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Regarding drug interactions, while semaglutide has few direct interactions affecting its elimination, patients should be aware of two important considerations: 1) Monitor INR more frequently when initiating semaglutide in patients taking warfarin, and 2) Increased levothyroxine exposure may occur with oral semaglutide (Rybelsus), requiring monitoring of thyroid function tests
During the transition: Monitor blood glucose more frequently for the first 4 to 6 weeks Expect potential hypoglycemia risk if also taking insulin or sulfonylureas Your provider may need to adjust other diabetes medications A1C improvements may be more pronounced with tirzepatide The SURPASS clinical trials demonstrated that tirzepatide 15 mg reduced A1C by up to 2.58%, compared to semaglutide 1 mg which reduced A1C by 1.86%
Our team put together this comparison based on the standard clinical trial protocols for each compound
A compounded formulation from a 503A pharmacy prices differently than a branded product filled at retail, and the dose you titrate to affects it
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