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Important Safety Information

Compounded Oral Semaglutide

Compounded Prescription Medication

Compounded oral semaglutide (capsule or orally-dissolving tablet) delivers the same GLP-1 active ingredient as injectable semaglutide, in a swallowed or dissolvable oral form, prepared by a licensed compounding pharmacy per prescription for chronic weight management under provider supervision.

Emergency: If you experience chest pain, severe shortness of breath, a prolonged painful erection (over 4 hours), or sudden vision/hearing loss — call 911 or go to your nearest emergency room immediately.

Who Should Not Use Compounded Oral Semaglutide

  • Patients with a personal or family history of medullary thyroid carcinoma (MTC) or MEN 2
  • Known hypersensitivity to semaglutide
  • Pregnant or breastfeeding individuals
  • Patients with a history of pancreatitis without provider clearance

Warnings & Precautions

Thyroid C-Cell Risk

Contraindicated in patients with personal/family history of MTC or MEN 2, consistent with all semaglutide-containing products.

Absorption Considerations

Oral semaglutide absorption can be affected by food and other medications taken at the same time. Follow your provider's dosing instructions (typically fasting, with a small amount of water).

Pancreatitis

Discontinue immediately if acute pancreatitis is suspected.

Compounding Considerations

Compounded oral formulations are prepared per your prescription and are not individually FDA-reviewed as a finished product.

Common Side Effects

This is not a complete list. Contact your provider if you experience any concerning symptoms.

  • Nausea
  • Vomiting
  • Diarrhea
  • Constipation
  • Abdominal pain
  • Decreased appetite

Drug Interactions

Always inform your provider of all medications, supplements, and substances you are currently taking.

  • Oral medications requiring precise gastric absorption (e.g., levothyroxine, oral contraceptives)
  • Insulin and insulin secretagogues — hypoglycemia risk
  • Other GLP-1 receptor agonists — do not combine

When to Contact Your Provider

  • Persistent vomiting, severe abdominal pain, or suspected pancreatitis
  • Signs of hypoglycemia if on concurrent insulin/sulfonylureas
  • Signs of thyroid tumor: neck lump, dysphagia, hoarseness

This safety information is provided for general educational purposes only and does not constitute medical advice. It is not a substitute for the full prescribing information, package insert, or guidance from your licensed healthcare provider. Individual responses to medications and supplements vary. MEDVera providers review your complete health profile before recommending or prescribing any treatment.

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