indications/Uses
Adjunct to diet & exercise in adults w/ insufficiently controlled type 2 DM as monotherapy when metformin is inappropriate due to intolerance or CIs; in combination w/ other medicinal products for diabetes.
Dosage/Direction for Use
Initially 3 mg once daily for 1 mth, may be increased to maintenance dose: 7 mg once daily for at least 1 mth. Then further increased to 14 mg once daily to improve glycaemic control.
Administration
Should be taken on an empty stomach: Swallow whole, do not chew/crush/split. Refrain from eating, drinking or taking other oral medications for at least 30 min after intake.
Contraindications
Special Precautions
Discontinue use if pancreatitis is suspected. Not to be used in patients w/ type 1 DM or for diabetic ketoacidosis. Not recommended in patients w/ CHF NYHA class IV. Increased risk of hypoglycaemia in combination w/ sulfonylurea or insulin. GI effects; history of pancreatitis; diabetic retinopathy; bariatric surgery. Ensure to avoid fluid depletion. May affect ability to drive & use machines. Not recommended in ESRD. Severe renal & hepatic impairment. Women of childbearing potential should use effective contraception. Not to be used during pregnancy & lactation. Childn & adolescents <18 yr. Elderly ≥75 yr.
Adverse Reactions
Hypoglycaemia; nausea, diarrhoea. Decreased appetite; diabetic retinopathy complications; vomiting, abdominal pain & distension, constipation, dyspepsia, gastritis, GERD, flatulence; fatigue; increased lipase & amylase; dizziness.
Drug Interactions
Increased AUC of thyroxine. Frequent INR monitoring w/ warfarin or other coumarin derivatives.
MIMS Class
Antidiabetic Agents
ATC Classification
A10BJ06 - semaglutide ; Belongs to the class of glucagon-like peptide-1 (GLP-1) analogues. Used in the treatment of diabetes.
Presentation/Packing
Form
Rybelsus tab 14 mg
Packing/Price
30's;60's;90's
Form
Rybelsus tab 3 mg
Packing/Price
30's;60's;90's
Form
Rybelsus tab 7 mg
Packing/Price
30's;60's;90's
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