Rybelsus 7Mg | 30Tab

Rybelsus 7Mg | 30Tab

• Rybelsus contains the active substance semaglutide. It is a medicine that is used to lower blood sugar levels.

Indications:

• Rybelsus is used to treat adults (aged 18 years and older) with type 2 diabetes when diet and exercise is not enough on its own – when you cannot use metformin (another diabetes medicine) or with other medicines for diabetes – when the other medicines are not enough to control your blood sugar levels. These may be medicines you take by mouth or inject such as insulin.

Warnings and precautions:

• Talk to your doctor, pharmacist or nurse before taking Rybelsus.

General:

1. This medicine is not the same as insulin and you should not use it if:
2. You have type 1 diabetes (your body does not produce any insulin).
3. You develop diabetic ketoacidosis. This is a complication of diabetes with high blood sugar, breathing difficulty, confusion, excessive thirst, a sweet smell to the breath or a sweet or metallic taste in the mouth.
4. Your doctor will prescribe the strength that is right for you.
5. Do not change your dose unless your doctor has told you so. 
6. It is not recommended to take two 7 mg tablets to get the effect of one 14 mg tablet, as this has not been studied.

Dosage:

• Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.
• How much to take.
• The starting dose is one 3 mg tablet once a day for one month.
• After one month, your doctor will increase your dose to 7 mg once a day.
• Your doctor may increase your dose to 14 mg once a day if your blood sugar is not controlled well enough with a dose of 7 mg once a day. 

Taking this medicine:

• Take your Rybelsus® tablet on an empty stomach at any time of the day.
• Swallow your Rybelsustablet whole with a sip of water (up to 120 ml). 
• Do not split, crush or chew the tablet, as it is not known if it affects absorption of semaglutide.
• After taking your Rybelsus tablet wait at least 30 minutes before having your first meal or drink of the day or taking other oral medicines. Waiting less than 30 minutes lowers the absorption of semaglutide.

Possible side effects:

• Like all medicines, this medicine can cause side effects, although not everybody gets them.

Rare (may affect up to 1 in 1,000 people):

• Serious allergic reactions (anaphylactic reactions). You must get immediate medical help and inform your doctor straight away if you get symptoms such as breathing problems, swelling of face and throat, wheezing, fast heartbeat, pale and cold skin, feeling dizzy or weak.
• Inflamed pancreas (acute pancreatitis) which could cause severe pain in the stomach and back which does not go away. You should see a doctor immediately if you experience such symptoms.

Very common (may affect more than 1 in 10 people):

• Feeling sick (nausea) – this usually goes away over time.
• Diarrhoea – this usually goes away over time.
• Low blood sugar (hypoglycaemia) when this medicine is used with medicines that contain a sulfonylurea or insulin. Your doctor may reduce your dose of these medicines before you start using this medicine.

Common (may affect up to 1 in 10 people):

• Complications of diabetes.
• Eye disease (retinopathy). You should tell your doctor if you get eye problems, such as changes in vision, during treatment with this medicine.
• Low blood sugar (hypoglycaemia) when this medicine is used with oral diabetes medicine other than sulfonylurea or insulin.
• Being sick (vomiting).
• Upset stomach or indigestion.
• Inflamed stomach (‘gastritis’) – the signs include stomach ache, feeling sick (nausea) or being sick (vomiting).
• Reflux or heartburn – also called ‘gastro-esophageal reflux disease.
• Stomach pain.
• Bloating of the stomach.
• Constipation.
• Tiredness.
• Less appetite.
• Gases (flatulence).
• increase of pancreatic enzymes (such as lipase and amylase) shown in blood tests.

Uncommon (may affect up to 1 in 100 people):

• Weight loss
• Gallstones
• Burping
• Fast pulse.
• If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. 

Storage:

• KEEP AWAY FROM CHILDREN.
• STORE AT TEMPERATURE BELOW 25.