Trulicity is a brand-name diabetes drug that is very similar to Ozempic. It works the same way and has the same side effects, drug interactions, and warnings. Administered as a once-weekly injection, Trulicity reduces fasting and postprandial blood sugar levels. Its active ingredient is a GLP-1 agonist called dulaglutide. It lowers blood glucose by enhancing insulin production, decreasing the body’s glucose production, slowing stomach emptying, and reducing appetite.
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Trulicity
Dulaglutide
Treats Type 2 diabetes by reducing blood sugar or decreasing the risk of cardiovascular events, such as heart attacks.
Antidiabetic, glucagon-like peptide-1 receptor agonist (GLP-1 receptor agonist)
Injection
By injection
Along with diet and exercise, Trulicity reduces and controls blood glucose levels in people diagnosed with Type 2 diabetes mellitus. Healthcare professionals may also prescribe it to prevent cardiovascular events in people with Type 2 diabetes along with cardiovascular disease or risk factors such as high blood pressure or high cholesterol.
Starting at the lowest dose and increasing after 4 weeks only if needed can minimize the risk of adverse effects while still achieving the desired effectiveness.
Avoiding large meals, particularly greasy or fatty ones, and not eating before bedtime may help with nausea and indigestion, two possible side effects from Trulicity.
Maintaining brisk hydration, coupled with a high intake of dietary or supplemental fiber, can be an effective strategy to reduce the risk of constipation associated with GLP-1 agonists.
Hypoglycemia, when blood sugar drops too low, is only a problem with Trulicity when it is taken along with insulin or certain pills for Type 2 diabetes.
Like its more popular drug classmate Ozempic, Trulicity is associated with weight loss related to its appetite-suppressing effect, but the amount of weight loss seen with it is generally less.
Single-dose injection pen
0.5 mL of 0.75 mg/0.5 mL
0.5 mL of 1.5 mg/0.5 mL
0.5 mL of 3 mg/0.5 mL
0.5 mL of 4.5 mg/0.5 mL
For Type 2 diabetes:
In adults: 0.75–4.5 mg subcutaneous injection administered once weekly
In children 10 years of age and older: 0.75–1.5 mg subcutaneous injection administered once weekly
Find more information about Trulicity dosage, forms, and strengths here.
Trulicity
0.75mg/0.5ml 0.5ml pen
Trulicity
1.5mg/0.5ml 0.5ml pen
Trulicity
3mg/0.5ml 0.5ml pen
Trulicity
4.5mg/0.5ml 0.5ml pen
Take Trulicity as instructed by the prescriber.
Doses are taken once weekly on the same day of the week each time.
Trulicity pen injectors contain a single dose, so a new single-dose pen is used each week.
A healthcare provider will give instructions about where to give the injection and how to give it correctly. Make sure you understand all the instructions.
Doses can be injected without regard for meals, according to the drug’s label.
Please read the Medication Guide before starting Trulicity.
Please review the Instructions for Use before administering an injection.
Preparing the injection:
Remove the pen injector from its carton in the refrigerator.
Check the pen label, the dose, and the medicine. Do not use the injector if it contains the wrong medicine, has the wrong dose, is damaged, or shows cloudy, discolored, or particle-filled medicine.
Wash your hands.
Giving the injection:
You can administer injections in the abdomen or front area of the thighs. A caregiver can administer an injection in the back of the upper arms.
Rotate the injection site for each week’s dose.
With the pen locked, remove the base cap.
Place the clear base against the skin.
Unlock the pen.
Press and hold down the injection button. The injector will click.
After five or 10 seconds, the injector will make a clicking noise again. The injection is finished.
Pull the pen straight away from the skin.
Dispose of the injector pen in a sharps container.
Store Trulicity pens in the refrigerator in their original carton, protected from light. They come in single-pen or four-pen cartons. Do not freeze.
If a pen is removed from the refrigerator, it can be stored at room temperature for up to 14 days.
If you miss a dose, take it as soon as possible.
Do not take the missed dose if the next dose is due in three days. In that case, skip the missed dose and take the next dose as scheduled.
Patients can change the day of the week injections are given as long as the new day is at least three days after the last dose.
Do not take extra medicine to make up for a missed dose.
This medicine is not right for everyone.
Do not use Trulicity if you have had a hypersensitivity reaction to dulaglutide or if you have:
A personal or family history of medullary thyroid carcinoma (MTC), a rare type of thyroid cancer
Multiple endocrine neoplasia syndrome type 2 (MEN 2)
Trulicity is never used to treat Type 1 diabetes.
Regular checkups and blood tests are key to the success and safety of Trulicity treatment. Keep all appointments with healthcare providers.
Make sure any doctor or other healthcare provider treating you knows that you take Trulicity shots.
Before starting Trulicity, tell the prescriber if you are pregnant, breastfeeding, or have or previously had:
Kidney problems
Liver problems
Pancreas problems
Diabetic retinopathy or eye problems due to diabetes
Stomach problems, including delayed gastric emptying or digestion problems
Trulicity may be associated with serious problems, including:
Increased risk of medullary thyroid cancer
Severe gastrointestinal disease
Pancreatitis (inflammation of the pancreas)
Gallbladder disease
Kidney injury
Worsening of diabetic retinopathy
Low blood sugar (in people taking insulin or drugs that increase insulin production)
Trulicity slows stomach emptying, which can affect the absorption of other oral medications. Before starting Trulicity, inform the prescriber about all prescription medications, over-the-counter medications, and supplements you are currently taking.
Diabetes medications called insulin secretagogues—meglitinides and sulfonylureas—and insulins increase the risk of people developing severely low blood sugar if they’re taking Victoza injections. To see if you’re taking one of these drugs, view our lists of meglitinides, sulfonylureas, and insulins.
Seek medical attention immediately if you notice any signs or symptoms of a possible serious side effect, including:
Decrease in how much or how often you urinate, lower back or side pain, or blood in your urine
Sudden and severe stomach pain, diarrhea, nausea, vomiting, or fever
Pale stools, pain in the upper right abdomen, nausea, vomiting, or yellowing of the skin or eyes
Blurred vision or any other change in vision
Lump in the neck, difficulty swallowing, or difficulty breathing
Shaking, trembling, sweating, fast or pounding heartbeat, lightheadedness, hunger, or confusion
Allergic reaction: Severe rash, severe itching, swelling in your face, lips, tongue or throat, feeling faint, problems breathing, or racing heartbeats
Nausea
Diarrhea
Vomiting
Abdominal pain
Loss of appetite
Indigestion
Constipation
Bloating
Find more detailed information about Trulicity side effects here.
Trulicity dulaglutide injection prescribing information, NIH DailyMed (2025)
Trulicity medication guide, Eli Lilly and Company (2025)
Trulicity instructions for use, Eli Lilly and Company (2021)
Chad Shaffer, MD, earned his medical doctorate from Penn State University and completed a combined Internal Medicine and Pediatrics residency at the University of Pittsburgh Medical Center and Children’s Hospital of Pittsburgh. He is board certified by the American Board of Internal Medicine and the American Board of Pediatrics. He has provided full-service primary care to all ages for over 15 years, building a practice from start up to over 3,000 patients. His passion is educating patients on their health and treatment, so they can make well-informed decisions.
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