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Trulicity

Trulicity

dulaglutide

Manufacturer:

Eli Lilly

Distributor:

Zuellig Pharma
Concise Prescribing Info
Contents
Dulaglutide
Indications/Uses
Adult & ped patients ≥10 yr w/ type 2 DM to improve glycaemic control as monotherapy when diet & exercise alone do not provide adequate glycaemic control & for whom metformin use is inappropriate due to intolerance or contraindications, or as add-on therapy in combination w/ other glucose-lowering medicinal products including insulin, together w/ diet & exercise, do not provide adequate glycaemic control. Reduce risk of major adverse CV events (eg, CV death, non-fatal MI or stroke) in adults w/ type 2 DM who have multiple CV risk factors w/ or w/o established CV disease.
Dosage/Direction for Use
SC Inj in abdomen, thigh or upper arm. Adult Monotherapy 0.75 mg once wkly. Add-on therapy 1.5 mg once wkly. Potentially vulnerable population (eg, patient ≥75 yr) Initially 0.75 mg once wkly. Paed ≥10 yr Initially 0.75 mg once wkly. May increase to max of 1.5 mg once wkly after at least 4 wk if additional glycemic control is needed.
Administration
May be taken with or without food.
Contraindications
Special Precautions
Not to be administered IV or IM. Discontinue treatment if pancreatitis is suspected & not to be restarted if pancreatitis is confirmed. Not to be used in patients w/ type 1 DM or for treatment of diabetic ketoacidosis. Not a substitute for insulin. Not recommended in patients w/ severe GI disease including severe gastroparesis. Dehydration; acute pancreatitis. Increased risk of hypoglycaemia in combination w/ sulphonylurea or insulin. Patients w/ CHF. Monitor patients w/ history of diabetic retinopathy for progression. May cause deterioration of renal function including acute renal failure in patients w/ impaired renal function. May affect ability to drive & use machines when used in combination w/ sulphonylurea or prandial insulin. Not recommended in ESRD (<15 mL/min/1.73 m2). Not recommended during pregnancy. Not to be used during lactation.
Adverse Reactions
Hypoglycaemia; nausea, diarrhoea, vomiting, abdominal pain. Decreased appetite, dyspepsia, constipation, flatulence, abdominal distension, GERD, eructation; fatigue; sinus tachycardia, 1st degree AV block.
Drug Interactions
Delayed gastric emptying & affected absorption rate of oral medicinal products requiring rapid GI absorption. Increased exposure, Cmax & median tmax w/ sitagliptin.
MIMS Class
Antidiabetic Agents
ATC Classification
A10BJ05 - dulaglutide ; Belongs to the class of glucagon-like peptide-1 (GLP-1) analogues. Used in the treatment of diabetes.
Presentation/Packing
Form
Trulicity soln for inj 0.75 mg/0.5 mL
Packing/Price
4 × 1's
Form
Trulicity soln for inj 1.5 mg/0.5 mL
Packing/Price
4 × 1's
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