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What drugs cannot be taken with Trulicity?

Published in Trulicity Drug Interactions 3 mins read

Trulicity (dulaglutide), a medication used to manage type 2 diabetes, has known interactions with certain drugs that necessitate careful medical review. While some interactions may require dose adjustments or increased monitoring, others might mean the medications should not be taken concurrently without strict medical supervision due to potential risks to effectiveness or safety.

Understanding Drug Interactions with Trulicity

Drug interactions occur when one medication affects how another drug works in the body. For Trulicity, which primarily helps lower blood sugar, interactions can potentially alter blood glucose levels, increase the risk of side effects, or reduce the effectiveness of either medication. It is essential to inform your healthcare provider about all medications you are taking, including over-the-counter drugs, supplements, and herbal products, to prevent adverse reactions.

Medications That May Interact Significantly with Trulicity

The following categories of drugs have been identified as potentially interacting with dulaglutide (Trulicity). Taking these medications alongside Trulicity requires thorough discussion with your doctor to ensure safety and efficacy.

Atypical Antipsychotics

These medications are typically used to treat mental health conditions such as schizophrenia and bipolar disorder.

  • Examples: Aripiprazole, Cariprazine, Chlorpromazine, Clozapine, Quetiapine, Risperidone
  • Why the Interaction Matters: Atypical antipsychotics can sometimes cause changes in blood sugar levels, potentially making it harder to manage diabetes effectively with Trulicity. This interaction could lead to either high or low blood sugar, requiring careful monitoring and possible adjustments to medication dosages.

Beta-Adrenergic Blockers

Often prescribed for conditions like high blood pressure, heart rhythm disorders, and migraines, beta-blockers can interfere with the body's response to low blood sugar.

  • Examples: Atenolol, Metoprolol, Propranolol, Sotalol
  • Why the Interaction Matters: Trulicity helps lower blood sugar, and a potential side effect is hypoglycemia (low blood sugar). Beta-blockers can mask the typical symptoms of hypoglycemia, such as shakiness or a rapid heartbeat, making it difficult for individuals to recognize and respond to dangerously low blood sugar levels.

Immunosuppressants and Certain Oncology Medications

This diverse group includes drugs used to suppress the immune system or treat various cancers.

  • Examples: Basiliximab, Bortezomib, Brigatinib, Buserelin, Ceritinib
  • Why the Interaction Matters: Interactions with these powerful medications can be complex. They might affect the absorption or metabolism of Trulicity, or Trulicity could impact their effectiveness or increase their side effects. Co-administration generally requires close medical supervision and careful evaluation of risks versus benefits.

Essential Medical Consultation

Given the potential for significant interactions, it is paramount that you do not start or stop any medication without consulting your healthcare provider. Your doctor can assess your complete medical profile and medication list to determine the safest and most effective treatment plan, adjusting dosages or recommending alternative therapies if necessary. Always provide a comprehensive list of all prescription drugs, over-the-counter medicines, and any herbal supplements you are taking.