GLP-1s and Anesthesia: Hold or Continue? Guidance by Drug
Every GLP-1 label warns that food can stay in the stomach longer during anesthesia or deep sedation, so tell the care team before any procedure.
A look at half-life and weight loss
Half-life in days: how long it takes your body to remove half a dose, based on section 12.3 in every FDA label.
Share of body weight. Trials, doses and lengths differ, so compare each one with its own placebo on its page.
Each GLP-1 label on surgery
| Medicine | What the label says | How it is taken |
|---|---|---|
| Label warning: tell the care team | weekly injection | |
| Label warning: tell the care team | weekly injection or daily tablet | |
| Label warning: tell the care team | daily tablet | |
| Label warning: tell the care team | weekly injection | |
| Label warning: tell the care team | weekly injection | |
| Label warning: tell the care team | daily tablet | |
| Label warning: tell the care team | weekly injection | |
| Label warning: tell the care team | daily injection | |
| Label warning: tell the care team | daily injection | |
| Byetta | Label warning: tell the care team | twice-daily injection |
Sources: FDA label (DailyMed).
What changes before surgery?
| What changes | What the label says | Labels |
|---|---|---|
| Low blood sugar with insulin secretagogues or insulin used at the same time | When you combine it with insulin or a sulfonylurea, low blood sugar is more likely, and those medicines may need lower doses. | All of them |
| Severe Gastrointestinal Adverse Reactions | Stomach and gut side effects are common, and some of them can be severe. Not recommended for people with severe gastroparesis. | Ozempic and Byetta, plus Wegovy, Rybelsus, Mounjaro, Zepbound, Trulicity, Saxenda, Victoza |
| Severe Gastrointestinal Reactions | Stomach and gut side effects are common, and some of them can be severe. Not recommended for people with severe gastroparesis. | Foundayo |
| Taken with oral medicines | By slowing stomach emptying, this medicine can affect how other pills are absorbed. | All of them |
FDA labels are the source of these points: FDA label (DailyMed) 1 2.
The label warnings in FDA label (DailyMed) provide these points.
Questions for your prescriber
- Should I skip a dose before my procedure, and if so, which one?
- Would I have to be on a liquid diet the day before?
- Who on the surgical team needs to know?