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Description
Storage temperature exceeded if the medication has been exposed to temperatures above the product-specific limit (check your leaflet/SmPC) for extended periods, it should be discarded

ER, extended release

For the gastrointestinal symptoms that commonly occur: Follow the recommended dose escalation schedule carefullydo not rush titration Eat smaller, more frequent meals rather than large portions Avoid high-fat, greasy, or heavily spiced foods that may exacerbate nausea Stay well hydrated , particularly if experiencing vomiting or diarrhoea Take the injection at a consistent time , preferably when you can rest if nausea occurs If persistent vomiting or diarrhoea occurs , seek medical advice promptly as dehydration can lead to acute kidney injury, especially in those with pre-existing renal impairment or taking other medications affecting kidney function
Gallbladder and biliary disease are common findings in patients with IBD 149 and given the known risks from GLP-1RA as described above, patient education regarding important symptoms to be aware of is crucial when initiating these treatments and caution is advised in patients with a history of biliary disease
