WARNING

Bydureon BCISE is a medication used to treat type 2 diabetes by helping to control blood sugar levels. Like any medication, it carries potential risks. Some common risks associated with Bydureon BCISE include:

• Hypoglycemia: Bydureon BCISE can lower blood sugar levels, leading to hypoglycemia (low blood sugar). Symptoms may include shakiness, sweating, confusion, and in severe cases, loss of consciousness.
• Pancreatitis: There have been reports of pancreatitis (inflammation of the pancreas) in people taking Bydureon BCISE. Symptoms may include severe abdominal pain, nausea, and vomiting.
• Injection site reactions: Some people may experience redness, swelling, or itching at the injection site.
• Nausea: Nausea is a common side effect of Bydureon BCISE, especially when starting the medication.
• Gastrointestinal effects: Other gastrointestinal side effects such as diarrhea, constipation, and stomach discomfort may occur.

It’s important for individuals considering Bydureon BCISE to discuss the potential risks and benefits with their healthcare provider, and to follow their provider’s recommendations for monitoring and managing these risks.

Why is this medication prescribed?

Bydureon BCISE is prescribed for the treatment of type 2 diabetes mellitus. It is a medication that contains the active ingredient exenatide, which belongs to a class of drugs called glucagon-like peptide-1 (GLP-1) receptor agonists. Bydureon BCISE works by mimicking the action of the hormone GLP-1, which helps to regulate blood sugar levels by stimulating insulin secretion, inhibiting glucagon secretion, and slowing down gastric emptying.

It is typically prescribed for individuals with type 2 diabetes who have not achieved adequate blood sugar control with other medications such as metformin, sulfonylureas, or insulin. Bydureon BCISE is administered as a once-weekly injection and is often used in conjunction with diet and exercise to improve glycemic control and reduce the risk of complications associated with diabetes.

How should this medicine be used?

Bydureon BCISE (exenatide extended-release) is a medication used to treat type 2 diabetes. It’s administered as a once-weekly injection. Here’s how Bydureon BCISE should be used:

• Preparation: Bydureon BCISE comes in a pre-filled, single-dose autoinjector device. Before using, remove the autoinjector from the refrigerator and allow it to reach room temperature for about 15-30 minutes. Do not warm it in any other way (such as using a microwave or hot water).
• Selecting the injection site: Bydureon BCISE can be injected into the thigh, abdomen (stomach area), or upper arm. Choose a different site each time you inject to minimize the risk of injection site reactions.
• Injection technique: Clean the injection site with an alcohol swab and allow it to dry. Remove the cap from the autoinjector and hold the device firmly against the skin at a 90-degree angle. Press the button to release the needle into the skin, and hold the button down until the dose indicator shows “0”. Keep the button pressed for at least 15 seconds to ensure the full dose is delivered. After injection, dispose of the autoinjector safely.
• Dosage: Bydureon BCISE is typically started at a low dose and gradually increased to reduce the risk of side effects such as nausea. Your healthcare provider will determine the appropriate dosage for you based on factors like your response to treatment and other medications you may be taking.
• Frequency: Bydureon BCISE is usually injected once weekly on the same day each week. Try to establish a routine for taking your weekly dose to help you remember.
• Monitoring: Continue to monitor your blood sugar levels as directed by your healthcare provider. They may also recommend periodic blood tests to assess your response to treatment and monitor for any potential side effects.
• Follow-up: Attend regular follow-up appointments with your healthcare provider to assess your progress, adjust your treatment plan if necessary, and address any concerns you may have.

It’s important to follow your healthcare provider’s instructions carefully when using Bydureon BCISE and to not change the dosage or frequency of administration without consulting them first. If you have any questions or concerns about how to use Bydureon BCISE, don’t hesitate to discuss them with your healthcare provider or pharmacist.

Other uses for this medicine

Bydureon BCISE is primarily used for the management of type 2 diabetes. However, there are no other approved medical uses for Bydureon BCISE beyond its indication for type 2 diabetes.

What special precautions should I follow?

As for special precautions when using Bydureon BCISE, here are some important points to consider:

• Hypoglycemia: Bydureon BCISE can lower blood sugar levels, increasing the risk of hypoglycemia (low blood sugar). It’s important to monitor blood sugar levels regularly and be aware of the signs and symptoms of hypoglycemia.
• Pancreatitis: There have been reports of pancreatitis (inflammation of the pancreas) in people taking Bydureon BCISE. If you experience severe abdominal pain, nausea, or vomiting, seek medical attention promptly.
• Injection site reactions: Some individuals may experience injection site reactions such as redness, swelling, or itching. Rotate injection sites to minimize the risk of irritation.
• Gastrointestinal effects: Bydureon BCISE may cause nausea, diarrhea, constipation, or stomach discomfort, especially when starting the medication. These symptoms usually improve over time.
• Kidney function: Since Bydureon BCISE is eliminated from the body primarily through the kidneys, individuals with impaired kidney function may require dosage adjustments or closer monitoring.
• Thyroid tumors: GLP-1 receptor agonists, including Bydureon BCISE, have been associated with thyroid tumors in rodents. It’s essential to discuss any history of thyroid tumors or other risk factors with your healthcare provider.
• Pregnancy and breastfeeding: The safety of Bydureon BCISE during pregnancy and breastfeeding has not been established. Consult your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding.

Always inform your healthcare provider about all medications, supplements, and medical conditions you have before starting Bydureon BCISE. Follow your healthcare provider’s instructions closely and attend regular follow-up appointments to monitor your response to treatment and any potential side effects.

What special dietary instructions should I follow?

While using Bydureon BCISE, it’s important to follow a healthy diet as recommended by your healthcare provider or a registered dietitian. This may include:

• Consuming a balanced diet rich in fruits, vegetables, lean proteins, and whole grains.
• Limiting intake of sugary foods and beverages.
• Monitoring carbohydrate intake to help manage blood sugar levels.
• Spreading carbohydrate intake evenly throughout the day.

What should I do if I forget a dose?

• If you remember within three days (72 hours) of the missed dose, administer the dose as soon as possible. Continue with your regular dosing schedule thereafter.
• If more than three days (72 hours) have passed since the missed dose, skip the missed dose and administer the next scheduled dose on the regular dosing day.

What side effects can this medication cause?

Bydureon BCISE (exenatide extended-release) is generally well-tolerated, but like any medication, it can cause side effects. Common side effects of Bydureon BCISE include:

• Nausea: Nausea is one of the most common side effects, especially when starting treatment. It may improve over time as your body adjusts to the medication.
• Injection Site Reactions: Some individuals may experience redness, swelling, or itching at the injection site. Rotating injection sites can help minimize these reactions.
• Diarrhea or Constipation: Changes in bowel habits, such as diarrhea or constipation, may occur in some people.
• Stomach Discomfort: Abdominal discomfort, including stomach pain or discomfort, may occur, particularly during the initial weeks of treatment.
• Hypoglycemia: Bydureon BCISE can lower blood sugar levels, potentially leading to hypoglycemia (low blood sugar). Symptoms may include shakiness, sweating, confusion, and dizziness.
• Headache: Some individuals may experience headaches while taking Bydureon BCISE.
• Vomiting: Vomiting may occur, particularly if nausea is severe.
• Decreased Appetite: Some people may experience a decreased appetite while taking Bydureon BCISE.
• Fatigue: Feelings of tiredness or fatigue may occur in some individuals.
• Gastrointestinal Effects: Other gastrointestinal side effects such as indigestion, flatulence (gas), or belching may occur.

It’s important to note that not everyone will experience these side effects, and some individuals may experience side effects not listed here. Additionally, serious side effects such as severe allergic reactions, pancreatitis, or thyroid tumors are rare but possible.

If you experience any severe or persistent side effects while taking Bydureon BCISE, or if you have concerns about any symptoms you’re experiencing, contact your healthcare provider for further evaluation and guidance. They can help determine the best course of action, which may include adjusting your medication or addressing any underlying issues.

What should I know about storage and disposal of this medication?

Storage and Disposal:

• Storage: Store Bydureon BCISE in the refrigerator at a temperature of 36°F to 46°F (2°C to 8°C). Do not freeze. Protect the medication from light by keeping it in the original carton until ready to use. Once removed from the refrigerator and brought to room temperature for administration, use Bydureon BCISE within 8 weeks. Discard any unused portion after 8 weeks.
• Disposal: After use, dispose of the autoinjector safely by placing it in an FDA-cleared sharps disposal container. Do not dispose of the autoinjector in household trash. If a sharps disposal container is not available, follow local regulations for safe disposal.

In case of emergency/overdose

• Hypoglycemia (Low Blood Sugar): If you experience symptoms of hypoglycemia, such as shakiness, sweating, confusion, or dizziness, consume a fast-acting carbohydrate source such as glucose tablets, fruit juice, or sugar cubes. Follow up with a snack or meal containing carbohydrates and protein. If symptoms persist or worsen, seek medical attention promptly.
• Overdose: If you suspect an overdose of Bydureon BCISE, contact emergency medical services (such as 911 in the United States) or a poison control center immediately. Symptoms of overdose may include severe nausea, vomiting, severe diarrhea, or hypoglycemia.

What other information should I know?

• Follow-up Appointments: Attend regular follow-up appointments with your healthcare provider to monitor your response to treatment, assess your blood sugar levels, and address any concerns or questions you may have.
• Medication Interactions: Inform your healthcare provider about all medications, supplements, and herbal products you are taking, as some medications may interact with Bydureon BCISE.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss the risks and benefits of Bydureon BCISE with your healthcare provider. The safety of Bydureon BCISE during pregnancy and breastfeeding has not been established.
• Travel: If you plan to travel, ensure you have an adequate supply of Bydureon BCISE and any necessary supplies. Follow proper storage guidelines during travel to maintain the effectiveness of the medication.
• Hypersensitivity Reactions: Seek medical attention immediately if you experience signs of a severe allergic reaction, such as difficulty breathing, swelling of the face, lips, tongue, or throat, or severe itching or rash.

Always follow your healthcare provider’s instructions and guidelines for the safe and effective use of Bydureon BCISE. If you have any questions or concerns, don’t hesitate to reach out to your healthcare provider or pharmacist for assistance.