Utilizing weight-loss medicine like Ozempic earlier than surgical procedure may trigger sufferers to breathe meals into their lungs, docs warn


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Common weight-loss medicine like Ozempic and Wegovy might be harmful if used earlier than surgical procedure, in accordance with an anesthesiologist group.Getty Photographs

  • Sufferers ought to pause taking GLP-1 medicine like Ozempic earlier than surgical procedure, per new medical steerage.

  • The medicine hold you full for longer after consuming, however a full abdomen might be harmful throughout surgical procedure.

  • Sufferers threat vomiting or respiratory meals into their lungs throughout surgical procedure, which might be deadly.

Weight-loss injections like Ozempic have exploded in reputation this 12 months. However use of the medicine earlier than surgical procedure might be harmful, in accordance with new medical steerage.

The American Society of Anesthesiologists mentioned on Thursday that sufferers taking GLP-1 agonists, together with Ozempic and Wegovy, ought to pause the medicine earlier than any deliberate surgical procedures — or threat issues whereas beneath anesthesia, like vomiting or respiratory meals into the lungs.

GLP-1 agonists have been used to deal with sort 2 diabetes for years. Usually prescribed as once-weekly injections, a few of the medicine have lately obtained FDA approval to deal with weight problems, whereas others are being prescribed off-label for weight reduction.

One of many methods GLP-1s work is by delaying the emptying of the abdomen after consuming, so sufferers really feel full for longer. However when sufferers are put beneath basic anesthesia for surgical procedure, their stomachs are purported to be empty, which is why sufferers are instructed to not eat for a sure period of time earlier than the process.

If a affected person nonetheless has meals of their abdomen throughout surgical procedure, they might vomit or breathe meals into their lungs, a phenomenon known as anesthesia aspiration that may be deadly.

Whereas scientific research have not proven the impacts of GLP-1s on sufferers present process surgical procedure, ASA president Dr. Michael Champeau mentioned in a assertion that the medical group has obtained quite a few anecdotal studies that delays in abdomen emptying brought on by GLP-1s might improve a affected person’s threat of vomiting or aspirating throughout surgical procedure.

Sufferers taking every day doses of a GLP-1 ought to maintain off on utilizing the drug on the day of their deliberate surgical procedure, the ASA really useful. Sufferers taking weekly injections ought to skip that week’s dosage.

These suggestions are the identical whether or not the affected person is taking GLP-1s for weight problems or sort 2 diabetes, however sufferers with diabetes ought to seek the advice of a diabetes specialist to obtain extra steerage on controlling their blood sugar whereas skipping a dose of the medicine, the medical group mentioned.

The ASA famous that the delayed stomach-emptying results of GLP-1s could also be decreased with long-term use of the medicine, in accordance with restricted research outcomes.

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