What is the dose of Cagrisema (Somatuline)?

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Last updated: May 23, 2025View editorial policy

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From the Research

Cagrisema is typically dosed at 2.4 mg once weekly via subcutaneous injection for adults with type 2 diabetes, as evidenced by the most recent and highest quality study 1. The dosing regimen for Cagrisema involves a gradual titration to minimize gastrointestinal side effects, starting with a lower dose and increasing over time.

  • The medication is administered subcutaneously, and patients should rotate injection sites between the abdomen, thigh, or upper arm.
  • The mean change in HbA1c from baseline to week 32 was greater with Cagrisema versus cagrilintide, but not versus semaglutide, as reported in the study 1.
  • Cagrisema works by combining two mechanisms: it mimics GLP-1 (glucagon-like peptide-1) to reduce appetite and slow gastric emptying while also activating the cagrilintide pathway to enhance satiety signals.
  • This dual action provides effective weight management and improves metabolic parameters, as demonstrated in the study 1. Key points to consider when prescribing Cagrisema include:
  • Starting with a lower dose and gradually increasing to the maintenance dose of 2.4 mg weekly
  • Rotating injection sites to minimize local reactions
  • Storing the medication in the refrigerator until use and allowing it to warm to room temperature before injection
  • Monitoring patients for gastrointestinal side effects and adjusting the dosing regimen as needed.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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