About 1 out of every 5 people taking Trulicity during clinical trials felt nauseous1. This weekly injectable helps manage type 2 diabetes but has side effects. Knowing these risks is key to staying healthy.
Trulicity (dulaglutide) is a common treatment for type 2 diabetes. It helps by making the pancreas release more insulin and slows down food movement2. While it helps control blood sugar, it can also cause side effects, some of which are serious.
Key Takeaways
- Nausea and vomiting are common side effects, especially when starting Trulicity, but often decrease over time.
- Diarrhea, stomach pain, and decreased appetite are other frequently reported Trulicity side effects.
- Rare but serious side effects include pancreatitis, thyroid tumors, and kidney damage.
- Trulicity may interact with other diabetes medications, increasing the risk of low blood sugar.
- Patients should talk to their healthcare provider about the potential risks and benefits of Trulicity.
Introduction to Trulicity and Its Side Effects
Overview of Trulicity as a Type 2 Diabetes Treatment
Trulicity (dulaglutide) is a type 2 diabetes treatment approved by the FDA3. It helps manage blood sugar levels in adults. This drug is part of a group called GLP-1 agonists, which improve blood sugar, heart health, and weight4. It’s also used to lower the risk of serious heart and blood vessel problems in those with type 2 diabetes and heart disease or risk of it4.
Common and Rare Side Effects Associated with Trulicity
Many people find Trulicity tolerable, but it can cause side effects3. Common mild side effects include digestive issues, stomach pain, less hunger, tiredness, reactions at the injection site, and rash4. Serious side effects include low blood sugar, pancreatitis, kidney damage, severe stomach problems, and thyroid cancer risk3. Side effects differ from person to person and can depend on the dose, with higher doses increasing the risk in studies3.
Trulicity doesn’t usually cause weight gain but might make you eat less, which could lead to losing weight4. Hair loss, dizziness, and headaches are not common side effects of Trulicity45. Side effects can start and last differently, with injection-site reactions often going away in a few days and nausea improving after 2 weeks4.
Trulicity has a warning about thyroid cancer risk from the FDA5. The highest dose is 4.5 mg, given once a week5. The cost of Trulicity can change based on insurance and pharmacy, and there might be support from the manufacturer5.
“Trulicity is a prescription drug used in adults with type 2 diabetes to manage blood sugar levels and reduce the risk of heart problems.”5
Gastrointestinal Side Effects of Trulicity
Trulicity (dulaglutide) often causes nausea, vomiting, diarrhea, and stomach pain or indigestion6. These symptoms can be tough, especially when starting the drug or when the dose goes up7.
Nausea and Vomiting
About 21.1% of patients felt nausea during clinical trials6. Vomiting was less common, happening in up to 11.5%6. Doctors may increase the Trulicity dose slowly to help your body adjust7. Eating smaller meals and avoiding high-fat foods can also help7. If nausea and vomiting don’t go away, you might need a different treatment7.
Diarrhea
Diarrhea affects up to 13.7% of patients, less than nausea and vomiting6. Constipation is also possible6. Diarrhea usually gets better over time7. Drinking plenty of water and avoiding foods that make diarrhea worse can help7. If diarrhea is severe or doesn’t get better, tell your doctor7.
Stomach Pain and Indigestion
Stomach pain is a common side effect of Trulicity6. Eating smaller meals and avoiding high-fat foods can ease this7. If stomach pain is severe or doesn’t go away, it could be a sign of a serious problem6. Indigestion, or a burning feeling in the upper stomach, is also possible6. Over-the-counter meds and changing your diet might help with indigestion7.
“Less than 4% of Trulicity patients discontinued the drug due to severe gastrointestinal side effects in clinical trials.”7
Decreased Appetite and Weight Loss
Trulicity, a common type 2 diabetes drug, affects your appetite and weight. It slows down how fast food moves through your stomach, making you feel full longer. This can lead to eating less8. Your doctor might give it to you to help you lose weight9.
Studies show that people taking the highest dose of Trulicity lost more than 10 pounds on average. Those on the 3.0 mg dose lost about 9 pounds, and the 1.5 mg dose around 6.5 pounds9. Switching from insulin to Trulicity also greatly improved HbA1c levels and weight over six months9.
Trulicity’s effects on appetite and weight can be big. Talk to your healthcare team if you notice big appetite changes, as they can adjust your treatment if needed6.
Trulicity Dosage | Average Weight Loss |
---|---|
4.5 mg | Over 10 pounds |
3.0 mg | Around 9 pounds |
1.5 mg | Approximately 6.5 pounds |
Your healthcare provider can help manage the side effects of Trulicity. They can guide you on how to handle these changes and keep your diabetes treatment working well6.
“Up to 90% of Trulicity prescriptions cost less than $30 per month for those with commercial insurance, with an average remaining cost of $239 per month. With Medicare Part D, approximately 70% of Trulicity prescriptions cost between $0 and $100 per month, with the remaining 30% averaging around $207 per month.”9
Knowing about the possible appetite and weight changes with Trulicity helps you work with your healthcare team. Together, you can manage these effects and keep your diabetes treatment effective8.
Fatigue and Low Energy Levels
Some people taking Trulicity may feel more tired and have less energy1. This could be because they eat fewer calories due to a smaller appetite1. As the body gets used to eating less, the tiredness and low energy should go away1.
If you’re still feeling very tired and low on energy, talk to your doctor1. They might suggest ways to help, like changing how much Trulicity you take or giving advice on how to feel more energetic1.
Many people taking Trulicity say they feel more tired and less energetic4. In studies, feeling tired was a common side effect seen with this drug4.
The exact reason for feeling tired and low on energy isn’t fully known14. But it’s thought to be linked to eating fewer calories and changes in metabolism from using Trulicity14. By working with your doctor, you can find ways to deal with these side effects and stay well while on Trulicity.
“Fatigue and low energy levels can be frustrating side effects to deal with, but there are often ways to manage them. Don’t hesitate to have an open discussion with your healthcare provider about your experiences.”
Low Blood Sugar (Hypoglycemia)
Trulicity (dulaglutide) usually doesn’t cause low blood sugar or hypoglycemia10. But, it might raise the risk when used with other diabetes drugs that lower blood sugar, like insulin11. About 8% of people taking Trulicity alone or with metformin might get hypoglycemia in a year11. Severe hypoglycemia happens to about 0.2% of patients over one to two years11.
Symptoms and Risk Factors
Signs of low blood sugar with Trulicity include shakiness, sweating, fast heartbeat, hunger, and confusion10. Your doctor will watch your blood sugar levels closely when you start Trulicity. They might adjust your other diabetes medicines to prevent low blood sugar.
Managing Hypoglycemia with Trulicity
If you show signs of low blood sugar, check your blood glucose and treat it10. You might need to eat fast-acting carbs like glucose tablets or juice. Your healthcare team will teach you how to handle low blood sugar10. They might also change your diabetes treatment plan to prevent future episodes.
In summary, Trulicity doesn’t usually cause low blood sugar on its own11. But, it can when combined with other diabetes drugs11. It’s key to know the signs, check your blood sugar, and follow your doctor’s advice on managing low blood sugar with Trulicity101211.
Trulicity Side Effects
Trulicity (dulaglutide) is an injectable medicine for type 2 diabetes8. It can help manage the disease, but it might also cause side effects. Knowing about these side effects helps patients make better choices for their health.
Trulicity can cause stomach issues, affect appetite and energy, and lead to low blood sugar6. It may also cause gallbladder disease, pancreatitis, kidney damage, thyroid tumors, and allergic reactions6. These side effects are not common, but it’s good to know the signs. This way, you can tell your doctor right away if you notice anything unusual6.
Gallbladder Disease and Pancreatitis
Using Trulicity might increase the risk of gallbladder disease and pancreatitis6. Signs of gallbladder disease include stomach pain, feeling sick, and throwing up. Pancreatitis can cause a lot of stomach pain, feeling sick, and throwing up too6. If you have had these problems before or are at risk, your doctor should keep a close eye on you when you’re taking Trulicity.
Kidney Damage and Dehydration
Trulicity might also raise the chance of kidney damage and dehydration6. Kidney damage signs are less urine, swelling, and feeling very tired6. Dehydration can make you very thirsty, your mouth feel dry, and you might feel dizzy6. If you have kidney issues or are at risk of dehydration, be extra careful with Trulicity.
Thyroid Tumor Risk
Studies show Trulicity might increase thyroid tumor risk in animals6. The risk in people is not clear yet. If you have thyroid cancer in your family or have MEN2, you should not use Trulicity6.
Allergic Reactions
Allergic reactions with Trulicity are rare but possible6. Look out for a rash, itching, swelling, or trouble breathing6. If you have any of these symptoms, get medical help right away.
Not all people will have these side effects, and how bad they are can vary6. Talking often with your doctor, watching your health closely, and telling them about any issues is key to managing Trulicity well8.
“Staying informed about the potential side effects of Trulicity is an important part of managing your diabetes treatment. Be sure to discuss any concerns or questions with your healthcare provider.”
Gallbladder Disease and Pancreatitis
Trulicity (dulaglutide), a type 2 diabetes drug, can raise the risk of gallbladder disease and pancreatitis14. These issues can be serious and need quick medical help if they happen.
Symptoms and Risk Factors
Gallbladder disease, like gallstones and inflammation, can cause a lot of stomach pain, nausea, vomiting, fever, and yellow skin or eyes14. Pancreatitis, or pancreas inflammation, is another risk from Trulicity and brings on severe stomach pain14.
Even though rare, dulaglutide can cause pancreatitis. Other GLP-1 agonists might increase this risk more. For instance, exenatide is six times more likely to cause pancreatitis than dulaglutide14. In Trulicity trials, there was about 1.4 cases of pancreatitis per 1,000 people taking the drug for a year14.
Trulicity might also slightly raise serum amylase and lipase levels, which show how well the pancreas is working14. These changes depend on the dose. For the 0.75 mg dose, lipase levels changed by 3.0 to 6.0 units/L. For the 1.5 mg dose, they changed by 5.0 to 7.0 units/L14.
People taking Trulicity should watch for signs of gallbladder and pancreatitis. If they see any worrying symptoms, they should get medical help right away8. Doctors might also suggest regular check-ups and monitoring of pancreatic enzymes to catch and manage these serious side effects81415.
Kidney Damage and Dehydration
Trulicity is usually safe for your kidneys, but rare cases of sudden kidney damage have been seen16. This is more likely in people with bad stomach issues like ongoing nausea, vomiting, and diarrhea. These problems can cause dehydration and make kidney issues worse6.
It’s key to drink plenty of water if you have these stomach problems while on Trulicity16. Tell your doctor if these symptoms don’t go away, as they might need to check your kidney health more or change your treatment16.
Trulicity can also help your kidneys over time16. But, if you have chronic kidney disease, you might face a higher risk of low blood sugar with this drug16.
If you see signs of kidney trouble, like changes in how much you pee, swelling, or feeling very tired, talk to your doctor right away. Talking to your doctor early and keeping them updated is crucial to handle kidney side effects from Trulicity.
“Staying hydrated and reporting persistent gastrointestinal issues to your healthcare provider can help mitigate the risk of kidney damage while taking Trulicity.”
Thyroid Tumor Risk
Trulicity is a common medicine for type 2 diabetes with a strong FDA warning about thyroid C-cell tumors17. Animal studies link Trulicity to thyroid cancer, but human risks are not as clear17. Only 27% of human thyroid cancer cases have GLP-1 receptors17.
Don’t use Trulicity if you or your family has thyroid cancer or MEN-217. People with thyroid nodules might also face a higher cancer risk17. One case showed a patient with thyroid cancer linked to Trulicity, but surgery helped them recover17.
Studies haven’t proven a direct link between Trulicity and thyroid cancer in people17. Yet, experts believe the risk is low18. Be careful if you have thyroid cancer or MEN-2 history before taking Trulicity18.
Boxed Warning and Precautions
Trulicity has a strong FDA warning about thyroid C-cell tumors17. Tell your doctor right away if you notice any thyroid symptoms like a neck lump or trouble swallowing while on Trulicity17.
GLP-1 receptor agonists like Trulicity are usually safe for type 2 diabetes18. But, be extra careful if you or your family has thyroid cancer or MEN-2 history18.
“The risk for developing medullary thyroid cancer with GLP-1 therapy is difficult to quantify but considered low, leading to the recommendation against routine monitoring of calcitonin levels in patients taking GLP-1 agonists.”
Allergic Reactions to Trulicity
Allergic reactions to Trulicity, a type 2 diabetes drug, are rare but possible19. Signs include swelling of the face, lips, tongue, or throat, trouble breathing or swallowing, severe rash or itching, fainting, or a fast heartbeat20. If you notice these signs of an allergic reaction, get medical help right away. This could be very serious.
Trulicity has a warning from the FDA about thyroid tumors, including thyroid cancer20. It can also cause serious side effects like pancreatitis, severe stomach issues, and worsening diabetic eye problems20. People taking Trulicity should watch for these risks and talk to their doctor if they notice anything worrying.
If you do experience symptoms of an allergic reaction to Trulicity, act fast. You should get medical help right away. Your doctor might change your medication or suggest another treatment for your type 2 diabetes21.
“Allergic reactions to Trulicity, while rare, can be life-threatening. It’s important to be aware of the signs and to seek immediate medical care if you experience any concerning symptoms.”
In summary, Trulicity is usually safe, but watch for allergic reactions. Always work closely with your doctor to manage your type 2 diabetes safely and well192021.
When to Contact Your Healthcare Provider
If you’re taking Trulicity (dulaglutide) for type 2 diabetes, watch for side effects and know when to call your healthcare provider22. This medication helps control blood sugar and lowers heart risks in adults with type 2 diabetes22.
Side effects from Trulicity are usually mild, like nausea, vomiting, diarrhea, less appetite, and feeling tired22. But, tell your doctor about any side effects, even if they seem small. They can adjust your treatment if needed22.
Call your healthcare provider right away if you have serious side effects from Trulicity:
- Ongoing pain in the upper stomach area, which could be a sign of pancreatitis22
- Severe vomiting22
- Rash, hives, or difficulty breathing, which may indicate an allergic reaction22
- Changes in vision or a fast heartbeat, which could be symptoms of thyroid tumors23
- Dizziness, confusion, or other signs of low blood sugar22
Your healthcare provider can figure out the cause of these side effects and give you the right treatment22. They might change your Trulicity dose or switch you to another medicine if the side effects are bad or don’t go away22.
Tell your healthcare provider about any health changes, even if they’re not related to Trulicity22. They can check if the changes are from the medicine or something else22.
By talking about Trulicity side effects with your healthcare provider, you can keep your diabetes under control and quickly address any problems22. Your provider is there to help you manage your type 2 diabetes, so don’t hesitate to ask about your Trulicity treatment22.
Conclusion
Trulicity is a medication for type 2 diabetes that can have side effects, some common and others not so much24. Common side effects include nausea, diarrhea, less appetite, stomach pain, and vomiting24. These side effects are usually mild and go away quickly. But, Trulicity can also cause serious side effects like pancreatitis, kidney damage, and thyroid tumors25.
People taking Trulicity should know about these side effects and talk to their doctors about them25. It’s key to report any side effects to keep patients safe and well25. Many people have filed lawsuits against Eli Lilly, the maker of Trulicity, for side effects25.
The summary of Trulicity side effects shows the need to weigh its risks and benefits carefully26. Patients and their healthcare teams must monitor and report side effects closely26. By understanding Trulicity safety information, people with type 2 diabetes can make better choices and manage their health well26.
FAQ
What are the most common side effects of Trulicity?
Trulicity often causes nausea, vomiting, diarrhea, stomach pain, and less appetite. You might also feel tired, have indigestion, and lose weight.
How can I manage the gastrointestinal side effects of Trulicity?
To ease nausea, vomiting, and diarrhea, eat smaller meals and avoid high-fat foods. Drink plenty of water and use over-the-counter meds if it helps. If problems don’t go away, your doctor might change your dose or suggest a different medicine.
Can Trulicity cause low blood sugar (hypoglycemia)?
Trulicity doesn’t usually cause low blood sugar on its own. But, when taken with other diabetes drugs like insulin, it can raise the risk. Always check your blood sugar and follow your doctor’s advice on handling low levels.
What are the serious side effects associated with Trulicity?
Serious but rare side effects include gallbladder disease, pancreatitis, kidney damage, thyroid tumors, and allergic reactions. If you have severe stomach pain, trouble breathing, or a fast heartbeat, get medical help right away.
When should I contact my healthcare provider about Trulicity side effects?
Call your doctor immediately if you have severe, lasting, or getting worse side effects. This includes signs of pancreatitis or allergic reactions. They might change your Trulicity dose or switch you to a different medicine.
Source Links
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- Trulicity side effects: What they are and how to manage them – https://www.medicalnewstoday.com/articles/drugs-trulicity-side-effects
- Trulicity: Side Effects and What to Do About Them – https://www.healthline.com/health/drugs/trulicity-side-effects
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- Trulicity side effects and how to avoid them – https://www.singlecare.com/blog/trulicity-side-effects/
- Dulaglutide (Subcutaneous Route) Side Effects – https://www.mayoclinic.org/drugs-supplements/dulaglutide-subcutaneous-route/side-effects/drg-20122526?p=1
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- Trulicity: Side Effects, Usage, and Dosage Guide – Drugs.com – https://www.drugs.com/trulicity.html
- Dulaglutide (Trulicity) for Type 2 Diabetes Mellitus – https://www.aafp.org/pubs/afp/issues/2017/1015/p540.html
- Trulicity: 7 things you should know – Drugs.com – https://www.drugs.com/tips/trulicity-patient-tips
- Trulicity (Dulaglutide Injection, for Subcutaneous Use): Side Effects, Uses, Dosage, Interactions, Warnings – https://www.rxlist.com/trulicity-drug.htm
- Dulaglutide (Trulicity)-Induced Acute Pancreatitis: A Case Report – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241188/
- Trulicity (dulaglutide): Side effects, dosages, uses, and more – https://www.medicalnewstoday.com/articles/326844
- Effects of once‐weekly dulaglutide on kidney function in patients with type 2 diabetes in phase II and III clinical trials – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5347883/
- A Common Diabetes Treatment Leads to Diagnosis of a Rare Thyroid Cancer – https://nyulangone.org/news/common-diabetes-treatment-leads-diagnosis-rare-thyroid-cancer
- Should we be concerned about thyroid cancer in patients taking glucagon-like peptide 1 receptor agonists? – https://www.ccjm.org/content/ccjom/82/3/142.full.pdf
- Trulicity – Uses, Side Effects, Interactions – MedBroadcast.com – https://medbroadcast.com/drug/getdrug/trulicity
- Trulicity side effects guide — Optum Perks – https://perks.optum.com/blog/trulicity-side-effects
- Trulicity Uses & Side Effects – https://www.buzzrx.com/blog/trulicity-uses-and-side-effects
- Dulaglutide Injection: MedlinePlus Drug Information – https://www.medlineplus.gov/druginfo/meds/a614047.html
- Semaglutide Injection: MedlinePlus Drug Information – https://medlineplus.gov/druginfo/meds/a618008.html
- What Are the Side Effects of Dulaglutide (Trulicity)? – https://canadianinsulin.com/articles/dulaglutide-side-effects/
- TRULICITY LAWSUITS: EMERGING SIDE EFFECTS SPARKS SERIOUS CONCERNS – https://www.linkedin.com/pulse/trulicity-lawsuits-emerging-side-effects-sparks-serious-miles-rcp5e
- Dulaglutide (Trulicity): The Third Once-Weekly GLP-1 Agonist – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4894510/