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Lixisenatide

GLP-1 Receptor Agonist · Antidiabetic, Anti-obesity

GLP-1 Receptor AgonistAntidiabetic, Anti-obesity
CDSCO approvedSchedule H
EXCRETION
not curated
INTERACTIONS
2 major
SEVERE in our sources
PREGNANCY
[unlicensed indication]. h Long-term benefit or superiority
FDA category + note
Top interactions
  • BexaroteneSevereDatabaseDDInter
  • GatifloxacinSevereDatabaseDDInter

Mechanism

Lixisenatide is a glucagon-like peptide-1 (GLP-1) receptor agonist. It activates GLP-1 receptors found on β cells, in the nervous system, heart, kidney, lung, and GI mucosa. This action activates the cAMP-PKA pathway and other signaling cascades. The ultimate effect in β cells is increased insulin biosynthesis and secretion in a glucose-dependent manner.

Indications

Type 2 diabetes (as combination therapy when other treatment options fail)ObesityTreatment of diabetic patients (type 2 diabetes)

Dosing

Adult
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Pharmacokinetics

Peak effect
2 h
Half-life
2 h
Excretion
Renal clearance

Side effects

Common
NauseaVomitingWeight loss
Serious
  • Gallbladder disease (increased risk)
  • Pancreatitis (possible association)
  • Medullary carcinoma of the thyroid (contraindication)

Pregnancy & lactation

Pregnancy

[unlicensed indication]. h Long-term benefit or superiority

Drug interactions

Bexarotene
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Gatifloxacin
Severe
Database

Clinical effect not specified

Source: DDInter

10 additional low-confidence interactions hidden — those rows lack a documented mechanism or management plan in our sources.

Related guidelines

Other GLP-1 Receptor Agonist drugs

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Sources: Goodman & Gilman 14e·Verified: 2026-05-13 · House clinical team