- Type 2 DM
- Cardiovascular event risk reduction in Type 2 DM patients with established cardiovascular disease:
- Initial dose: SC 0.25mg once a week *4/52
- Maintenance: SC 0.5mg once a week, then may increase to 1mg after at least 4 weeks, then to 2mg after another 4 weeks
- Max: 2mg/week
- Pre-filled syringe:
- 0.25mg/0.5mL
- 0.5mg/0.5mL
- 1mg/0.5mL
- Administered once weekly, on the same day each week
- Injected subcutaneously into the abdomen, thigh or upper arm.
- Rotate injection sites with each dose.
- Taken without regards to meals
Glucagon-like peptide 1 (GLP-1) agonist
It works by activating glucagon-like-peptide-1 (GLP-1) receptor, increasing insulin secretion, decreasing glucagon secretion and delaying gastric emptying (incretin mimetic).
- Nausea
- Vomiting
- Diarrhea
- Abdominal pain
- Constipation
- Diabetic retinopathy
- Eructation
- Hypoglycemia
- Dyspepsia
- GERD
- Flatulence
- Gastritis
- Increased amylase and lipase
- Injection site reaction
Blackbox warning:
Contraindicated in patients with a personal or family history of medullary thyroid carcinoma (MTC) or in patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) due to risk of thyroid C-cell tumors.
- Hypersensitivity to components
- Type 1 DM
- Multiple endocrine neoplasia syndrome type 2
- Children under 18 years
- Breastfeeding
- End stage renal disease
- NYHA class IV heart failure
- Pregnancy
- Insulin
- Sulfonylureas
Drug Status
Availability | Prescription only |
Pregnancy | Contraindicated |
Breastfeeding | Contraindicated |
Schedule | Not controlled |
BRAND NAME | STRENGTH | FORMULATION | PACK SIZE | MANUFACTURER | DISTRIBUTOR |
---|---|---|---|---|---|
Ozempic | 0.25mg, 0.5mg | Injection | 1’s | Novo Nordisk | Phillips Therapeutics |
Ozempic | 1mg | Injection | 1’s | Novo Nordisk | Phillips Therapeutics |