Semaglutide

Important Safety Information

Your safety is our top priority. Below you will find key information about your medication, including side effects and other essential details. If deemed medically appropriate by your provider, you may receive a compounded version of semaglutide. Please note that compounded semaglutide has not been approved or evaluated for safety and effectiveness by the FDA.

Common Side effects

• Nausea
• Diarrhea
• Vomiting

COMPOUNDED SEMAGLUTIDE is a glucagon-like peptide-1 (GLP-1) receptor agonist indicated as an adjunct to a reduced-calorie diet and increased physical activity for chronic weight management in adults with an initial body mass index (BMI) of:

• >27 kg/m2 or greater (overweight or obesity)

Limitations of Use:

• Co-administration with other COMPOUNDED SEMAGLUTIDE-containing products or any GLP-1 receptor agonist is not recommended.
• The safety and efficacy of coadministration with other products for weight management have not been established.
• COMPOUNDED SEMAGLUTIDE has not been studied in patients with a history of pancreatitis.

IMPORTANT SAFETY INFORMATION

WARNING: RISK OF THYROID C-CELL TUMORS See full prescribing information for complete boxed warning.

• In rodents, SEMAGLUTIDE causes thyroid C-cell tumors in clinically relevant exposures. It is unknown whether SEMAGLUTIDE causes thyroid C- cell tumors, including medullary thyroid carcinoma (MTC), in humans as the human relevance of SEMAGLUTIDE-induced rodent thyroid C-cell tumors has not been determined
• SEMAGLUTIDE is contraindicated in patients with a personal or family history of MTC or in patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Counsel patients regarding the potential risk of MTC and symptoms of thyroid tumors.

Do not take COMPOUNDED SEMAGLUTIDE if you:

• Have a personal or family history of medullary thyroid carcinoma (MTC) or in patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN2).
• Have been diagnosed with Diabetes (Type 1 or 2)
• Have been diagnosed with pancreatitis or history of pancreatitis
• Have a known allergy to semaglutide/any other GLP-1 drug or any of the inactive ingredients in COMPOUNDED SEMAGLUTIDE. Inactive iingredients include: di-sodium hydrogen phosphate dihydrate, sodium chloride, benzyl alcohol, hydrochloric acid, sodium hydroxide pellets and water.
• Have a history of suicidal attempts or active suicidal ideation

WARNINGS AND PRECAUTIONS

• Acute Pancreatitis: Has occurred in clinical trials. Discontinue promptly if pancreatitis is suspected. Do not restart if pancreatitis is confirmed.
• Acute Gallbladder Disease: Has occurred in clinical trials. If cholelithiasis is suspected, gallbladder studies and clinical follow-up are indicated.
• Hypoglycemia: Concomitant use with an insulin secretagogue or insulin may increase the risk of hypoglycemia, including severe hypoglycemia. Reducing the dose of insulin secretagogue or insulin may be necessary. Inform all patients of the risk of hypoglycemia and educate them on the signs and symptoms of hypoglycemia.
• Acute Kidney Injury: Has occurred. Monitor renal function when initiating or escalating doses of COMPOUNDED SEMAGLUTIDE in patients reporting severe adverse gastrointestinal reactions or in those with renal impairment reporting severe adverse gastrointestinal reactions.
• Hypersensitivity Reactions: Anaphylactic reactions and angioedema have been reported postmarketing. Discontinue COMPOUNDED SEMAGLUTIDE if suspected and promptly seek medical advice.
• Females and males of reproductive potential: Discontinue COMPOUNDED SEMAGLUTIDE at least 2 months before a planned pregnancy because of the long half-life of COMPOUNDED SEMAGLUTIDE.
• Pregnancy: May cause fetal harm. When pregnancy is recognized, discontinue COMPOUNDED SEMAGLUTIDE immediately
• Diabetic Retinopathy Complications in Patients with Type 2 Diabetes: Has been reported in trials with COMPOUNDED SEMAGLUTIDE. Patients with a history of diabetic retinopathy should be monitored.
• Heart Rate Increase: Monitor heart rate at regular intervals.
• Suicidal Behavior and Ideation: Monitor for depression or suicidal thoughts. Discontinue COMPOUNDED SEMAGLUTIDE if symptoms develop.

Side Effects Most common side effects (incidence ≥ 5%) in adults or pediatric patients aged 12 years and older are: nausea, diarrhea, vomiting, constipation, abdominal pain, headache, fatigue, dyspepsia,dizziness, abdominal distension, eructation, hypoglycemia in patients with type 2 diabetes,

flatulence, gastroenteritis, gastroesophageal reflux disease, and nasopharyngitis.

To report SUSPECTED ADVERSE REACTIONS, contact the FDA at 1-800-FDA-1088 or WWW.FDA.GOV/MEDWATCH

DRUG INTERACTIONS COMPOUNDED SEMAGLUTIDE delays gastric emptying. May impact absorption of concomitantly administered oral medications. Use with caution.

USE IN SPECIFIC POPULATIONS

• Pregnancy: May cause fetal harm. When pregnancy is recognized, discontinue COMPOUNDED SEMAGLUTIDE.
• Females and Males of Reproductive Potential: Discontinue COMPOUNDED SEMAGLUTIDE at least 2 months before a planned pregnancy because of the long half-life of COMPOUNDED SEMAGLUTIDE.