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Adverse effects of GLP-1 receptor agonists (revision 2)

Old revision·21:35, 2 Jul 2024·Chromatokid

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Adverse effects of GLP-1 receptor agonists
Most commonNausea, vomiting, diarrhoea, constipation
TimingConcentrated during escalation
Commonest reason for discontinuationGastrointestinal intolerance
Topic infobox · conventions

The adverse effects of GLP-1 receptor agonists are dominated by gastrointestinal events. Nausea, vomiting, diarrhoea and constipation are reported by between a fifth and a half of participants in trials depending on agent and dose, are most frequent during escalation, and diminish with time at a stable dose.[1]

Their mechanism is receptor-level rather than route-level: the same effects occur with an orally administered small-molecule agonist, which argues against a local gastrointestinal irritation explanation. Delayed gastric emptying and area postrema signalling are the proposed contributors.[1]

References

  1. ^ a b Drucker DJ. "Mechanisms of action and therapeutic application of glucagon-like peptide-1." Cell Metabolism 27(4):740–756 (2018). PMID 29617641.