{"ok":true,"entry":{"slug":"dulaglutide","kind":"medication","name":"dulaglutide","aliases":["Trulicity"],"brands_sg":["Trulicity"],"class":"GLP-1 receptor agonist","tags":["diabetes"],"use_for":"sg label: type 2 diabetes, in patients 10 years and above","use_after":"sg label: weekly · any time of day, with or without meals","use_duration":null,"take_with":"healthhub: with or without food · injected under the skin","pros":["healthhub: one injection on the same day each week","sg label: no dose change needed in renal impairment","sg label: no blood glucose self-monitoring required"],"cons":["healthhub: nausea, vomiting and diarrhoea are common","sg label: not recommended in end stage renal disease","healthhub: fridge storage, or 14 days at room temp"],"dose_note":"the sg trulicity label (sin14967p) states the ceiling in the paediatric section — \"the maximum dose is 1.5 mg once weekly\" — and the adult doses sit at or below it: \"monotherapy: the recommended dose is 0.75 mg once weekly\" and \"add-on therapy: the recommended dose is 1.5 mg once weekly\", with the paediatric starting dose of 0.75 mg once weekly able to be \"increased to 1.5 mg once weekly after at least 4 weeks\" — as directed on the label or by your doctor","dosage":null,"ul_status":null,"sg_class":"prescription-only","cautions":["a past episode of pancreatitis — healthhub asks that this be declared before starting","thyroid cancer or a family history of thyroid cancer — healthhub asks that this be declared before starting","type 1 diabetes, or being unable to take liquids by mouth or having persistent diarrhoea or vomiting — healthhub asks that these be declared","end stage renal disease (egfr < 15) — sg label: there is very limited experience and trulicity cannot be recommended in this population"],"clashes":[{"src":["ndf_trulicity_combo"],"note":"sg label: a reduction in the dose of sulphonylurea or insulin may be considered to reduce the risk of hypoglycaemia","with":"a sulphonylurea or insulin"},{"src":["healthhub_dulaglutide_prec"],"note":"healthhub asks that these be declared before starting dulaglutide","with":"dpp-4 inhibitors such as linagliptin, sitagliptin or vildagliptin"},{"src":["healthhub_dulaglutide_food"],"food":true,"note":"healthhub: talk with your doctor before you drink alcohol while on this medication","with":"alcohol"}],"sources":[{"id":"hsa_register","url":"https://data.gov.sg/api/action/datastore_search?resource_id=d_767279312753558cbf19d48344577084&limit=6000","label":"HSA — Listing of Registered Therapeutic Products (data.gov.sg dataset d_767279312753558cbf19d48344577084), Forensicclassification column; all 5,511 rows cached at /tmp/hsa_all.json and filtered locally (not re-fetched), 27 Aug 2026","quote":"TRULICITY INJECTION 1.5MG/0.5ML SIN14967P and TRULICITY INJECTION 0.75MG/0.5ML SIN14968P | Dulaglutide | Prescription Only | A10BJ05 | INJECTION, SOLUTION — the only 2 dulaglutide rows in the register","accessed":"2026-08-27"},{"id":"ndf_trulicity","url":"https://www.ndf.gov.sg/about-drugs/product-information/sin14967p/","label":"MOH National Drug Formulary (Singapore) — TRULICITY INJECTION 1.5MG/0.5ML [SIN14967P], product information","quote":"DULAGLUTIDE - 1.5 MG/0.5 ML … Registration Number SIN14967P … Licence Holder DKSH SINGAPORE PTE. LTD. … Forensic Classification PRESCRIPTION ONLY MEDICINES … ATC code A10BJ05 … Exemptions for Supply without Prescription NA","accessed":"2026-08-27"},{"id":"ndf_trulicity_ind","url":"https://www.ndf.gov.sg/about-drugs/product-information/sin14967p/","label":"MOH National Drug Formulary (Singapore) — TRULICITY [SIN14967P], 4.1 Therapeutic indications","quote":"Trulicity is indicated for the treatment of patients 10 years and above with insufficiently controlled type 2 diabetes mellitus as an adjunct to diet and exercise","accessed":"2026-08-27"},{"id":"ndf_trulicity_dose","url":"https://www.ndf.gov.sg/about-drugs/product-information/sin14967p/","label":"MOH National Drug Formulary (Singapore) — TRULICITY [SIN14967P], 4.2 Posology: adults","quote":"Monotherapy: The recommended dose is 0.75 mg once weekly. Add-on therapy: The recommended dose is 1.5 mg once weekly","accessed":"2026-08-27"},{"id":"ndf_trulicity_dose2","url":"https://www.ndf.gov.sg/about-drugs/product-information/sin14967p/","label":"MOH National Drug Formulary (Singapore) — TRULICITY [SIN14967P], 4.2 Posology: paediatrics and maximum dose","quote":"The starting dose for paediatric patients 10 years and above is 0.75 mg once weekly. If needed, the dose can be increased to 1.5 mg once weekly after at least 4 weeks. The maximum dose is 1.5 mg once weekly","accessed":"2026-08-27"},{"id":"ndf_trulicity_combo","url":"https://www.ndf.gov.sg/about-drugs/product-information/sin14967p/","label":"MOH National Drug Formulary (Singapore) — TRULICITY [SIN14967P], 4.2 Combination therapy and monitoring","quote":"When it is added to existing therapy of a sulphonylurea or insulin, a reduction in the dose of sulphonylurea or insulin may be considered to reduce the risk of hypoglycaemia","accessed":"2026-08-27"},{"id":"ndf_trulicity_monitor","url":"https://www.ndf.gov.sg/about-drugs/product-information/sin14967p/","label":"MOH National Drug Formulary (Singapore) — TRULICITY [SIN14967P], 4.2 Blood glucose self-monitoring","quote":"The use of Trulicity does not require blood glucose self-monitoring. Blood glucose self-monitoring is necessary to adjust the dose of sulphonylurea or insulin","accessed":"2026-08-27"},{"id":"ndf_trulicity_renal","url":"https://www.ndf.gov.sg/about-drugs/product-information/sin14967p/","label":"MOH National Drug Formulary (Singapore) — TRULICITY [SIN14967P], 4.2 Special population: renal impairment","quote":"No dose adjustment is required in patients with mild, moderate or severe renal impairment (eGFR < 90 to ≥ 15 mL/min/1.73m2) … Trulicity cannot be recommended in this population","accessed":"2026-08-27"},{"id":"ndf_trulicity_admin","url":"https://www.ndf.gov.sg/about-drugs/product-information/sin14967p/","label":"MOH National Drug Formulary (Singapore) — TRULICITY [SIN14967P], 4.2 Method of administration","quote":"Trulicity is to be injected subcutaneously in the abdomen, thigh or upper arm. It should not be administered intravenously or intramuscularly. The dose can be administered at any time of day, with or without meals","accessed":"2026-08-27"},{"id":"healthhub_dulaglutide","url":"https://www.healthhub.sg/medication-devices-and-treatment/medications/dulaglutide","label":"HealthHub (MOH Singapore) — Dulaglutide, medication information leaflet","quote":"Inject the dose as advised by your healthcare professional, on the same day each week … You may use this medication with or without food … injected into the fatty tissue between the skin and muscle layer","accessed":"2026-08-27"},{"id":"healthhub_dulaglutide_prec","url":"https://www.healthhub.sg/medication-devices-and-treatment/medications/dulaglutide","label":"HealthHub (MOH Singapore) — Dulaglutide, precautions","quote":"Are also taking Linagliptin, Sitagliptin, Vildagliptin or other dipeptidyl peptidase-4 inhibitors … Have type 1 diabetes mellitus … Have ever had pancreatitis … Have thyroid cancer or family history of thyroid cancer","accessed":"2026-08-27"},{"id":"healthhub_dulaglutide_se","url":"https://www.healthhub.sg/medication-devices-and-treatment/medications/dulaglutide","label":"HealthHub (MOH Singapore) — Dulaglutide, common side effects","quote":"Nausea, vomiting, stomach discomfort … Diarrhoea … Decrease in appetite … Bruising, pain, irritation, itch and rash at injection site","accessed":"2026-08-27"},{"id":"healthhub_dulaglutide_storage","url":"https://www.healthhub.sg/medication-devices-and-treatment/medications/dulaglutide","label":"HealthHub (MOH Singapore) — Dulaglutide, storage","quote":"Store in the refrigerator between 2-8 degrees C. Do not freeze. If needed, you may store the pens at room temperature for up to 14 days … discard any unused medication within 14 days","accessed":"2026-08-27"},{"id":"healthhub_dulaglutide_food","url":"https://www.healthhub.sg/medication-devices-and-treatment/medications/dulaglutide","label":"HealthHub (MOH Singapore) — Dulaglutide, what food or medication to avoid","quote":"Talk with your doctor before you drink alcohol","accessed":"2026-08-27"}],"brand_certs":null,"updated_at":"2026-08-29T16:16:18.585742+08:00"},"disclaimer":"kozen-x is not a medical device and does not give medical advice. it lists what published sources have written down. absence of a record is not the same as safe."}