Exenatide
Also known as: Byetta, Bydureon
Clinical Status
FDA Approved — Type 2 diabetes.
Mechanism of Action
Synthetic version of exendin-4 (from Gila monster venom). Acts as a GLP-1 receptor agonist with resistance to DPP-4 degradation. Enhances insulin secretion, suppresses glucagon, and slows gastric emptying.
Dosing Defaults
Dose
5-10 mcg (Byetta) or 2 mg (Bydureon)
Frequency
2x daily or once weekly
Administration
Subcutaneous injection
Timing
60 minutes before meals (Byetta)
Food
fasted
Duration
Long-term use
Dose range: 5-10 mcg twice daily or 2 mg weekly
Pre-meal dosing (short-acting) maximizes post-prandial glucose control.
Side Effects
- •Nausea
- •Vomiting
- •Diarrhea
- •Injection site nodules (extended-release)
- •Headache
- •Pancreatitis
Contraindications & Warnings
- ⚠Personal/family history of medullary thyroid carcinoma
- ⚠Severe renal impairment
- •Not medical advice
- •BOXED WARNING: Thyroid C-cell tumors (extended-release)
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This information is for educational purposes only and is not medical advice. Dosing data is based on research literature and community reports. Always consult a qualified healthcare provider before using any peptide.