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Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Dulaglutide Pharmacology

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Education, Health & Fitness, Medicine

5716 Ratings

🗓️ 8 October 2020

⏱️ 13 minutes

🧾️ Download transcript

Summary

Dulaglutide is a GLP-1 agonist used in the management of diabetes.



Dulaglutide has 4 different dosages that can be used to help lower A1C. As the dose goes up, so does the potential for adverse effects however.



Like most of the GLP-1 agonists, dulaglutide is only available as an injection. Semaglutide is an exception to this.



Nausea is the primary adverse effect of dulaglutide which some patients may get used to over time.

Transcript

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0:00.0

Hey, all, welcome back to the Real Life Pharmacology podcast.

0:03.8

I'm your host, pharmacist Eric Christensen.

0:06.6

Thank you so much for taking time on to your day to listen.

0:09.9

Hopefully you pick up a few clinical pearls today.

0:13.6

With that said, I do want to mention real-life Pharmacology.com.

0:18.5

Go snag your free top 200 study guides 31 page PDF simply get it just for

0:26.3

subscribing we send you updates on when we've got new content new podcasts and things of that

0:31.8

nature so definitely go check that out real life pharmacology dot com right, so the drug I wanted to cover today is

0:40.2

du la glutide. And so the brand name of this medication is Trulicity and its medication used in the

0:48.6

management of type 2 diabetes. So mechanistically, this drug does a couple of things. The first thing that I

0:59.0

always remember with the GLP 1 agonis, Dula glutide, is it slows gastric emptying. So two effects that this can lead to is patients may feel a little

1:15.8

bit more full. They may eat a little bit less, which is obviously advantageous in our type 2 diabetes

1:24.0

patients that, you know, in general, most are overweight or a significant majority are

1:29.6

anyway. And then, of course, you're eating less. You're, you know, obviously potentially going

1:35.4

to lower that blood sugar as well through that mechanism. The other primary mechanism that

1:42.6

this drug works through is it helps to secrete insulin and specifically

1:48.8

that after you eat so it helps really lower those blood sugars when blood sugars are elevated so

1:59.5

a couple important mechanisms on how that drug works.

2:05.1

So again, indicated for diabetes can be used in combination with lots of different type 2 diabetes

2:11.7

medications.

2:12.5

I've seen it used in clinical practice used together in all sorts of different combinations.

2:18.4

The one big exception is the DPP4 inhibitors.

...

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