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Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Liraglutide Pharmacology

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Education, Health & Fitness, Medicine

5716 Ratings

🗓️ 3 March 2022

⏱️ 13 minutes

🧾️ Download transcript

Summary

On this episode, I discuss liraglutide pharmacology, drug interactions, and adverse effects.



Liraglutide is well known to cause nausea. It is important to assess the severity of nausea as it may subside in some patients as they gain tolerability to the medication.



We mentioned the 2022 Diabetes Guideline Cheat Sheet in the podcast - you can get that for free at pyrls.com/rlp



Liraglutide has a fairly low risk of hypoglycemia when used alone, but this risk increases when it is used with insulin or sulfonylureas.



Saxenda is the weight loss formulation of liraglutide and dosing is higher for weight management than it is for diabetes management.

Transcript

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0:00.0

Hey all, welcome back to the Real Life Pharmacology podcast. I'm your host, pharmacist,

0:04.9

Eric Christensen, and I thank you so much for listening today. As always, go check out

0:09.3

real-life pharmacology.com. Go subscribe there. Get your free top 200 study guide. It's a 31-page

0:17.9

PDF, so plenty of info there. I pulled out some of the most common things that you actually see in practice,

0:23.8

as well as some of the most common things that you see in board exams pertaining to pharmacy and pharmacology.

0:31.4

So go get that for free, no cost to use, simply just an email there.

0:35.9

With that, let's get into the drug of the day today,

0:39.1

and that is Lira Glutide. Brand name in this medication is Victosa, or it is also called Saxenda.

0:48.6

Now, this drug is a GLP1 receptor agonist. It's mostly used in diabetes, but the Saxenda product can be used for

1:00.6

weight loss. Now, if you remember mechanistically, so GLP 1 or human GLP 1 is an incritin hormone within the body.

1:13.5

And that helps basically regulate insulin secretion and more specifically

1:19.5

glucose-dependent insulin secretion.

1:22.6

So when you eat food, blood sugar rises and we get a release of insulin to store that glucose.

1:30.0

So, GOP-1's help utilize that process. It also reduces glucagon secretion.

1:38.2

So those are two really important things for maintaining normal blood sugar and managing diabetes,

1:46.2

of course. In addition, Incretins have also been associated with slowing gastric emptying.

1:53.3

And that's probably where the benefit from weight loss or weight management comes from,

1:59.8

in that patients tend to feel a little bit more

2:02.9

full, and they may potentially eat a little less, and that's going to potentially help with

2:09.2

weight loss, weight management. Now, as far as a diabetes medication, the Victosa, the brand name Victosa, for their glutide.

2:19.7

The guidelines for diabetes have been changing.

2:24.5

ADA guidelines are typically what most clinicians utilize.

...

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