Updated: Dec 26, 2019
At eCareNow clinic we offer medical weight loss services. Managing obesity is one of our speciality and we do understand that weight loss requires more than willpower alone. We also wanted to make sure our clients understand that pharmaceutical agents that we offer like appetite suppressants are not to replace the reduced-calorie meal plan and increased physical activity but the adSaxenda ditions to help your weight loss journey and keep the weight off.
One of the product we will discuss in this blog is Saxenda.
Saxenda is an injectable medicine (FDA approved). It mimics an intestinal hormone that sends signals to the brain that your stomach is full. Therefore, Saxenda suppresses the appetite. Saxenda comes in an injectable pen and very easy to use. The lowest initial Saxenda dose is 0.6mg for one week. The higher is 3mg daily and it can be used long-term.
The recommendation is to increase the dose by 0.6mg weekly until reach 3mg/day. We usually recommend to our clients to not increase the dose next week if the current dose still works and suppresses the appetite. For example, if one is on 1,200cal/day diet and can easily not exceed 1,200cal on 1.2mg/day, we recommend to continue injecting 1.2mg/day of Saxenda until it gets harder to maintain the 1,200cal diet.
What is very important to know about Saxenda?
- It is not the treatment for DM II and should not be used for glucose control.
- Saxenda and Victoza have the same active ingredient and cannot be used together.
- Saxenda and Insulin together are contraindicated and can cause serious side effects
- Saxenda is ok to use with other prescriptions such as blood pressure medications, cholesterol-lowering agents, herbal supplements, vitamins.
- Saxenda cannot be prescribed for clients with Thyroid disease, history of Thyroid cancer, or any other Thyroid abnormalities.
How much does Saxenda cost?
Saxenda is an expensive medication. It is indicated for patients with BMI >27 with either medical history of Hypertension, Diabetes II, or Dyslipidemia; or for patients with BMI equal or above 30. With those indications it is possible the insurance will cover Saxenda.
Otherwise, the price is about $1,200 for one month supply. Please connect to our provider to discuss the ways obtaining Saxenda at lower discounted prices.
What are the side effects and adverse reactions of Saxenda?
The common side effects are nausea, stomach cramps, diarrhea, dizziness, tiredness. Normally, those side effects go away in 1-2 weeks.
The most serious side effects are:
- Possible Thyroid tumor including cancer
- Gallbladder disease
- Hypoglycemia (low blood sugar)
- Kidney failure
- Allergic reaction
- Depression, suicidal thoughts.
You should stop using Saxenda if any above mentioned adverse reactions noted and notify provider immediately.
At eCareNow clinic you can get a detailed consultation on Saxenda use and receive a prescription if appropriate. Please connect with our provider to schedule in person or TeleHealth visit.