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<blockquote data-quote="cugila" data-source="post: 98023" data-attributes="member: 15325"><p><strong>Re: VICTOZA</strong></p><p></p><p>Hi JC.</p><p></p><p>I can only tell you what is the current thinking, the recommendations. </p><p></p><p>This is an extract from the European Medicines Agency Document (the agency which approves use of a drug) about Liraglutide (Victoza) which was updated 05/2009. The very same information is in the Patient Information leaflet which should come with the drug when dispensed.</p><p></p><p>In particular, tell your doctor, nurse or pharmacist if you are using medicines for diabetes containing</p><p>any of the following active substances:</p><p>•<span style="color: #FF0000"> insulin. Victoza is not recommended if you are using insulin.</span></p><p>• a suphonylurea (such as glimepiride or glibenclamide). You may get hypoglycaemia (low blood</p><p>sugar) when using Victoza together with a sulphonylurea as sulphonylurea increases the risk of</p><p>hypoglycaemia. When you first start using these medicines together, your doctor may tell you to</p><p>lower the dose of the sulphonylurea medicine. Please, see section 4 for the warnings signs of</p><p>low blood sugar.</p><p></p><p>This is from the manufacturer, Novo Nordisk's website, a Summary of Product Characteristics.</p><p>Insulin</p><p><span style="color: #FF0000">Combination of liraglutide with insulin has not been evaluated and is therefore not recommended.</span></p><p></p><p> I would suggest you clarify this with your DN and the Consultant. They may have their reasons for going against the above. Something you need to discuss. As stated before, some Consultants routinely ignore guidelines ?</p></blockquote><p></p>
[QUOTE="cugila, post: 98023, member: 15325"] [b]Re: VICTOZA[/b] Hi JC. I can only tell you what is the current thinking, the recommendations. This is an extract from the European Medicines Agency Document (the agency which approves use of a drug) about Liraglutide (Victoza) which was updated 05/2009. The very same information is in the Patient Information leaflet which should come with the drug when dispensed. In particular, tell your doctor, nurse or pharmacist if you are using medicines for diabetes containing any of the following active substances: •[color=#FF0000] insulin. Victoza is not recommended if you are using insulin.[/color] • a suphonylurea (such as glimepiride or glibenclamide). You may get hypoglycaemia (low blood sugar) when using Victoza together with a sulphonylurea as sulphonylurea increases the risk of hypoglycaemia. When you first start using these medicines together, your doctor may tell you to lower the dose of the sulphonylurea medicine. Please, see section 4 for the warnings signs of low blood sugar. This is from the manufacturer, Novo Nordisk's website, a Summary of Product Characteristics. Insulin [color=#FF0000]Combination of liraglutide with insulin has not been evaluated and is therefore not recommended.[/color] I would suggest you clarify this with your DN and the Consultant. They may have their reasons for going against the above. Something you need to discuss. As stated before, some Consultants routinely ignore guidelines ? [/QUOTE]
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