This information from Lexicomp® explains what you need to know about this medication, including what it’s used for, how to take it, its side effects, and when to call your healthcare provider.
- This drug has been shown to cause thyroid cancer in some animals. It is not known if this happens in humans. If thyroid cancer happens, it may be deadly if not found and treated early. Call your child’s doctor right away if your child has a neck mass, trouble breathing, trouble swallowing, or has hoarseness that will not go away.
- Do not use this drug if your child has a health problem called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2), or if your child or a family member have had thyroid cancer.
- It is used to lower blood sugar in patients with high blood sugar (diabetes).
- It is used to lower the chance of heart attack, stroke, and death in some people.
If using for weight loss:
- This drug is not approved for use in children. Talk with the doctor.
- If your child has been given this form of this drug, talk with the doctor for information about the benefits and risks. Talk with the doctor if you have questions or concerns about giving this drug to your child.
- If your child is allergic to this drug; any part of this drug; or any other drugs, foods, or substances. Tell the doctor about the allergy and what signs your child had.
- If your child has any of these health problems: Acidic blood problem or type 1 diabetes.
- If your child has or has ever had depression or thoughts of suicide.
- If your child is using another drug that has the same drug in it.
- If your child is using insulin.
This is not a list of all drugs or health problems that interact with this drug.
Tell the doctor and pharmacist about all of your child’s drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for your child to take this drug with all of his/her drugs and health problems. Do not start, stop, or change the dose of any drug your child takes without checking with the doctor.
- Tell all of your child’s health care providers that your child is taking this drug. This includes your child’s doctors, nurses, pharmacists, and dentists.
- Have your child wear disease medical alert ID (identification).
- If your child can drive, do not let your child drive if his/her blood sugar has been low. There is a greater chance of a crash.
- Have your child’s blood sugar checked as you have been told by your child’s doctor.
- It may be harder to control blood sugar during times of stress such as fever, infection, injury, or surgery. A change in physical activity, exercise, or diet may also affect your child’s blood sugar.
- Have blood work checked as you have been told by the doctor. Talk with the doctor.
- Alcohol may interact with this drug. Be sure your child does not drink alcohol.
- Kidney problems have happened with this drug. Sometimes, people have needed dialysis. Kidney problems may be long-lasting. If you have questions, talk with the doctor.
- Gallbladder problems have happened. Sometimes, people had to be treated in the hospital. In some cases the gallbladder had to be removed. Discuss any questions with the doctor.
- If your child cannot drink liquids by mouth or has upset stomach, throwing up, or diarrhea that does not go away; your child needs to avoid getting dehydrated. Contact your child’s doctor to find out what to do. Dehydration may lead to new or worse kidney problems.
- This drug may prevent other drugs taken by mouth from getting into the body. If your child takes other drugs by mouth, you may need to give them at some other time than this drug. Talk with the doctor.
- Do not share pen or cartridge devices with another person even if the needle has been changed. Sharing these devices may pass infections from one person to another. This includes infections you may not know your child has.
- Severe and sometimes deadly pancreas problem (pancreatitis) has happened with this drug. If you have questions, talk with the doctor.
If your child is pregnant or breast-feeding a baby:
- Talk with the doctor if your child is pregnant, becomes pregnant, or is breast-feeding a baby. You will need to talk about the benefits and risks to your child and the baby.
WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your child’s doctor or get medical help right away if your child has any of the following signs or symptoms that may be related to a very bad side effect:
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Signs of a pancreas problem (pancreatitis) like very bad stomach pain, very bad back pain, or very bad upset stomach or throwing up.
- Signs of gallbladder problems like pain in the upper right belly area, right shoulder area, or between the shoulder blades; yellow skin or eyes; fever with chills; bloating; or very upset stomach or throwing up.
- Signs of kidney problems like unable to pass urine, change in how much urine is passed, blood in the urine, or a big weight gain.
- Dizziness or passing out.
- Fast or abnormal heartbeat.
- New or worse behavior or mood changes like depression or thoughts of killing yourself.
- Slurred speech.
- Low blood sugar can happen. The chance may be raised when this drug is used with other drugs for diabetes. Signs may be dizziness, headache, feeling sleepy or weak, shaking, fast heartbeat, confusion, hunger, or sweating. Call your doctor right away if you have any of these signs. Follow what you have been told to do for low blood sugar. This may include taking glucose tablets, liquid glucose, or some fruit juices.
- Severe and sometimes deadly pancreas problems (pancreatitis) have happened with this drug. This could happen at any time during treatment. Call the doctor right away if your child has signs of pancreatitis like very bad stomach pain, very bad back pain, or very upset stomach or throwing up.
All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your child’s doctor or get medical help if any of these side effects or any other side effects bother your child or do not go away:
- Diarrhea or constipation.
- Upset stomach or throwing up.
- Not hungry.
- Irritation where the shot is given.
- Nose or throat irritation.
- Back pain.
These are not all of the side effects that may occur. If you have questions about side effects, call your child’s doctor. Call your child’s doctor for medical advice about side effects.
You may report side effects to your national health agency.
Give this drug as ordered by your child’s doctor. Read all information given to you. Follow all instructions closely.
- It is given as a shot into the fatty part of the skin on the top of the thigh, belly area, or upper arm.
- If you will be giving your child the shot, your child’s doctor or nurse will teach you how to give the shot.
- Move the site where you give the shot with each shot.
- Give this drug with or without food.
- Have your child drink lots of noncaffeine liquids unless told to drink less liquid by your child’s doctor.
- Do not use if the solution is cloudy, leaking, or has particles.
- Do not use if solution changes color.
- Wash hands before and after use.
- Prepare pen before first use as you have been told. You will also need to do this if you drop the pen.
- Keep giving this drug to your child as you have been told by your child’s doctor or other health care provider, even if your child feels well.
- Attach new needle before each dose.
- Throw away needles in a needle/sharp disposal box. Do not reuse needles or other items. When the box is full, follow all local rules for getting rid of it. Talk with a doctor or pharmacist if you have any questions.
- Have your child follow the diet and workout plan your child’s doctor told you about.
- If your child is also using insulin, you may inject this drug and the insulin in the same area of the body but not right next to each other.
- Do not mix this drug in the same syringe with insulin.
- Skip the missed dose and go back to your child’s normal time.
- Do not give 2 doses at the same time or extra doses.
- If your child misses 3 days of this drug, call your child’s doctor to find out what to do.
- Store unopened pens in a refrigerator. Do not freeze.
- Do not use if it has been frozen.
- Store opened pens at room temperature or in a refrigerator. Do not freeze.
- After opening, throw away any part not used after 30 days.
- Take off the needle after each shot. Do not store this device with the needle on it.
- Protect from heat and light.
- Keep the cap on the pen when not in use.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
- If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
- Do not share your child’s drug with others and do not give anyone else’s drug to your child.
- Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s doctor, nurse, pharmacist, or other health care provider.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.
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