Trulicity (dulaglutide) is a prescription injectable GLP-1 receptor agonist medication. It was approved by the FDA in 2014 to improve blood sugar control for people with type 2 diabetes. It’s also prescribed off-label for weight loss.
Considering Trulicity? A healthcare provider can help you determine if Trulicity is medically necessary for you. If it is, you may be able to get a prescription for Trulicity in as little as 24 hours.*
Providers on Klarity Health are independent practitioners with clinical autonomy; a diagnosis, treatment, or prescription is not guaranteed.
Providers on Klarity Health are independent practitioners with clinical autonomy; a diagnosis, treatment, or prescription is not guaranteed.
Trulicity is the brand name for dulaglutide — a glucagon-like peptide-1 (GLP-1) receptor agonist diabetes medication similar to Ozempic (semaglutide). Trulicity was approved by the U.S. Food and Drug Administration (FDA) in 2014 to improve blood sugar control in adults and children aged 10 and older with type 2 diabetes mellitus when used with diet and exercise. It’s also FDA-approved to reduce the risk of major adverse cardiovascular events in adults with type 2 diabetes who have existing cardiovascular disease or multiple cardiovascular risk factors.
Trulicity is a prescription injectable medication. It’s administered using a single-dose auto-injector pen once a week.
Trulicity mimics the hormone GLP-1, which the body naturally releases after eating to manage blood sugar levels and stimulate the release of insulin.
In combination with diet and exercise, Trulicity can help maintain healthy blood sugar levels. It may also reduce the risk of stroke, heart attack, and death in adults with type 2 diabetes.
Trulicity isn’t meant to be used by patients with type 1 diabetes.
A provider can decide to prescribe Trulicity off-label for weight management, but it’s not formally approved by the FDA for weight loss treatment.
Trulicity isn’t an FDA-approved weight-loss drug, but some people may lose weight while taking it. And providers can prescribe it off-label for weight loss.
GLP-1 medications, including Trulicity, mimic the GLP-1 hormone, which is naturally released in the body after we eat. This hormone stimulates the release of insulin to regulate blood glucose levels and curbs hunger.
GLP-1 medications may help people lose weight in several ways. First, they decrease appetite. They also slow down the amount of time it takes for food to leave the stomach. People may eat less because they feel satisfied more quickly and stay fuller for longer.
GLP-1 medications also trigger the production of insulin to keep blood-sugar levels stable. When insulin and blood glucose are in balance, the body is better able to burn fat and manage hunger, which can lead to weight loss.
In clinical trials, some patients with type 2 diabetes who took Trulicity lost weight and some didn’t. A 2020 randomized controlled trial found patients taking higher doses of Trulicity lost more weight than those taking lower ones. Over 36 weeks, patients lost an average of 6.6 pounds taking the 1.5-milligram dose of Trulicity, 8.4 pounds taking the 3.0-milligram dose, and 10.1 pounds taking the 4.5-milligram dose.
Trulicity isn’t FDA-approved for weight loss. But if your healthcare provider thinks Trulicity may benefit your weight loss treatment, they can decide to prescribe it off-label for weight loss.
Trulicity is FDA-approved for adults and children aged 10 and older with type 2 diabetes to improve blood sugar (glucose) control in tandem with a healthy diet and regular exercise. It’s also approved for adults with type 2 diabetes who have heart disease or multiple cardiovascular risk factors to reduce the risk of major cardiovascular events, such as stroke, heart attack, and death. It shouldn’t be taken by people with type 1 diabetes.
Trulicity requires a prescription. If a healthcare provider thinks you’re a good candidate for the medication, they can prescribe it to you for blood sugar control if you have type 2 diabetes or off-label for weight loss. Providers who can prescribe medications include licensed medical doctors (MDs), physician assistants/associates (PAs), and nurse practitioners (NPs).
You can access a board-certified, licensed healthcare provider to discuss weight loss and weight-loss medications online on Klarity Health.
If you and your healthcare provider determine Trulicity is right for you, your provider can send a prescription to any online or local pharmacy of your choice.
Trulicity comes in a box with 4 single-dose pens with dosage strengths of 0.75, 1.5, 3.0, or 4.5 milligrams.
There’s no specific dosage for weight loss, as Trulicity is FDA-approved only for lowering blood sugar in people with type 2 diabetes. The recommended starting dosage for adults and children with type 2 diabetes is 0.75 milligrams.
After 4 weeks, your provider may increase your dosage to 1.5 milligrams once a week for additional glycemic control. If additional glycemic control is needed, they can increase the dosage in 1.5-milligram increments after at least 4 weeks on the current dosage. The maximum recommended dosage is 4.5 milligrams injected subcutaneously once weekly.
Your healthcare provider will prescribe the dosage they think is appropriate for you. You’ll likely start on the lowest dose to decrease the risk of side effects with Trulicity.
Trulicity is self-administered once a week with a single-use injector pen. You inject it into the skin of your abdomen, thigh, or upper arm and want to change your injection site each time to minimize the risk of skin irritation. You can take it any time of day, either with or without food.
Store Trulicity in the refrigerator, but don’t freeze it. If needed, you can keep it at room temperature for up to 14 days. Protect it from light and keep it in its original packaging.
Common side effects from Trulicity are the same as other GLP-1 medications: nausea, vomiting, diarrhea, constipation, abdominal pain, fatigue, decreased appetite, and indigestion. The most common of these side effects is nausea, but it typically goes away after 2 weeks.
While rare, Trulicity may cause serious side effects, including pancreatitis (inflammation of the pancreas), acute kidney injury, severe gastrointestinal reactions, acute gallbladder disease, hypoglycemia when combined with sulfonylureas or insulin, or complications with diabetic retinopathy.
Trulicity carries an FDA-boxed warning because clinical studies found it increased the incidence of thyroid C-cell tumors (thyroid cancer) in male and female rats. It’s unknown if it may cause tumors in humans. Regardless, people with a personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2) shouldn’t take Trulicity.
If you take Trulicity and have any side effects, work with your provider and consider reporting negative side effects to the FDA by visiting MedWatch or calling 1-800-FDA-1088.
Trulicity costs $1,038 according to drugs.com and with its discount. With a GoodRx coupon, a box of 4 Trulicity injector pens costs $869.01 in Los Angeles. Actual cost depends on whether it’s covered by your health insurance plan.
If your insurance plan covers Trulicity, you may pay only your co-pay and may or may not need to meet your deductible first. Your plan may also require prior authorization before covering any part of your cost. And if your provider prescribes Trulicity for weight loss, your insurance company won’t likely approve your prior authorization. The majority of Trulicity prescriptions for FDA-approved use cost between $0 and $30 per month with insurance.
If you’re prescribed Trulicity for an approved use consistent with its FDA labeling, you may be eligible for a Trulicity Savings Card through its manufacturer, Eli Lilly and Company. The savings card lets you pay as little as $25 for 12 Trulicity injector pens.
There’s no lower-priced, generic version of Trulicity. But with or without insurance, you can take advantage of prescription or drug discount cards from NeedyMeds, SingleCare Rx, WellRx, GoodRx, drugs.com, and others to save from 3 to 80% on the cost of Trulicity.
A 2021 clinical study found semaglutide (the active ingredient in Ozempic, Wegovy, and Rybelsus) was more effective for weight loss than dulaglutide (the active ingredient in Trulicity). Patients who took 1.0 milligrams of semaglutide had lower blood sugar levels and lost more weight than those taking either 3.0 or 4.5 milligrams of dulaglutide.
Ozempic is an injectable GLP-1 medication that’s FDA-approved to treat type 2 diabetes and to reduce the risk of major cardiovascular events in adults with known heart disease and with either obesity or overweight. Clinical trials found people taking Ozempic lost between 5 and 10% of their body weight in 40 weeks.
Wegovy is the semaglutide medication FDA-approved for weight loss and to reduce the risk of major cardiovascular events in adults with known heart disease and with either obesity or overweight. In clinical trials, people lost an average of 14.9% of their body weight in 68 weeks on Wegovy.
Mounjaro works in similar ways to Trulicity and Ozempic, and it’s also FDA-approved to treat type 2 diabetes. Mounjaro’s active ingredient is tirzepatide. It’s a glucagon-like peptide-1/gastric inhibitory polypeptide (GLP-1/GIP) dual agonist medication, similar to GLP-1 drugs. Clinical trials found people taking Mounjaro lost 13.9% of their body weight in 104 weeks.
Zepbound is the tirzepatide medication that’s FDA-approved for weight loss. In clinical trials, people lost 20.9% of their body weight in 88 weeks on Zepbound.
Wegovy, Zepbound, Ozempic, and Mounjaro all have side effects that may include but aren’t limited to, nausea, vomiting, constipation, diarrhea, and headaches. They all have an FDA-boxed warning for the risk of possible thyroid tumors, including cancer. Before taking any of them talk to your pharmacist or provider and read the medication guide so you understand all possible side effects, drug interactions, and warnings.
You and your healthcare provider can work together to determine which weight loss medication, if any, is right for you.
Reviews from real patients who received treatment from healthcare providers on Klarity Health.
Providers on Klarity Health are licensed, board-certified, and offer a personalized approach to your unique weight-loss needs. See detailed profiles for each provider and find an approach that’s best for you. (Costs for treatment options may vary.)
Your journey to losing weight starts with an initial consultation Your provider will go over your goals and medical history to recommend a program that’s right for you and may or may not include prescription medication.
Your initial consultation is just the beginning. You and your provider will follow up to make sure you’re doing okay and that you’re reaching your goals. You stay on track with easy medication refills and ongoing support from your provider.
If you have questions or need assistance, the Klarity Health Patient Support team is there to help. Along with your provider, they’re committed to making sure you have the best care and support throughout your weight loss journey.
*Appointments are generally available within 24 hours. Free initial consultations are available only with select providers. Prescriptions, particularly for controlled substances, may require an in-person evaluation depending on the state of residence and current federal regulations.
The information provided in this article is for educational purposes only and should not be construed as medical advice. Controlled substances may not be appropriate for all patients and any mention of these medications is for educational purposes only, not for marketing or encouraging self-diagnosis. Always seek the guidance of a qualified healthcare professional with any questions or concerns you have regarding your health. Providers on Klarity Health are independent practitioners with clinical autonomy. Nothing in this article is intended to diagnose or treat any condition, including guaranteeing prescription medication of any kind or dosage. Not all providers on Klarity Health prescribe all medications, particularly medications that are controlled substances.
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