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Everything You Need To Know About The Side Effects Of GLP-1 Medications

Everything You Need To Know About The Side Effects Of GLP-1 Medications

The new generation of GLP-1 injectable drugs for weight loss, including Mounjaro (tirzepatide) and Wegovy (semaglutide), have shown remarkable efficacy in clinical trials - and can be a real support for people looking to manage their weight sustainably and not for the short term. Yes, the weight management programme at HANX can kickstart positive progress to meet your long term health goals - but it’s not an ‘easy solution’. By mimicking the effects of the GLP-1 hormone, these medications can promote substantial weight loss while improving blood sugar control*. However, as with any medication, GLP-1 medications do carry some potential side effects that you should be aware of before starting treatment, so you know what to expect and how to handle them. Here's an overview of what to watch out for...

 

Gastrointestinal Issues

The most common side effects of GLP-1 drugs affect the gastrointestinal system. These can include:

  • Nausea
  • Vomiting
  • Diarrhoea
  • Constipation
  • Abdominal pain/cramping

Fortunately, these side effects tend to be temporary as the body adjusts to the medication. They are often mild and can be minimised by taking the drug around mealtimes and increasing the dosage gradually. This is why prescribing pharmacists monitor patients’ experiences closely and why all patients start on the lowest dose, which gets increased monthly until a maintenance dose is reached. However, some patients may need to stop treatment if GI issues become too severe. If you’re at any point worried or concerned about side effects of your weight management medication, speak to your prescribing pharmacist during your follow-up consultation.

Pancreatic Inflammation

While very rare, there have been some reports of acute pancreatitis (inflammation of the pancreas) associated with GLP-1 medications. This serious condition requires immediate medical attention. 

For this reason, this medication is not suitable for people with a history of pancreatitis or pancreatic disease. Prescribers will closely monitor patients for symptoms like persistent severe abdominal pain that could indicate pancreatitis.

Lower Blood Sugar (Hypoglycemia)

Since GLP-1 medications work by increasing insulin production from the pancreas, they can cause episodes of low blood sugar (hypoglycemia) in some patients, particularly those also taking insulin or insulin secretagogues. Hypoglycemia symptoms may include dizziness, shakiness, confusion, and loss of consciousness in severe cases.

Patients receiving GLP-1 agonist medication in combination with an insulin secretagogue (for example, a sulphonylurea) or insulin may have an increased risk of hypoglycaemia. 

Other Potential Effects

Everybody is unique and that means you may react differently (if at all!) to others. Some other possible side effects that have been reported include:

  • Injection site reactions like redness, itching, or swelling
  • Fatigue 
  • Increased heart rate
  • Gallbladder issues
  • Changes in vision or difficulty with smell

Most of these effects are relatively mild if they occur at all. However, it's important to report any unusual or persistent symptoms to your prescriber right away. As with starting any new medication, being conscious, open and proactive about reporting any concerning symptoms to your prescriber is crucial. 

How can I overcome these potential side effects?

1. Take with Food and Stay Hydrated  
Taking your GLP-1 injection with a meal, rather than on an empty stomach, can help reduce nausea and vomiting e.g. taking Wegovy medication just before dinner in the evening. Nausea can be mitigated with a cup of ginger tea, and staying well-hydrated by drinking plenty of fluids can also counter potential constipation or diarrhoea.
2. Try an Anti-Nausea Medication
If nausea persists despite dosage adjustments, it’s always best to contact your prescriber as they will be able to signpost you to the appropriate treatment for your nausea, as your body acclimatises to the medication.
3. Prioritise a Nutritious Diet
Filling up on nutrient-dense foods that promote steady blood sugar levels may help reduce gastrointestinal side effects. Try incorporating more fibre, lean protein, healthy fats, vegetables and fruits into your diet. Need support? Our vegetarian nutrition plan helps set out an ideal week of delicious eats that will support your weight management journey.
4. Stay Active  
Increased physical activity, even just walking daily, can help minimise GI issues. Exercise also enhances the medications' effects on weight loss (and can even boost your libido!).
5. Open Communication is Key
Be upfront about any side effects you are experiencing, no matter how minor they may seem. Most side effects will usually get better over time as your body adjusts to the medicine and each dose is increased. You should get in touch to your prescriber if your side effects are not going away or if they are bothersome. Proactively working with your prescriber to manage side-effects, preventative strategies, or trial of a different GLP-1 medication may be needed.

Stop use immediately if you experience a severe reaction to the medication. Seek immediate medical attention (call 999 or go straight to A&E) if you develop a severe rash, trouble breathing, a very fast heartbeat, swelling in the face, tongue or throat or symptoms which otherwise are concerning.

While the possibility of side effects might seem daunting, everyone is different and you may not experience any at all! There are many ways to mitigate many of these side effects and your prescriber is on hand to help you on your journey.

Want more?

 

*Tirzepatide Once Weekly for the Treatment of Obesity, The New England Journal Of Medicine, 2022.
** Long-term weight loss effects of semaglutide in obesity without diabetes in the SELECT trial, Nature Medicine, 2024.

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