Rybelsus 14mg , 7mg , 3mg

* Please note this drug requires a prescription.
Orders will be fulfilled only after prescription is provided.

Rybelsus is used to treat adults with uncontrolled type 2 diabetes to improve glucose control in addition to diet and exercise: as monotherapy - when you cannot use metformin due to intolerance or contraindications; With other medicines for treatment of diabetes.

* Please note this drug requires a prescription.
Orders will be fulfilled only after prescription is provided.

Active Ingredients

Each tablet contains:

Semaglutide 14 mg

Indications

Therapeutic group:

Medicines for diabetes. GLP-1(Glucagon-like peptide-1) analog.

Rybelsus is used to treat adults with uncontrolled type 2 diabetes to improve glucose control in addition to diet and exercise:

• As monotherapy - when you cannot use metformin due to intolerance or contraindications.

• With other medicines for treatment of diabetes.

Instructions

Only your doctor will determine your dose and how you should take this medicine.

The recommended dosage is usually:

The starting dose is one 3 mg tablet once a day for one month. After one month, your doctor will increase your dose to 7 mg once a day. Your doctor may increase your dose to 14 mg once a day if your blood sugar is not controlled well enough with a dose of 7 mg once a day.

Your doctor will prescribe the strength that is suitable for you. Do not change your dose unless your doctor has told you so.

It is not recommended to take two 7 mg tablets to get the effect of one 14 mg tablet, as this has not been studied.

Do not exceed the recommended dose.

Manner of taking the medicine :

Take the Rybelsus tablet on an empty stomach at any time of the day. Swallow the Rybelsus tablet whole with a small quantity of water (up to 120 ml). After taking the Rybelsus tablet, wait at least 30 minutes before having a meal or drink or taking other oral medicines. Waiting less than 30 minutes lowers the absorption of Semaglutide.

It is not recommended to split, crush or chew the tablet, as it is not known if it affects the absorption of Semaglutide.

If you have accidentally taken a higher dose or if you take more Rybelsus than required, talk to your doctor straight away. You may get side effects such as nausea.

If you forget to take a dose of Rybelsus, skip the missed dose and take your next dose on the next day at the usual time.

Adhere to the treatment as recommended by your doctor. Even if your health improves, do not stop taking this medicine without consulting your doctor. If you stop using the medicine, your blood sugar level may increase.

If you have any further questions about using this medicine, consult your doctor or pharmacist.

It is important that you continue with your diet and exercise plan as agreed with your doctor, pharmacist or nurse.

What is type 2 diabetes?

Type 2 diabetes is a condition in which your body does not make enough insulin, and the insulin produced does not lower your blood sugar as required. In some cases, your body can produce too much blood sugar. If your blood sugar increases and remains high over a long period of time, this may lead to harmful effects such as heart problems, kidney disease, eye disorders and poor blood flow to the limbs. That is why it is important to keep your blood sugar levels within a normal range.

Warnings

Do not use Rybelsus if you are sensitive (allergic) to Semaglutide or to any of the other ingredients in this medicine.

This medicine is not the same as insulin and you should not use it if:

• You have type 1 diabetes (your body does not produce any insulin)
• You develop diabetic ketoacidosis. This is a complication of diabetes associated with high blood sugar, breathing difficulty, confusion, excessive thirst, a sweet smell of the breath or a sweet or metallic taste in the mouth.

During treatment with this medicine, you may experience nausea or vomiting, or have diarrhea. These side effects can cause dehydration (loss of fluids). It is important that you drink enough fluids to prevent dehydration. This is especially important if you have kidney problems. Talk to your doctor if you have any questions or concerns.

If you have severe and ongoing pain in the abdominal area - see a doctor straight away as this could be a sign of inflamed pancreas (acute pancreatitis).

Taking a sulfonylurea medicine or insulin with Rybelsus might increase the risk of low blood sugar (hypoglycemia). Your doctor may ask you to test your blood sugar levels. This will help to decide if the dose of the sulfonylurea or insulin needs to be changed to reduce the risk of low blood sugar.

Fast improvements in blood sugar control may lead to a temporary worsening of diabetic eye disease. If you have diabetic eye disease and experience eye problems while taking this medicine, talk to your doctor.

If the response to treatment with Semaglutide is lower than expected, this may be due to low absorption caused by variability in absorption and low absolute bioavailability.

This medicine is not intended for children and adolescents aged under 18 years as the safety and efficacy in this age group have not been established.

If you are taking or have recently taken other medicines, including nonprescription medications and dietary supplements, tell your doctor or pharmacist. Particularly if you are taking:

• Levothyroxine which is used for treatment of thyroid disease. This is because your doctor may need to check your thyroid function level if you are taking Rybelsus together with levothyroxine.
•  Warfarin or similar medicines taken by mouth to reduce blood clotting (oral anticoagulants). You may need frequent blood tests to check how quickly your blood clots.
• If you are using insulin, your doctor will tell you how to reduce the dose of insulin and will recommend you to monitor your blood sugar more frequently, in order to avoid hyperglycemia (high blood sugar) and diabetic ketoacidosis (a complication of diabetes that occurs when the body is unable to breakdown glucose because there is not enough insulin).

If you are pregnant or breastfeeding, think you may be pregnant or are planning to become pregnant, ask your doctor for advice before taking this medicine. This medicine should not be used during pregnancy, as it is not known if it may affect your unborn baby. Therefore, use of contraception is recommended during treatment with this medicine. If you wish to become pregnant, discuss how to change your treatment with your doctor as you should stop taking this medicine at least 2 months in advance. If you become pregnant while using this medicine, talk to your doctor straight away, as your treatment will need to be changed.

Do not use this medicine if you are breastfeeding, as it is unknown if it passes into breast milk.

Please do not consider this information as an alternative to consulting your physician or pharmacist.

For further information on instructions for use, risks and side effects, please read the patient package insert and consult your doctor or pharmacist.
Read the patient package insert carefully before starting to take any medication.