Warning signs to watch for: Ensure you understand the symptoms that require urgent medical attention, including: Signs of bleeding (unusual bruising, blood in urine or stools, prolonged bleeding from cuts, severe headache) Head injury (seek immediate medical attention if you experience a head injury while taking an anticoagulant) Severe abdominal pain (potential pancreatitis) Persistent nausea, vomiting, or diarrhoea Signs of allergic reaction Changes in vision (particularly relevant for patients with diabetes) Perioperative management: Discuss the need to inform all healthcare professionals, including dentists, about your anticoagulant use before any procedures
GLP-1 based therapy for type 2 diabetes
Brand-name manufacturers (Novo Nordisk, Eli Lilly) do not distribute active pharmaceutical ingredients (APIs) for third-party compounding
The REWIND cardiovascular outcome trial also revealed that dulaglutide administration resulted in inferior ocular outcomes, leading to an increased need for interventions such as photocoagulation, anti-vascular endothelial growth factor (VEGF) therapy, or vitrectomy compared to placebo recipients [38]
Iber H, Li-Masters T, Chen Q, Yu S, Morgan ET
Clinical Insight Karla K