What is this medicine?

Semaglutide: Glucagon-like peptide-1 (GLP-1) receptor agonist

Cyanocobalamin: Vitamin B12


What is this medicine used for?

Semaglutide: May aid in the treatment of type 2 diabetes mellitus, may reduce cardiovascular mortality and CV events in type 2 diabetes mellitus patients who also have established cardiovascular disease. May also aid in the treatment of obesity and chronic weight management in adjunction to a reduced calorie diet and increased physical activity.

Cyanocobalamin: May aid in the treatment of vitamin B12 deficiency. May help with increasing the metabolism of fats and carbohydrates. 



What key warnings and precautions should I know about before taking this medication?

Semaglutide: Do not use if you or your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC), or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). In studies with rodents, semaglutide and medicines that work like semaglutide caused thyroid tumors, including thyroid cancer. Tell your healthcare provider if you get a lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath. These may be symptoms of thyroid cancer. It is not known if semaglutide will cause thyroid tumors or MTC in people.
Tell your healthcare provider if you have pancreas or kidney problems, type 2 diabetes, diabetic retinopathy, take other medications to treat type 2 diabetes such as sulfonylureas or insulin, have mental health issues including depression or suicidal thoughts. Do not take if you are pregnant or planning on becoming pregnant as this product may harm your unborn baby. Stop using this product at least 2 months before you plan to become pregnant. It is unknown if semaglutide passes into your breastmilk. Talk with your healthcare provider about using this medication if you are currently or plan to breastfeed.

Cyanocobalamin: Tell your healthcare provider if you have kidney disease, megaloblastic anemia, pregnant or trying to get pregnant, or breast feeding.

Do not take this medication if you are allergic to any components of this product. Stop taking your medicine and seek immediate medical attention if you have any signs of a severe allergic reaction such as rash or hives spreading across your body, any swelling of the face, tongue, or throat, or any signs of trouble breathing.

Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine. This is not a complete list of key warnings and precautions. Reach out to your healthcare provider with any questions. 


What should I monitor?

Contact your health care provider for specific labs to be monitored during therapy. 


What are some possible side effects of this medication?

Semaglutide: Common side effects may include nausea, vomiting, diarrhea, constipation, stomach pain, headache, tiredness, upset stomach, dizziness, bloating, belching, gas, stomach flu, and heartburn. Serious side effects may include pancreatitis, gallstones, low blood sugar (hypoglycemia), kidney problems including kidney failure, changes in vision in people with type 2 diabetes, increased resting heart rate, depression or thoughts of suicide.

Cyanocobalamin: Common side effects may include dizziness, headache, feeling tired or weak, feeling nervous and excitable, upset stomach, diarrhea, or signs of a common cold.

This is not a complete list of side effects. Please call your healthcare provider if you experience any serious or unusual side effects or have any questions.


How is it best taken and what do I do if I miss a dose?

This medication may be administered subcutaneously by a medical professional or as directed by your physician. Do not use intramuscularly or intravenously.

If you miss a dose, apply as soon as you remember. If it is almost time for your next dose, skip the missed dose. Apply your next regularly scheduled dose. Do not take two doses at the same time to make up for missed dose.


How should I store this medicine?

Store between 35°F to 46°F (2°C - 8°C). Once punctured, properly discard any unused medication after 28 days or after the Beyond Use Date, whichever occurs first. Do not flush unused medications or pour down a sink or drain. Keep all medicine out of the reach of children and pets. 


General Statements

Do not share or take anyone else's medicine. Talk with your healthcare provider before starting any new medicine, including over-the-counter, natural products, or vitamins. This patient information summarizes the most important information about your medication; if you would like to request consultation, you can speak with one of our pharmacists by calling (877) 562-8577. Connect with Dr. Chacon.