[Diabetes-talk] Victoza.

[Mike Freeman]

I don't see the problem. Those are all common-sense warnings. Heck; if you
eat too many carrots, your skin will turn read and everyone knows what
happens if you eat too much bran! (grin) There's almost nothing (including
the so-called "natural" stuff) that's absolutely risk-free. People worry
about airplane crashes while they don't give a thought to riding in an
automobile -- a much more risky business.

Mike Freeman


-----Original Message-----
From: Diabetes-talk [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of
limestone lady
Sent: Saturday, March 16, 2013 2:10 PM
To: diabetes-talk at nfbnet.org
Subject: [Diabetes-talk] Victoza.

yes, i know that with every medication, you pays your money, and you 
takes your choice so the saying goes but I'm not sure about this drug, 
after reading the following.
Linda.


What is Victoza?
Victoza is a diabetes medicine that helps control blood sugar levels. 
It works by increasing the amount of insulin that your body produces.

Victoza is used to treat type 2 diabetes. This medication is not for 
treating type 1 diabetes. Victoza may also be used for other purposes 
not listed in this medication guide.

Important information about Victoza

You should not use Victoza if you are allergic to liraglutide, or if 
you have multiple endocrine neoplasia type 2 (tumors in your glands), a 
personal or family history of medullary thyroid cancer, 
insulin-dependent diabetes, or if you are in a state of diabetic 
ketoacidosis (call your doctor for treatment with insulin).

Before using Victoza, tell your doctor if you have stomach problems 
causing slow digestion, kidney or liver disease, high blood pressure, 
high triglycerides, or if you have ever had pancreatitis, gallstones, 
or alcoholism.

You should not breast-feed while using Victoza. Never share an 
injection pen with another person. Sharing injection pens can allow 
disease such as hepatitis or H I V to pass from one person to another.

Call your doctor at once if you have a serious side effect while using 
Victoza, such as swelling or a lump in your throat area, hoarse voice, 
trouble swallowing, feeling short of breath, severe pain in your upper 
stomach spreading to your back, nausea and vomiting, or signs of 
infection such as fever, chills, sore throat, flu symptoms, mouth 
sores, or easy bruising or bleeding.

Victoza is only part of a complete program of treatment that may also 
include diet, exercise, weight control, foot care, eye care, dental 
care, and testing your blood sugar.

Before using Victoza
You should not use Victoza if you are allergic to liraglutide, or if 
you have: -multiple endocrine neoplasia type 2 (tumors in your glands); 
-a personal or family history of medullary thyroid cancer;
-type 1 diabetes; or
-if you are in a state of diabetic ketoacidosis (call your doctor for 
treatment with insulin).

To make sure you can safely use Victoza, tell your doctor if you have 
any of these other conditions: -stomach problems causing slow digestion;
-kidney or liver disease;
-high blood pressure;
-high triglyceride levels in your blood;
-a history of pancreatitis;
-a history of gallstones; or
-a history of alcoholism.

In animal studies, Victoza caused the development of thyroid tumors. 
However, very high doses are used in animal studies. It is not known 
whether these effects would occur in people using doses recommended for 
human use. Ask your doctor about your personal risk. F D A pregnancy 
category C. It is not known whether Victoza will harm an unborn baby. 
Tell your doctor if you are pregnant or plan to become pregnant while 
using this medication. It is not known whether liraglutide passes into 
breast milk or if it could harm a nursing baby. You should not 
breast-feed while using Victoza.

How should I use Victoza?
Victoza comes in a prefilled injection pen. Ask your pharmacist which 
type of needles are best to use with your pen. Victoza is injected 
under the skin. Your care provider will show you the best places on 
your body to inject Victoza. Do not self-inject this medicine if you do 
not fully understand how to give the injection and properly dispose of 
used needles and injection pens. Victoza is usually given once per day. 
Your doctor may occasionally change your dose to make sure you get the 
best results. Your dose needs may change if you become ill, have a 
fever or infection, or if you have surgery or a medical emergency. You 
may use Victoza at any time of the day, with or without a meal. Do not 
use Victoza if it has changed colors or has particles in it. Call your 
doctor for a new prescription. Your blood sugar will need to be checked 
often, and you may need other blood tests at your doctor's office. 
Visit your doctor regularly. Low blood sugar (hypoglycemia) can happen 
to everyone who has diabetes. Symptoms include headache, hunger, 
sweating, pale skin, irritability, dizziness, feeling shaky, or trouble 
concentrating. Carry hard candy or glucose tablets with you in case you 
have low blood sugar. Other sugar sources include fruit juice, 
crackers, raisins, and non-diet soda. Be sure your family and close 
friends know how to help you in an emergency.

Storing unopened Victoza injection pens: Store in the refrigerator. Do 
not store near the refrigerator's cooling element.

Storing after your first use: You may keep "in-use" injection pens in 
the refrigerator or at room temperature. Protect the pens from 
moisture, heat, and sunlight. Use within 30 days. Remove the needle 
before storing an injection pen, and keep the cap on the pen when not in
use.

Throw away used needles in a puncture-proof container (ask your 
pharmacist where you can get one and how to dispose of it). Keep this 
container out of the reach of children and pets. Do not freeze Victoza, 
and throw away the medication if it has become frozen.

What happens if I miss a dose?
Use the missed dose as soon as you remember. Skip the missed dose if it 
is almost time for your next scheduled dose. Do not use extra medicine 
to make up the missed dose.

What happens if I overdose?
Seek emergency medical attention or call the Poison Help line Victoza 
overdose may cause severe nausea and vomiting.

Victoza side effects
Get emergency medical help if you have any of these signs of an 
allergic reaction to Victoza: hives; difficult breathing; swelling of 
your face, lips, tongue, or throat. Call your doctor at once if you 
have a serious side effect such as:

- swelling or a lump in your throat area;
-hoarse voice, trouble swallowing, feeling short of breath;
-urinating less than usual or not at all;
-weakness, confusion, increased thirst, loss of appetite, pounding 
heartbeats or fluttering in your chest; -swelling, weight gain, feeling 
short of breath;
-pancreatitis - severe pain in your upper stomach spreading to your 
back, nausea and vomiting, loss of appetite, fast heart rate; or -signs 
of infection such as fever, chills, sore throat, flu symptoms, easy 
bruising or bleeding (nosebleeds, bleeding gums), mouth sores, unusual 
weakness.

Less serious Victoza side effects may include:
-headache, dizziness;
-upset stomach, loss of appetite;
-nausea, vomiting;
-diarrhea, constipation;
 -cold symptoms such as stuffy nose, sneezing, sinus pain, sore throat; 
-back pain;
-tired feeling;
-mild skin rash; or
-redness or rash where the medicine was injected.
This is not a complete list of Victoza side effects and others may 
occur. Call your doctor for medical advice about side effects. You may 
report side effects to F D A at 1-800-F D A-1088.

What other drugs will affect Victoza?
Victoza can make it harder for your body to absorb other medications 
you take by mouth. Tell your doctor about all medications you take by 
mouth, especially oral diabetes medications(Glucotrol, Metaglip, 
Amaryl, Avandaryl, Duetact, DiaBeta, Micronase, Glucovance, and others).

There may be other drugs that can interact with Victoza. Tell your 
doctor about all medications you use. This includes prescription, 
over-the-counter, vitamin, and herbal products. Do not start a new 
medication without telling your doctor.

For Healthcare Professionals
Applies to liraglutide: subcutaneous solution

Gastrointestinal
Gastrointestinal side effects have included nausea, diarrhea, vomiting, 
constipation, abdominal pain, decreased appetite, anorexia, dyspepsia, 
and pancreatitis.

Metabolic
Metabolic side effects have included hypoglycemia, especially when 
combined with a sulfonylurea. Postmarketing side effects have included 
dehydration from nausea, vomiting and diarrhea.

Nervous system
Nervous system side effects have included headache and dizziness.

Respiratory
Respiratory side effects have included nasopharyngitis, upper 
respiratory tract infection, and sinusitis.

General
General side effects have included influenza and fatigue.

Cardiovascular
Cardiovascular side effects have included hypertension.

Genitourinary
Genitourinary side effects have included urinary tract infection.

Musculoskeletal
Musculoskeletal side effects have included back pain.

Local
Local side effects have included injection site rash and erythema.

Immunologic
Immunologic side effects have included urticaria and angioedema.

Hypersensitivity
Hypersensitivity side effects reported postmarketing have included 
angioedema and anaphylactic reactions, rash and pruritus.

Renal
Postmarketing side effects have included increased serum creatinine, 
acute renal failure or worsening of chronic renal failure, sometimes 
requiring hemodialysis.

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