Lixisenatide
Description
Lixisenatide is a medicine used to help manage type 2 diabetes by supporting yo
ur body in controlling blood sugar levels throughout the day. It works by mimicking a natural hormone that helps your pancreas release insulin when your blood sugar rises, slowing the movement of food from your stomach to your intestines and reducing the amount of sugar your liver makes. These actions together help prevent sudden spikes in blood sugar after meals and improve overall glucose control. It is important to use this medicine exactly as your doctor advised and to share your complete medical history, especially if you have stomach or digestive problems. If your blood sugar does not improve as expected or you develop unusual symptoms, please contact your doctor promptly.
Uses
- Lixisenatide is used to lower blood sugar levels in people with type 2 diabetes by acting like the natural incretin hormones in the body.
Contraindications
When should one not use Lixisenatide
Side effects
Common side effects of this drug are:
- Hypoglycaemia (in combination with a sulphonylurea and/or a
- basal insulin)
- Headache
- Nausea and Vomiting
- Diarrhoea
Precautions and Warnings
Pregnancy
Breast Feeding
Driving
Alcohol
Other General Warnings
- You experience persistent, severe abdominal pain, as this may be a sign of pancreatitis.
- You have a history of pancreatitis before starting Lixisenatide.
- You notice signs of dehydration, such as dizziness, dry mouth, or reduced urination, especially if you have gastrointestinal side effects.
- You have type 1 diabetes or diabetic ketoacidosis, as Lixisenatide should not be used in these conditions.
- You are planning to become pregnant, or if you become pregnant while taking Lixisenatide.
- You have kidney or liver problems before starting this medicine.
- You experience severe nausea, vomiting, or diarrhea that may affect your hydration or electrolyte balance.
- You are taking other anti-diabetic medications to monitor for potential low blood sugar (hypoglycemia).
Mode of Action
How Does It Work?
Interactions
Interactions with other medicines
- Lixisenatide may slow down the movement of food in the stomach, which can affect how other oral medicines are absorbed. Always inform your doctor if you take tablets that must be absorbed quickly.
- It can increase the effect of other diabetes medicines, especially insulin or sulfonylureas, which may lead to low blood sugar. Your doctor may adjust doses to prevent hypoglycaemia.
- Medicines that cause stomach irritation or delayed gastric emptying (like certain painkillers or anticholinergic drugs) may increase nausea when taken with Lixisenatide.
- If you take oral contraceptive pills, use them at least one hour before or 11 hours after Lixisenatide to ensure proper absorption.
- Avoid combining with other GLP-1 receptor agonists unless advised, as this may increase side effects without additional benefit.
- Always inform your doctor if you are taking medicines for high BP, heart problems, stomach problems, antibiotics, or thyroid issues, so they can check if any adjustments are needed.
Dosage
Overdose
- Overdose with lixisenatide is uncommon, but if it happens, it can cause symptoms like severe nausea, vomiting, dizziness, or very low blood sugar, especially if taken along with other diabetes medicines. If you have taken more than the prescribed amount, monitor your symptoms closely, take quick sugar if you feel shaky or weak, and seek medical help immediately. Always follow the dose recommended by your doctor to avoid such effects....
Missed a Dose
Content Details
Ravindra Ghongade
B. Pharm
Dr. Nikita Toshi
BDS (Bachelor of Dental Surgery), WHO FIDES member
Frequently Asked Questions (FAQs)
Q: What is Lixisenatide used for?
Q: How does Lixisenatide work?
- Lixisenatide works by mimicking a natural hormone called GLP-1. It increases insulin release when needed, slows stomach emptying to prevent blood sugar spikes after meals, and reduces sugar production in the liver....
Q: What precautions should I take while using Lixisenatide?
- Consult your doctor if you experience severe abdominal pain, signs of dehydration, kidney or liver problems, severe nausea or vomiting, or if you are taking other anti-diabetic medicines.
References
- Bedfordshire, Luton and Milton Keynes Integrated Care Board. Lixisenatide (Lyxumia®) — Prescribing Information Sheet, Updated November 2020 [Internet]. UK: BLMK ICB; 2020 [cited 2025 Dec 8].
- Central Drugs Standard Control Organization (CDSCO). Drugs: Approved Drugs / Vaccines / r-DNA / Blood Products [Internet]. Government of India; [cited 2025 Dec 8].