GS 2: GovernanceGS 2: Social JusticeGS 3: Science & TechnologyEthics

Does the misuse of semaglutide outweigh its benefits?, Pg17

Semaglutide misuse surges post-patent expiry, raising concerns over unsupervised cosmetic use and demanding stricter regulations for patient safety.

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Key Highlights:

  • Generic semaglutide brands have entered the market after Novo Nordisk's patent expired.
  • Misuse of semaglutide is increasing via online pharmacies for cosmetic weight loss.
  • Unsupervised use can lead to complications like pancreatitis and kidney injury.
  • Long-term use is linked to gastrointestinal issues and potential eye complications.

Detailed Insights:

  • Semaglutide requires careful patient selection, dose adjustment, and monitoring due to potential risks.
  • The drug's benefits are limited without lifestyle changes, often leading to temporary results and muscle loss.
  • Unsupervised use for rapid cosmetic weight loss can cause nutritional deficiencies and cardiovascular stress.
  • Strict enforcement of Schedule H prescription norms is needed, especially for online pharmacies.
  • Misleading advertisements should be curbed, and pharmacovigilance reporting strengthened.
  • Long-term use may increase the risk of pulmonary aspiration during surgery due to delayed gastric emptying.
  • Eye complications like non-arteritic anterior ischemic optic neuropathy have been linked to semaglutide use.
  • Rare cases of acute pancreatitis and acute kidney injury have been reported with prolonged use.

Key Concepts Involved:

  • Semaglutide: A medication used for diabetes and obesity management.
  • Pharmacovigilance: The science and activities relating to the detection, assessment, understanding and prevention of adverse effects or any other drug-related problem.
  • Schedule H Drugs: Medications that can only be sold with a prescription from a registered medical practitioner.
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