Post-marketing experience
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The following adverse reactions have been reported during post-approval use of semaglutide. Because these reactions are reported voluntarily by a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship with drug exposure.
- Gastrointestinal disorders : ileus.
- Hypersensitivity : anaphylaxis, angioedema, rash, urticaria.
- Hepatobiliary : cholecystitis, cholecystectomy.
Drug interactions
Concomitant use with an insulin secretagogue (e.g., sulfonylurea) or insulin
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Semaglutide stimulates the release of insulin in the presence of elevated blood glucose concentrations. Patients receiving semaglutide in combination with an insulin secretagogue (e.g., sulfonylurea) or insulin may be at increased risk of hypoglycemia , including severe hypoglycemia .
When initiating semaglutide, consider reducing the dose of concomitantly administered insulin secretagogue (such as sulfonylureas) or insulin to reduce the risk of hypoglycemia.