How to use it
Take Trulicity as instructed by a qualified health care provider. Trulicity is typically taken once a week. Eli Lilly recommends injecting it under the skin in the upper arm, upper thigh, or stomach. Store Trulicity in a refrigerator.
Dosing
For most patients, dosing begins with a single-dose pen of 0.75 mg for each weekly injection. After four weeks, the dosage will increase to 1.5 mg weekly if blood glucose levels need to be lowered more. For those with Type 2 diabetes who continue to need additional glycemic control, your provider may increase your weekly dose by 1.5 mg increments after at least four weeks on the current dose to a maximum of 4.5 mg as long as you continue to tolerate Trulicity.
Side effects
Rapid or significant weight loss can lead to too much muscle loss. It’s important to start a strength training program and exercise regularly to protect your muscles while taking Trulicity.
Tell your health care provider if you have severe stomach problems that won’t go away, including abdominal bloating or pain, acid reflux, a feeling of fullness after eating just a few bites of food, nausea, and vomiting, including vomiting undigested food eaten a few hours earlier. These may be symptoms of gastroparesis (stomach paralysis).
Use effective contraception while taking this medication. If you are pregnant, breastfeeding, or planning to become pregnant, do not take Trulicity.
The FDA also warns not to take Trulicity if you have a personal or family history of multiple endocrine neoplasia syndrome Type 2, medullary thyroid cancer, insulin-dependent diabetes, or diabetic ketoacidosis. So, if that’s you, Trulicity isn’t the right fit.
Black Box Warning
Although rare, dulaglutide caused thyroid C-cell tumors in animal studies. Trulicity’s “black box” warns of the risk of these tumors. If you have trouble swallowing, develop hoarseness, or feel swelling or a lump in your neck, contact your health care provider immediately.
Precautions
Rapid or significant weight loss can lead to too much muscle loss. It’s important to start a strength training program and exercise regularly to protect your muscles while taking Trulicity.
Tell your health care provider if you have severe stomach problems that won’t go away, including abdominal bloating or pain, acid reflux, a feeling of fullness after eating just a few bites of food, nausea, and vomiting, including vomiting undigested food eaten a few hours earlier. These may be symptoms of gastroparesis (stomach paralysis).
Use effective contraception while taking this medication. If you are pregnant, breastfeeding, or planning to become pregnant, do not take Trulicity.
The FDA also warns not to take Trulicity if you have a personal or family history of multiple endocrine neoplasia syndrome Type 2, medullary thyroid cancer, insulin-dependent diabetes, or diabetic ketoacidosis. So, if that’s you, Trulicity isn’t the right fit.
Interactions
Some drugs can also interact with Trulicity, including:
- Insulin
- Sulfonylureas (these can cause blood sugar levels to drop dangerously low when combined with Trulicity)
- Some birth control pills
- Other GLP-1 or GLP-1/GIP receptor agonist medications such as liraglutide or tirzepatide
You should not drink alcohol while taking this drug because alcohol can lower blood sugar. Combining alcohol with Trulicity may cause blood sugars to fall too fast, leading to fainting and dizziness.