FAQs: Compounded medications

Here are some frequently asked questions that provide information about compounded medications. These FAQs cover topics such as compounded semaglutide, the quality and safety of compounded medications, cost, side effects, medication delivery process, storage, administration, and missed doses.

FAQS

What is compounded semaglutide?

Compounding refers to the process of combining or altering two or more drugs in order to create a personalized medication that is tailored to the needs of a patient. Although compounded medications are not evaluated by the FDA, compounding helps expand patient access to life-saving medications and provides customized options for patients who have specific and complex needs.

Semaglutide is the active ingredient in the commercially available GLP-1 medications Wegovy® and Ozempic®. These medications are currently on the FDA drug shortage list, which means that compounding pharmacies can offer compounded semaglutide in order to expand patient access.

Should I feel confident in compounded semaglutide from the Sunrise Partner Pharmacy?

Yes. Sunrise puts every pharmacy we work with through an extensive 130 point evaluation criteria to ensure the pharmacies adhere to the highest level of quality and safety standard in the industry. Further, each pharmacy Sunrise works with is nationally accredited by the Pharmacy Compounding Accreditation Board (PCAB). You can have confidence that your compounded medication is prepared accurately and safely, using quality ingredients and industry-leading pharmacist verification processes.

How does compounded semaglutide compare with a brand name GLP-1?

Compounded semaglutide is the same active ingredient in the brand name GLP-1 medications Wegovy® and Ozempic®.  Compounded medications are not FDA approved.

How much does the medication cost?

We offer compounded semaglutide at a cost of $199/month. Your total cost, including Sunrise subscription fee, will be $348/month.

What are the side effects?

As with any medication, side effects for each medication, and for each individual, can be different. In general, side effects are mild, and for those who do experience side effects, nausea is the most common. This typically resolves over the first few weeks of being on the medication. Other common side effects include: Abdominal pain, headaches, fatigue, constipation, diarrhea, dizziness, upset stomach, heartburn. Some people have reported vision loss or disruption as a result of taking these medications. Report adverse symptoms immediately. For emergencies, seek medical help.

If you do experience side effects, you can always reach out to your physician for additional support. You can also refer to the information that comes in the package with your medications for additional information.

What happens after I pay for my medications?

After your order has been processed, the Pharmacy will ship your prescribed medication directly to you. In your package, you will receive your medication, along with instructions on how to store and take your medication properly and safely. Please be sure to read these instructions before taking your medication.

How do I store my medications?

After receiving your medications, it is important to immediately store them between 35°F to 46°F (2°C - 8°C). Please refer to the detailed instructions here for more information about how to store your medications.

How do I take my medication?

Compounded semaglutide is administered as a subcutaneous injection, which means you will inject the medication via a syringe in the fatty layer of tissue under your skin. You will find detailed instructions in your package about how to inject yourself in a safe manner, with the correct dose. If you have any additional questions, you can contact your physician or our team at any time.

What happens if I miss a dose?

Please refer to dosing instructions included in your package for more information about what to do if you miss a dose.

When can I expect to lose weight?

This depends. Weight loss happens quicker for those that receive appetite suppression right away during the initial dose. For others who are not as sensitive to the medication, weight loss may not start until they reach higher doses.

What are the risks and benefits of compounded semaglutide?

Risks: Studies in lab mice have shown thyroid tumors with Semaglutide (Wegovy, Ozempic) use. The potential for thyroid tumors in humans is uncertain. If you have a family history of thyroid cancer, discuss Semaglutide with your primary care doctor. Notify your physician immediately if you experience neck swelling, swallowing difficulty, or persistent hoarseness.

Benefits: Greater weight loss results from exercise and reduced caloric intake alongside Semaglutide. It reduces appetite and cravings.

What are the risks and benefits of B12?

Risks: Possible side effects include injection site pain and rare allergic reactions. Avoid if you have Leber's optic nerve atrophy or severe kidney disease due to an aluminum component.

Benefits: B12 has FDA-recognized benefits for those with malabsorption or deficiency.

Who should not take semaglutide?

You should not take compounded semaglutide if you have:

  • A history of eating disorders
  • Gallbladder disease (excluding removal)
  • A history of drug or alcohol abuse
  • Recently had bariatric surgery
  • Have Pancreatitis
  • A history of thyroid cancer
  • Have multiple endocrine neoplasia type 2 syndrome (MEN-2)
  • Are Pregnant, breastfeeding, or planning pregnancy
  • Have retinopathy

When should I stop using semaglutide?

You should stop using semaglutide when you reach your goal weight, when it's recommended by your physician to stop, or after 12 months. Sustaining healthy habits post-treatment is crucial.

**Contraception Note: Women using oral hormonal contraceptives should switch methods or add a barrier for 4 weeks post-initiation and escalation.

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