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Trulicity® Injection for Type 2 Diabetes
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This once-weekly injectable medicine helps manage type 2 diabetes in adults. You get US delivery from Canada, plus straightforward details on the Trulicity® price without insurance.
What Trulicity Is and How It Works
Trulicity® contains dulaglutide, a GLP-1 receptor agonist. It helps lower blood sugar by increasing insulin release when glucose is high and reducing glucagon. It also slows stomach emptying, which may help with appetite control. The pen is a single-dose, prefilled autoinjector used once each week.
Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
This treatment is taken alongside diet and exercise. It is not insulin. It may be used alone or with other diabetes medicines under a prescriber’s direction. For broader context on treatment options, see our Type 2 Diabetes hub and the Diabetes Drugs List.
Who It’s For
Many adults use Trulicity for type 2 diabetes to improve blood sugar control. It is not for type 1 diabetes or diabetic ketoacidosis. People with a personal or family history of medullary thyroid carcinoma or with MEN2 should not use this class. If you have had pancreatitis, severe gastrointestinal disease, or serious stomach problems, your clinician may choose another option.
Discuss your medical history, current medicines, and goals with a healthcare professional before starting this therapy. Explore comparative insights in Trulicity Vs Ozempic to understand how GLP-1 options differ.
Dosage and Usage
The pen is injected once weekly, on the same day each week, with or without meals. Commonly, treatment starts at 0.75 mg once weekly. If additional effect is needed and the medicine is well tolerated, prescribers may increase the dose in steps at appropriate intervals. Follow your prescriber’s directions and the official patient instructions that come with your pen.
Inject subcutaneously into the abdomen, thigh, or upper arm. Rotate sites with each dose. Do not inject into tender, bruised, or scarred skin. Do not mix with insulin or use the same injection site for two medicines at the same time.
Set a weekly reminder. If your weekly schedule must change, pick a new weekly day and keep it consistent thereafter. For practical tips on easing early side effects, see Manage Trulicity Side Effects.
Strengths and Forms
Single-dose, prefilled autoinjector pens are typically available in the following weekly dose strengths:
- 0.75 mg/0.5 mL
- 1.5 mg/0.5 mL
- 3 mg/0.5 mL
- 4.5 mg/0.5 mL
Availability may vary by supply and location. Your prescriber will choose the right starting strength and adjust if needed.
Missed Dose and Timing
If you miss a weekly injection and the next planned dose is at least three days away, take the missed dose as soon as possible. If less than three days remain until your next dose, skip the missed dose and resume the regular schedule. Do not take two doses within three days of each other.
Storage and Travel Basics
Unopened pens are usually stored in a refrigerator. Keep them in the original carton to protect from light. Do not freeze. If a pen has been frozen, do not use it. When labeled guidance allows room-temperature storage for a limited time, keep below the specified maximum temperature and avoid direct heat and sunlight. For travel, pack your pen in a carry-on bag with your prescription label. Consider a small cooler if you expect warm conditions. Use temperature-controlled handling when required.
Keep all medicines out of reach of children and pets. Dispose of expired or unused pens according to local guidance or pharmacy instructions. For supplies and related items, browse Diabetes Care.
Pen Handling and Sharps Disposal
Each pen is single use. Read the Instructions for Use that come with your pen before injecting. General steps include:
- Wash hands, choose an injection site, and clean the skin.
- Remove the cap. Place the base flat on skin.
- Unlock if applicable, then press and hold the button to start.
- Listen for the clicks and wait until the indicator shows the dose is complete.
- Lift the pen from skin. The needle is shielded and not reused.
Place the used pen in an FDA-cleared sharps container. If none is available, use a heavy-duty household container with a tight-fitting, puncture-resistant lid until you can transfer to proper disposal. Do not throw loose pens in household trash or recycling.
Benefits
This medicine supports A1C reduction when combined with diet and exercise. Weekly dosing can be convenient compared with once-daily options. The treatment has a low risk of low blood sugar when used without insulin or sulfonylureas. Some patients with cardiovascular risk factors may receive additional heart-related benefits per approved labeling. Results vary by individual and concomitant therapy.
Side Effects and Safety
Some people describe early nausea with the Trulicity pen, which often improves over time. Common effects may include:
- Nausea or vomiting
- Diarrhea or stomach pain
- Decreased appetite
- Indigestion or bloating
- Fatigue or headache
- Injection site reactions
Serious risks can include pancreatitis, gallbladder problems, kidney issues from dehydration, and severe allergic reactions. There is a boxed warning for risk of thyroid C-cell tumors; avoid use if you or family members have MTC or MEN2. Low blood sugar can occur when this therapy is used with insulin or sulfonylureas. If you experience severe abdominal pain, neck swelling, hoarseness, or trouble breathing, seek urgent care.
Drug Interactions and Cautions
Taking this treatment with insulin or sulfonylureas may increase the chance of hypoglycemia. Because it slows gastric emptying, it can affect how some oral medicines are absorbed; your prescriber may advise timing adjustments for sensitive drugs. Tell your clinician about all medicines, vitamins, and herbal supplements. Use caution if you have a history of pancreatitis, gallbladder disease, or severe gastrointestinal disorders.
What to Expect Over Time
Many people notice early digestive symptoms that tend to lessen as the body adjusts. Blood sugar improvements typically emerge with steady weekly use, alongside nutrition and activity plans prescribed by your clinician. Building a routine helps: use phone reminders, keep a spare pen within storage limits, and track doses on your calendar. For broader comparisons among therapies, browse Types Of Insulin to understand roles across diabetes care.
Compare With Alternatives
Other prescription options may suit different needs. DPP-4 inhibitors are taken by mouth and can be considered when injections are not preferred. You can review Sitagliptin or Sitagliptin Malate to see how mechanisms, dosing, and tolerability compare. Your prescriber will choose the approach that fits your health history and goals.
Pricing and Access
We provide transparent information on the Trulicity price and current availability. Products are fulfilled by licensed partners and Ships from Canada to US. For updates on savings opportunities, see Promotions. If you are comparing cash-pay options, check the listing for the most up-to-date details and bring questions to your clinician.
Two helpful actions: review potential savings compared with local cash-pay options, and compare total costs when choosing multi-pen quantities. If you have insurance, confirm your plan’s coverage and any prior authorization requirements.
Availability and Substitutions
Supply can change. If your strength is temporarily unavailable, a prescriber may suggest an alternative dose or a different class that fits your history. When discussing options, consider clinical fit first and then discuss Dulaglutide cost as part of the plan.
Patient Suitability and Cost-Saving Tips
This therapy may fit adults with type 2 diabetes who need additional glucose control after diet and exercise. It is not right for people with type 1 diabetes, diabetic ketoacidosis, or those with a history of MTC or MEN2. Share any history of pancreatitis, severe stomach problems, or gallbladder disease with your clinician. If you use insulin or a sulfonylurea, ask about strategies to reduce low blood sugar risk.
Smart ways to manage total spend include choosing multi-month supplies when appropriate, setting refill reminders, and aligning prescription renewals to reduce separate fees. If you pay cash, discuss Dulaglutide price without insurance and compare quantities to find the best value for your situation.
Questions to Ask Your Clinician
- Is a weekly GLP-1 right for my A1C target and medical history?
- How should I time other medicines that may be affected by slower stomach emptying?
- What signs suggest pancreatitis or gallbladder problems, and what should I do?
- How can I reduce nausea when starting this medicine?
- If I use insulin or a sulfonylurea, how do I lower hypoglycemia risk?
- What follow-up labs and check-ins should I plan for?
Authoritative Sources
Ready to start? Buy Trulicity pen online with prompt, express shipping and US shipping from Canada. This page is informational and not a substitute for professional medical advice; always follow your prescriber’s instructions.
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How does this weekly GLP-1 work in the body?
Dulaglutide activates GLP-1 receptors to help your body release more insulin when glucose is high and reduce excess glucagon. It also slows stomach emptying, which can support post-meal control. This glucose-dependent mechanism lowers the chance of low blood sugar when used alone. Your clinician may combine it with other medicines if additional control is needed. Always follow the patient instructions included with your pen and your prescriber’s guidance.
Can I use it with insulin or a sulfonylurea?
Yes, some people use it alongside insulin or a sulfonylurea, but the combination can raise the risk of hypoglycemia. Your clinician might adjust timing of other medicines and provide a plan for monitoring. Know the signs of low blood sugar and keep a source of fast-acting carbohydrates nearby. Never change doses on your own. If you have frequent lows, contact your prescriber.
What should I do if I feel nauseated after starting?
Nausea is a common early effect and often lessens with time. Eat smaller meals, avoid heavy or greasy foods, and stay well hydrated. Many people find symptoms improve over the first few weeks of steady use. If severe vomiting or abdominal pain occurs, or if symptoms persist, seek clinical advice promptly. Review our article on managing side effects for practical tips and when to call your clinician.
How do I store the pen and for how long at room temperature?
Unopened pens are typically refrigerated and protected from light. Do not freeze, and discard any pen that has been frozen. If the label allows room-temperature storage for a limited period, keep below the stated maximum and away from heat and sunlight. When traveling, carry the pen with prescription labeling in your hand luggage to prevent temperature extremes and accidental loss.
Can I travel by air with my weekly injector?
Yes. Keep the pen in your carry-on with its pharmacy label and a copy of your prescription. Security agents are familiar with medical supplies. If needed, pack a small cooler or insulated pouch to help maintain appropriate temperatures. Do not store in checked baggage where temperatures can fluctuate. Bring a sharps plan for safe disposal at your destination.
What are the main differences among the available dose strengths?
Prescribers often start at a lower weekly dose to check tolerability, then step up if additional effect is needed. Higher strengths deliver more medicine, which may support better A1C reduction for some people but can also increase gastrointestinal side effects. Your clinician will weigh benefits and tolerability when deciding whether and when to adjust. Always follow the dose schedule on your prescription label.
What if I miss more than one weekly dose?
If it has been longer than a week, follow the official missed-dose instructions included with your pen and contact your clinician for guidance. Many people simply take the next dose on the usual day, but timing can matter if the gap is short. Do not inject two doses within three days of each other. Your prescriber can help you reset a weekly schedule that fits your routine.
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