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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

Medicine, Education, Health & Fitness

4.9773 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.

I discuss important drug interactions on the podcast, be sure to check out my latest project which is a 200+ page book on managing drug interactions in primary care.




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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