[2][8] Call your doctor if: Vomiting occurs more than two to three times per day Nausea has not improved after four or more weeks at the same dose You are unable to keep fluids down for more than 24 hours You notice signs of dehydration (dark urine, dizziness, dry mouth) Abdominal pain accompanies the vomiting especially severe, persistent pain You notice a lump or swelling in your neck, hoarseness, or difficulty swallowing (see safety warning below) Symptoms worsen after a dose increase and do not settle within two weeks [2][5][8] Important Medical Warning: Contact your healthcare provider promptly if you notice a lump or swelling in your neck, persistent hoarseness, difficulty swallowing, or shortness of breath
On the other hand, Victoza, which is used for the treatment of type 2 diabetes and for weight management, is roughly $800 for a carton containing three pens of 18 mg/3 mL, equating to a daily cost of about $9 if used up to the recommended maximum dosage
GLP-1 receptor agonists (semaglutide, liraglutide, tirzepatide) act on the brain as well as the gut, and a 2026 real-world cohort study from Kamel-Abusalha et al
GLP-1 medications are typically initiated at low doses and increased slowly over several weeks or months, as per the product SmPC (Summary of Product Characteristics)
