National Geographic : 2016 Sep
Indication and Limitations of Use Trulicity is a once-weekly injectable prescription medicine to improve blood sugar (glucose) in adults with type 2 diabetes mellitus. It should be used along with diet and exercise. Trulicity is not recommended as the first medication to treat diabetes. It has not been studied in people who have had inflammation of the pancreas (pancreatitis). Trulicity should not be used by people with a history of severe gastrointestinal (GI) disease, people with type 1 diabetes, or people with diabetic ketoacidosis. It is not a substitute for insulin. It has not been studied with long-acting insulin or in children under 18 years of age. Important Safety Information Tell your healthcare provider if you get a lump or swelling in your neck, have hoarseness, trouble swallowing, or shortness of breath while taking Trulicity. These may be symptoms of thyroid cancer. In studies with rats or mice, Trulicity and medicines that work like Trulicity caused thyroid tumors, including thyroid cancer. It is not known if Trulicity will cause thyroid tumors or a type of thyroid cancer called medullary thyroid carcinoma (MTC) in people. Do not take Trulicity if you or any of your family members have ever had MTC or if you have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Do not take Trulicity if you have had an allergic reaction to dulaglutide or any of the other ingredients in Trulicity. Trulicity may cause serious side effects, including: • Inflammation of your pancreas (pancreatitis). If you have pain in your stomach area (abdomen) that is severe and will not go away, stop taking Trulicity and call your healthcare provider right away. The pain may happen with or without vomiting. It may be felt going from your abdomen through to your back. • Low blood sugar (hypoglycemia). If you are using another medicine that can cause low blood sugar (such as insulin or a sulfonylurea) while taking Trulicity, your risk for getting low blood sugar (hypoglycemia) may be higher. Signs and symptoms of low blood sugar may include dizziness, blurred vision, anxiety, irritability, mood changes, sweating, slurred speech, hunger, confusion or drowsiness, shakiness, weakness, headache, fast heartbeat, or feeling jittery. Talk to your healthcare provider about low blood sugar and how to manage it. • Serious allergic reactions. Stop taking Trulicity and get medical help right away if you have symptoms of a serious allergic reaction, such as itching, rash, or difficulty breathing. • Kidney problems (kidney failure). In people who have kidney problems, diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration). This may cause kidney problems to get worse. • Severe stomach problems. Trulicity may cause stomach problems, which could be severe. Tell your healthcare provider if you: • have or have had problems with your pancreas, kidneys, or liver. • have severe problems with your stomach, such as slowed emptying of your stomach (gastroparesis) or problems with digesting food. • have any other medical conditions. • are pregnant or plan to become pregnant, or if you become pregnant while taking Trulicity. It is not known if Trulicity will harm your unborn baby. • are breastfeeding or plan to breastfeed. It is not known if Trulicity passes into your breast milk. You should not use Trulicity while breastfeeding without first talking to your healthcare provider. • are taking other medicines including prescription and over-the-counter medicines, vitamins, and herbal supplements. Trulicity may affect the way some medicines work and some medicines may affect the way Trulicity works. • are taking other medicines to treat diabetes, including insulin or sulfonylureas. The most common side effects with Trulicity may include: nausea, diarrhea, vomiting, decreased appetite, and indigestion. Talk to your healthcare provider about any side effect that bothers you or does not go away. These are not all the possible side effects of Trulicity. Call your doctor for medical advice about side effects. You are encouraged to report side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Please see next page for additional information about Trulicity, including Boxed Warning regarding possible thyroid tumors including thyroid cancer. Please see Instructions for Use included with the pen. Katherine uses what’s inside her to reach her goals. For her art, she uses her passion. For her diabetes, she helps her body release its own insulin. Ask your doctor about once-weekly, non-insulin Trulicity®. • It helps activate your body to release its own insulin • It can help improve A1C and blood sugar numbers • It’s taken once a week and works 24/7 • With the Trulicity pen, you don’t need to see or handle a needle • You may lose a little weight* *Trulicity is not a weight loss drug. In studies, people who lost weight lost 2-6 lbs on average. Lilly pays up to $150/month. People who can receive governmental reimbursement are not eligible. Other terms and conditions apply. ACTOR PORTRAYAL Find out if you’re eligible to pay as little as $25 for each of your first 26 prescriptions at Trulicity.com. DG CON ISI 20APR2015 Trulicity® is a registered trademark owned or licensed by Eli Lilly and Company, its subsidiaries or affiliates. Trulicity is available by prescription only PP-DG-US-0398 01/2016 ©Lilly USA, LLC 2016. All rights reserved. Click to Activate Your Within Katherine JEWELRY DESIGNER WITH TYPE 2 DIABETES If you have type 2 diabetes she uses n insulin.