What is Compounded Semaglutide?
How To Store Your Medication
This compound is stored at room temperature with an allowable excursion of 131°F (55°C).
The Semaglutide sublingual suspension’s beyond-use-date (BUD) is 90 days from the date it was compounded.
How To Take Your Medication
Take your medication as prescribed by your doctor. Compounded sublingual semaglutide suspension is a daily drop of liquid that should be placed under the tongue.
Patients should keep the liquid under their tongue for at least 60 seconds before swallowing. It is recommended to be taken at night after brushing teeth, flossing, and rinsing mouth with warm water. You should not eat or drink for 30 minutes after taking your dose.
To take your medication, you will need to check your dosage, draw the correct amount of medication from the bottle using the adapter and oral syringe, and place medication underneath your tongue.
When Should I Stop Taking Medication?
At the beginning of the Sunrise program, you communicate your goal weight to your Sunrise affiliated physician. When you achieve your goal weight or achieve a body mass index (BMI) less than 25, message your doctor. Your doctor may recommend you transition to a maintenance dose to maintain your weight loss.
If you believe you may have a BMI less than 30, please proactively communicate with your doctor every month regarding your current weight because it may inform the dosage for future prescriptions.
How to Refill Your Semaglutide Prescription?
How to refill your semaglutide prescription?
For the initial four to six months of the Sunrise program, refilling your compounded semaglutide prescription requires a monthly check-in with your Sunrise affiliated physician. During this check-in, your physician will evaluate your weight-loss progress and determine the best weight loss path for the next month. After 6 months, your doctor will reassess the frequency of your check-ins.
The goal of the monthly check-in with your physician is to determine the proper dose of compounded semaglutide which will optimize your weight-loss progress while minimizing side effects.
Every month, we will reach out via email during Week 3 to initiate your check-in with your physician.
You can also initiate a check-in via the Sunrise refill page.
When You Should Message Your Sunrise Affiliated Physician?
You can message your physician at any time through the Sunrise messaging portal. In addition, below are specific times you should reach out to your Sunrise affiliated physician:
- If you have not taken a dose of medication within the last 10 days.
- Any time you experience severe side effects, including allergic reactions, severe dehydration, syncope/passing out, or any Emergency Room visits that may be related to your medication.
- Any time you are hospitalized with other medical conditions, or starting new medications.
- Any planned procedures that require anesthesia or fasting prior to the procedure.
- When your BMI is less than 25.
- Please notify your primary care doctor that you are starting on a GLP-1 agonist.
Additional compounded semaglutide FAQs
What are common side effects of semaglutide?
Common side effects of semaglutide include diarrhea, vomiting, constipation, abdominal pain, headache, fatigue, heartburn, dizziness, stomach fullness, flatulence/gas, belching, gastroenteritis, and gastroesophageal reflux disease.
Click here for the full list of semaglutide side effects.
Because nausea is most common in patients beginning treatment with semaglutide, you will be prescribed generic Zofran (ondansetron) to help alleviate nausea when you start taking semaglutide. ONLY take this medication if you experience nausea.
What if I have an allergic reaction?
You might experience a minor site reaction, meaning mild redness around the injection site. If you are having a severe allergic reaction with hives, shortness or breath, eye swelling, or any other significant reaction, dial 911 or visit your nearest emergency room.
What if I need more supplies? What if my supplies are damaged?
Contact support@findsunrise.com for additional supplies. Immediately discard any damaged supplies.
Who should not take compounded semaglutide?
Your Sunrise affiliated physician evaluated your health history prior to writing your initial prescription based on the medical intake form you filled out when signing up for Sunrise. As a result, some patients may not be eligible to take compounded semaglutide.
If you develop any of these conditions after starting your prescription, please stop using compounded semaglutide and reach out to your Sunrise affiliated physician right away.
- Family or personal history of medullary thyroid cancer
- Family or personal history of multiple endocrine neoplasia Type 2 (MEN-2) syndrome
- Currently pregnant or planning to become pregnant in the next two months
- Currently breastfeeding
- Retinopathies (diseases of the retina)
- Type 1 Diabetes
- Early Leber’s disease
- Serious gastrointestinal disorders (Severe GERD/hiatal hernia/Crohn's diagnosis/ulcerative colitis)
- Recent bariatric surgery (within past 6 months)
- Pancreatitis using GLP-1s in the past or patients with chronic pancreatitis
- Drug use disorder
- Alcohol use disorder
- Disordered eating
- Suicidal ideation or behavior
- Gallbladder disease (does not include gallbladder removal)
Warning: Semaglutide may cause worsening depression or suicidal thoughts, intestinal blockage, or thyroid cancer. Watch for possible symptoms, such as mood changes, abdominal pain, swelling in the neck, trouble swallowing, hoarseness, and shortness of breath. If you have any of these symptoms, tell your healthcare provider.
Additional Online Resources
Last Updated: 03/03/2025