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Do not restart if pancreatitis is confirmed. Consider other antidiabetic therapies in patients with a history of pancreatitis. Hypoglycemia: Patients receiving Trulicity in combination with an insulin secretagogue e. Instruct patients who experience symptoms to discontinue Trulicity and promptly seek medical advice. Trulicity is contraindicated in patients with a previous serious hypersensitivity reaction to dulaglutide or to any of the components of Trulicity.
Use caution in a patient with a history of angioedema or anaphylaxis with another GLP-1 receptor agonist as it is unknown whether they will be predisposed to anaphylaxis with Trulicity. In patients with renal impairment, use caution when initiating or escalating doses of Trulicity and monitor renal function in patients experiencing severe adverse gastrointestinal reactions.
Severe Gastrointestinal Disease: Use of Trulicity may be associated with gastrointestinal adverse reactions, sometimes severe. Trulicity has not been studied in patients with severe gastrointestinal disease, including severe gastroparesis, and is therefore not recommended in these patients. Monitor patients with a history of diabetic retinopathy. Oral Medications and Delayed Gastric emptying: Trulicity slows gastric emptying, which may impact absorption of concomitantly administered oral medications.
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Trulicity is not indicated for weight loss. In clinical studies, weight change was a secondary endpoint. In clinical trials with primary endpoint ranging from 26 to 52 weeks, weight change was a secondary endpoint. On average, patients experienced weight loss; however, some patients did not lose weight. Patients receiving Trulicity in combination with an insulin secretagogue e.
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It is possible that an increase in glutamate activity leads to neuronal damage. There are no effective therapies for Alzheimers disease and no cure. Treatment aims to enhance cholinergic transmission. The most useful drugs are central acetylcholinesterase inhibitors, for example donepezil.

Both of these drugs are used as hypnotics. They have a short duration of action with little or no hangover effect and a lower dependence potential than benzodiazepines. Clomethiazole is used as a hypnotic for older patients because of its lack of hangover effect but it can still produce dependence.
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