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GLP-1 Decoder

Trulicity Constipation: How Common, How Long It Lasts

The Trulicity label names constipation as a reported side effect but gives no trial rate for it.

In the label
Listed, no rate given
Label term
constipation

Trulicity: a quick overview

Time it remains in the body
100%50%25%0%05 d10 d15 d20 d25 d50%25%12.5%time after the dose

Its half-life is about 5 days: after 5 d, half is gone, while about 3% remains after five half-lives (25 d).

This comes from the FDA label (DailyMed).

What the Trulicity label lists instead

No constipation rate appears in the Trulicity label. The label provides rates for the five side effects it lists most often.

For TRULICITY-Treated Adult Patients with Type 2 Diabetes Mellitus, Adverse Reactions in Pool of Placebo-Controlled Trials That Occurred (at least 5%), shown in Table 1 from placebo-controlled trials
Side effectPlaceboTrulicity 0.75 mgTrulicity 1.5 mgMore than placebo, 1.5 mg
Nausea5.3%12.4%21.1%+15.8 points
Vomiting2.3%6%12.7%+10.4 points
Diarrhea6.7%8.9%12.6%+5.9 points
Abdominal Pain4.9%6.5%9.4%+4.5 points
Decreased Appetite1.6%4.9%8.6%+7 points

Source: Trulicity label (DailyMed).

Other GLP-1s and Trulicity: A Constipation Comparison

Each label describes its own trials, which used different groups of people. Use these figures as a rough guide.

Pill forms Rybelsus and Foundayo are also included in the table.

Constipation across GLP-1 labels
MedicineHighest rate in the labelDose groupPlaceboPeople in the trials
Foundayo27%9 mg9%Adults with obesity or overweight (weight management)
Wegovy24%2.4 mg11%Adults with obesity or overweight (weight management)
Saxenda19.4%all doses8.5%Adults with obesity or overweight (weight management)
Zepbound17%5 mg5%Adults with obesity or overweight (weight management)
Byetta10%all doses2%Adults with type 2 diabetes (with insulin glargine)
Mounjaro7%15 mg1%Adults with type 2 diabetes
Rybelsus6%7 mg2%Adults with type 2 diabetes
Ozempic5%0.5 mg1.5%Adults with type 2 diabetes
Victoza5%1.2 mg1%Adults with type 2 diabetes
TrulicityListed, no rate given–––

Sources: Ozempic label (DailyMed), Wegovy label (DailyMed), Rybelsus label (DailyMed), Mounjaro label (DailyMed), Zepbound label (DailyMed), Foundayo label (DailyMed), Saxenda label (DailyMed), Victoza label (DailyMed), Byetta label (DailyMed).

This comes from the FDA label (DailyMed).

What may explain it?

Your stomach empties more slowly because of these medicines. Constipation can occur when food remains longer, most of all after big or fatty meals.

Source: health.clevelandclinic.org

Trulicity label details

Constipation appears in the label with these exact words:

“placebo -treated patients (frequencies listed, respectively, as: placebo; 0.75 mg; 1.5 mg): constipation (0.7%, 3.9%, 3.7%), flatulence (1.4%, 1.4%, 3.4%), abdominal distension (0.7%, 2.9%, 2.3%),”

This comes from the FDA label (DailyMed).

What helps, step by step

  1. Drink water during the day to keep your stools soft.
  2. Take a short walk. Moving helps the gut move.
  3. Place your feet on a small stool while sitting on the toilet.
  4. Ask about a stool softener or laxative from the drugstore.
  5. Select smaller meals and stop eating when you feel full. The stomach empties more slowly because of these medicines.
  6. Eat slowly. Your brain needs time to know when you are full.
  7. Tell your prescriber if it does not ease. They may slow the pace of dose increases or suggest another GLP-1.

Check any drugstore product with the interactions checker for GLP-1 before taking it.

Source: health.clevelandclinic.org