What is the mechanism of action for Rybelsus?
Rybelsus works for your type 2 diabetes in three ways: it helps to reduce your blood sugar levels by increasing insulin, it decreases the amount of sugar made and released from the liver, and it slows down how fast food leaves your stomach to help you feel more full.
- Increases insulin: Rybelsus stimulates your pancreas to release more insulin when your blood sugar (glucose) is high.
- Decreases sugar: It lowers the amount of sugar that is made in your liver and released to your blood.
- Slows gastric emptying: Rybelsus slows down the food leaving your stomach after you eat, which may help you feel fuller for a longer period of time.
Rybelsus (semaglutide) is an oral pill taken once daily to help to control blood sugar levels in adult patients with type 2 diabetes. It works best when it is used alongside a healthy diet and exercise plan. Rybelsus is not used for treating type 1 diabetes.
Rybelsus has also been shown in studies to help with weight loss, but it is not approved for this use.
Learn more: How does semaglutide work for weight loss?
Rybelsus Approval
In September 2019, the FDA approved Rybelsus as the first oral GLP-1 receptor agonist available in the U.S. for the treatment of type 2 diabetes in adults, alongside a regular diet and exercise program.
Rybelsus is from the class of medicines called GLP-1 (glucagon-like peptide-1) receptor agonists. It binds to and activates the GLP-1 receptor. It acts like a natural hormone in your body that helps to keep your blood sugar levels in balance.
- Rybelsus oral tablets contain semaglutide, the same active ingredient that’s found in Wegovy and Ozempic injections.
- Wegovy is approved for weight loss and management, while Ozempic is approved for treatment of type 2 diabetes. They are both given as once weekly subcutaneous injections.
- Rybelsus, Ozempic and Wegovy are all manufactured by Novo Nordisk.
Related questions
- Tirzepatide vs semaglutide: How do they compare?
- How much does semaglutide cost?
- What foods should I eat or avoid when taking Rybelsus?
Should I take Rybelsus with food?
No, take your Rybelsus tablet on an empty stomach when you first wake up with a sip of plain water (4 ounces or less). Taking it on an empty stomach will help it to be better absorbed and to work better.
- You should take your tablet 30 minutes before the first food, drink (except sip of water), or other oral medications. Swallow the tablets whole (do not crush, split or chew them).
- After 30 minutes, you can eat, drink, or take other oral medications, vitamins, or supplements. If you take other medicines first thing in the morning, speak to your doctor if schedule change is needed.
- Take Rybelsus exactly as your healthcare provider tells you to take it.
This is not all the information you need to know about Rybelsus (semaglutide) for safe and effective use and does not take the place of your doctor’s directions. Review the full product information and discuss this information and any questions you have with your doctor or other health care provider.
References
- Rybelsus [package insert]. Plainsboro, NJ: Novo Nordisk Inc; Revised 1/2023. Accessed Jan 23, 2024 at https://www.novo-pi.com/rybelsus.pdf
- Rybelsus.com. Accessed Jan 23, 2024 at https://www.rybelsus.com/why-rybelsus/how-rybelsus-works.html
Read next
Can you just stop taking Rybelsus?
You can stop taking Rybelsus if you and your healthcare provider decide you should stop treatment. You may need to stop Rybelsus because it isn’t working, due to a serious side effect or to change treatments. Speak with your healthcare provider about how to manage your medical condition first. Continue reading
What's the easiest way to open a Rybelsus bottle?
Step-by-step guide to open your bottle of Rybelsus: 1. Wash and dry your hands thoroughly. 2. Find the child-resistant blue cap on the top of the Rybelsus bottle. 3. Look for markings on the bottle cap that show which way to twist the cap to open. Hold the blue cap tightly, push down and twist the cap in a counter-clockwise direction. The cap should separate from the white plastic strip below it and twist open. Continue reading
What is the difference between Soliqua and Xultophy?
Both Soliqua and Xultophy combine a long-acting insulin with a GLP-1 agonist: Xultopy brings together Tresiba (insulin degludec) and Victoza (liraglutide), while Soliqua combines Lantus (insulin glargine) with Adlyxin (lixisenatide). When used with diet and exercise for the treatment of type 2 diabetes, these agents can help you control blood sugar, insulin levels, and digestion and may help you lose weight. Continue reading
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Drug information
- Rybelsus Information for Consumers
- Rybelsus prescribing info & package insert (for Health Professionals)
- Side Effects of Rybelsus (detailed)
Related support groups
- Rybelsus (19 questions, 28 members)
- Weight Loss (Obesity/Overweight) (759 questions, 1,488 members)
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