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Glp-1 Receptor Agonists (GLP-1 RA) : Presented By: Nermeen S. Esa (Clinical Pharmacist)

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GLP-1 RECEPTOR AGONISTS

(GLP-1 RA)
P R E S E N T E D B Y:
NERMEEN S. ESA (CLINICAL PHARMACIST)
BACKGROUND

• The advancement in the treatment of T2DM put in account


cardiovascular disease prevention in addition to HbA1C lowering
efficacy and hypoglycemic prevention.
• ADA 2020 guideline recommend GLP-1 RA as intensification of
treatment for patients with type 2 diabetes not meeting treatment
goals.
• And also recommend it among patients with type 2 diabetes who have
established atherosclerotic cardiovascular disease or have indicators of
high risk, established kidney disease, or heart failure, as part of the
glucose-lowering regimen independent of HbA1C and in consideration
FIGURE: TREATMENT ALGORITHM IN PATIENTS WITH TYPE 2
DIABETES MELLITUS AND ATHEROSCLEROTIC CARDIOVASCULAR
DISEASE, OR ...
MECHANISM OF ACTION
CLASSIFICATION
DOSE & ADMINISTRATION
RENAL DOSE ADUJUSMENT
CONTRAINDICATION & WARNINGS

• Personal or family history of medullary thyroid carcinoma


• Multiple endocrine neoplasia syndrome type 2
• History of pancreatitis
• Patients with gastroparesis or severe gastroesophageal reflux
disease
SIDE EFFECTS

• diarrhoea
• nausea
• vomiting
• headaches
• dizziness
• increased sweating
• indigestion
• constipation
• loss of appetite
THANKS

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