Combination GLP-1 Therapy
Work through the clinical reasoning behind combining GLP-1 agonists with other agents, including rationale, sequencing, and safety monitoring.
What this track covers
This track covers strategies for pairing GLP-1 receptor agonists with agents such as phentermine, metformin, or SGLT2 inhibitors, and reviews multi-drug regimens considered in treatment-resistant obesity. It focuses on the reasoning behind combination selection, complementary mechanisms, and the safety monitoring these regimens require.
What you will practice
- Weighing when a combination approach is appropriate versus GLP-1 monotherapy
- Reasoning through complementary mechanisms across drug classes
- Sequencing and adjusting therapy as agents are added
- Screening for drug interactions and contraindications before adding an agent
- Building a monitoring plan for patients on multi-drug regimens
Simulator scenario
A patient with obesity and inadequate response to GLP-1 monotherapy presents for a follow-up visit to discuss adding a second agent, requiring the clinician to weigh options, check for interactions, and set a monitoring plan.
Board question topics
- Rationale for combining GLP-1 agonists with other agents
- Mechanism-based drug interaction screening
- Monitoring parameters for multi-drug obesity regimens
- Adjusting combination therapy based on patient response
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