ONLINE PRESCRIPTION

Saxenda Weight Loss Injections

Ireland’s Award-Winning Online Doctor Service

We have temporarily paused this service due to supply shortage of this medication. We hope to offer this service again soon.

Please note that you will need to upload a verified copy of your name, date of birth, height, weight, and blood pressure to avail of this treatment. You can provide us with this information via pharmacist/medical professional form or you can download this document and have it filled out. Both must be dated, signed, and stamped by a pharmacy or medical professional. We cannot assess your application without one of these documents.

from

€40

Webdoctor.ie
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–MK, 28th September 2022

What is Saxenda and what is it used for?

Saxenda is an injectable prescription medicine used to help those with obesity lose weight and keep this weight off. Saxenda should be used with a reduced calorie diet and increased physical activity. It is important to be aware that it may need to be used long term.

How will Webdoctor.ie help with my Saxenda weight loss journey?

Webdoctor.ie are here to support you on your journey to achieving a healthy weight and to maintain this.

  • Our team of doctors can prescribe Saxenda treatment, subject to clinical suitability.
  • We will provide training for you to safely and confidently self – administer your daily Saxenda injections.
  • You will have access to our library of weight management resources to help you get the most from your treatment:
    • Detailed information on Saxenda
    • Hints and tips on how to cope with potential side effects
    • Lifestyle webinars – simple, clear information on important lifestyle factors such as sleep, stress, diet and exercise.
    • Carefully selected referral websites that provide patient education and support.
  • Ongoing patient support via our doctor messaging service through your secure patient account. Please note that this messaging service is available Monday to Friday between 9am-5.30pm. If you require urgent assessment or advice please arrange a video consultation or contact your local doctor/ out of hours service.
  • Repeat prescriptions can be provided after the initial 16 weeks if clinically appropriate.

We request that you read all of the information on this page carefully before deciding to apply for Saxenda treatment.

Your Journey

There is no quick fix! This is a long term plan that will hopefully enable you to make sustainable lifestyle changes.

It is important to be aware that weight loss will plateau, this is a normal part of the journey. It usually happens around week 40 of treatment. Don’t worry, the weight that you have lost can be maintained by continuing your medical treatment and lifestyle changes.

Success is not just about the weight you lose but keeping it off, and the health benefits that you will gain.

Step 1

Making a Decision:
Make a decision to lose weight and start Saxenda as part of a weight management programme.

Step 2

Education:
Review information and resources in this weight management programme and plan what changes you can make to your lifestyle.

Step 3

Training:
Conduct training on how to use a Saxenda pen

Step 4

Start Saxenda Treatment (weeks 1 to 4):
Saxenda can cause some unpleasant side effects such as nausea and vomiting. To minimise these, you start at a low dose and gradually build up to the treatment dose of 3mg daily over 4 weeks.

Week 1: 0.6mg daily
Week 2: 1.2mg daily
Week 3: 1.8mg daily
Week 4: 2.4mg daily
Week 4: 3mg daily (target dose)

If you are still having side effects at the time of your next dose increase, do not increase your dose and let us know. It may be that you just need to increase the dose more slowly to let your body get used to this medication. We will give you specific advice about this depending on your individual situation.

Step 5

Continue Saxenda Treatment (weeks 5-16):
12 weeks of treatment at 3mg dose (weeks 5-16) During This is usually during weeks 5-16 of treatment, but may vary depending on how you tolerate the medication and the increases in dose. Just remember, this journey is a marathon, not a sprint! If it takes a few weeks longer to reach the 3mg dose, it will not have any significant impact on your weight loss. The most important thing is that you are doing this safely.

Step 6

16 Week Assessment:
We will request that you complete an online assessment and upload a weight measurement taken by a healthcare professional (such as your pharmacist). We will advise you if the treatment is suitable for you to continue.

Step 7

Continue Saxenda (if suitable):
As part of long-term weight maintenance for health improvements, you continue Saxenda. Please be aware that if you stop this treatment, then you will regain weight. It may be required long term.

How It Works

Requesting a prescription for weight loss couldn’t be easier with Webdoctor.ie! Simply fill in a medical questionnaire and a prescription will be issued if clinically suitable.

Step 1

Online Questionnaire

Fill in a secure online medical questionnaire – it only takes a couple of minutes.

Step 2

Medical Review

One of our doctors will review your information to ensure this treatment is suitable for you. If our doctor requires further clinical information to help safely assess your request, they will send you a message via your secure patient account.

Step 3

Prescription Is Sent

Once approved, we will email your prescription directly to an Irish pharmacy of your choice using secure Healthmail.

Important Medical Information

Who is Saxenda Weight Loss Treatment suitable for?
This service is suitable for you if:

  • You are over 18 years of age
  • Your initial (pre-treatment) BMI is 30 or more
  • You can provide height and weight measurements verified by your healthcare professional
  • You are willing to engage with lifestyle changes in conjunction with medication

This service is not suitable for you if:

  • You are more than 65 years of age
  • You are pregnant or breastfeeding
  • You are actively trying to conceive (including IVF)
  • You have diabetes
  • You have weight gain due to medication or an endocrine (hormonal) disorder
  • You have been diagnosed with (or think you may have) an eating disorder
  • You have severe liver, kidney or heart failure
  • You have the following digestive conditions:
    • Inflammatory bowel disease
    • Gallbladder disease (including gallstones)
    • Pancreatitis
  • You have a thyroid condition e.g. overactive, under-active, or thyroid cancer
What is Saxenda and what is it used for?
Saxenda is a once daily, self-injectable medication that can help with weight loss.

It is prescribed as one part of a weight management plan that includes increased physical activity and a reduced calorie diet. It contains the active ingredient liraglutide.

It comes in a pre-filled pen so that you can self-inject it at home.

What is Liraglutide?
Saxenda is the brand name for a drug called Liraglutide, that is used to help in the management of weight loss.

Your body produces a hormone called Glucagon-Like-Peptide (GLP-1), which is released from the gut in response to food. This plays an important role in regulating blood glucose levels, slowing the emptying of your stomach and suppressing your appetite.

Liraglutide is a synthetic version of GLP-1.

Please note: Liraglutide can also be used to treat diabetes in the form of Victoza. The dosing regime is different and it is not interchangeable with Saxenda. These medications should NOT be used together.

How does Saxenda work?
Saxenda acts on part of the brain that controls appetite, causing you to feel more satisfied after you eat and fuller for longer. Therefore, you eat less.
How long do I need to use Saxenda?
When you stop using Saxenda, appetite regulation returns to the pre-treatment pattern. Most people will start to eat more again and regain weight. In some cases, patients will regain more weight than they lost (they will weigh more than before treatment started). For this reason, Saxenda often needs to be continued life long, or until another suitable treatment is arranged.

It is very important to be aware of this before agreeing to commence this treatment as part of your weight management plan.

How do you use Saxenda?
Saxenda is an injectable medication. If Saxenda is prescribed, you will have to self administer the injections. You will likely find this easier than you think! We will provide training for this to ensure you are safe and comfortable with the self-injection technique.

Saxenda is injected under the skin every day. This is called a subcutaneous injection. The medication is injected via a short needle into the tissue just below the skin. It should not be injected into a muscle or a vein).

The best places to inject are

  • Your upper arms
  • The front of your thighs
  • Your abdomen (stomach)

You should inject a different place each day.

Saxenda comes as a pre-filled pen with 3ml of medication (18mg of liraglutide). It has a measurement gauge so you can set and check the dose to be administered. You will need to connect a new, clean needle each time you use it, and dispose of each needle into a sharps box after every injection.

You should never reuse needles, and never share needles or Saxenda medication with anyone.

When should I take Saxenda?
It should be given at the same time every day. It doesn’t matter if you take it with or without food. You should choose a time that suits you and works for your daily routine.
What dose of Saxenda will I need to use?
The dose of Saxenda will change over the first 4 weeks of treatment. You will start off on a low dose (0.6mg once daily) and gradually increase to the target dose (3mg once daily). This is to minimise any potential side effects, particularly nausea.

If you do experience side effects, do not increase the dose as planned. This can be done more gradually to allow the side effects to settle. If you do increase the dose, the side effects are likely to become more troublesome and potentially very serious. We can provide you with advice on how to manage this ,if necessary.

When you reach the maximum dose of 3mg daily, you will remain on this dose ongoing as maintenance treatment.

It is important that you DO NOT use more than the maximum dose each day. This will increase the possibility of potentially serious side effects but will not have any effect on weight loss.

Some people do not reach the max dose, as they have side effects, but you can still lose weight.

How long does a Saxenda pen last?
If you are starting Saxenda treatment, the dose of Saxenda that you take will change every week for 4 weeks as you gradually build up to the maintenance dose.

The first pen you use will last 17 days, and the first full packet of 5 pens will last 6 weeks.

Once you are established on the target dose of 3 mg, each pen will last 6 days and a full box of 5 pens will last 30 days.

(This may vary depending on what dose of treatment you are able to tolerate).

How long does it take Saxenda to work?
Saxenda starts to work immediately, but it can take up to 2 weeks before you notice any weight loss.
How much weight will I lose?
This will vary from person to person, and will depend on what dose of Saxenda you are using. You can expect to lose 0.5-1kg per week when you reach the target dose of 3mg per day.

It is normal for your weight (and weight loss) to fluctuate from week to week.

You may not reach a ‘normal’ BMI (25 or less). That is OK! It is important to be aware of this and set a realistic mind-set. The focus of weight management should be health gain, and not the numbers on your scales.

Do I need a review after I start treatment?
Approximately 20% of patients do not respond to Saxenda treatment, even if they make the required lifestyle changes.

Once you have been using the target dose of Saxenda (3mg per day) every day for 12 weeks, you will need to attend your pharmacy for a weight check.

If you have not lost at least 5% of your initial body weight you will be advised to stop using Saxenda, as you have not responded.
This is not a failure on your part, the treatment is just not effective for you.

This is usually after 16 weeks of treatment (4 weeks to reach target dose of 3mg and then 12 weeks using this dose daily). It may take longer in some patients if they have to increase the dose more slowly to cope with side effects.

Who can start Saxenda treatment?
Saxenda is suitable for men and women over 18 years of age, who have an initial Body Mass Index (BMI) of 30 or more.

Check your BMI with our BMI calculator HERE.

It is not safe to use Saxenda if you have some medical conditions. We will check for these during your consultation.

Can I use Saxenda if I am trying to conceive, pregnant or breastfeeding?
Saxenda should not be used if you are actively trying to conceive. It should be stopped at least one month before trying to get pregnant, or starting IVF treatment.

Ideally, you should use a reliable form of contraception when using this medication. If you do become pregnant when using Saxenda, you should stop it immediately.

It should not be used if you are pregnant or breastfeeding. If you are not breastfeeding and you have recently had a baby, we advise that you wait at least 3 months before using Saxenda.

What are the potential side effects of Saxenda?
As with all medications, there is a possibility that you will experience some side effects when using Saxenda, but not everyone will experience these.

The most common side effects are related to gastric disturbance and include:

  • Nausea
  • Vomiting
  • Diarrhoea
  • Constipation
  • Stomach pain/ cramps

These symptoms are the most problematic and approximately 65% of all patients report some (not all!) of these symptoms. They are usually mild and settle with time, hence the gradual increase in dose over 4 weeks. Some people can take a little longer to settle on this medication than others. We can provide you with useful hints and tips on how to manage these and when to seek advice.

Other side effects include:

  • Localised reaction at injection sites
    • Bruising, pain, redness, itch
  • Difficulty sleeping (usually within the first 3 months of treatment)
  • Altered sense of taste
  • Dizziness
  • Fatigue (tiredness)
  • Headaches
  • Increased heat rate (palpitations)
  • Gallbladder problems such as gallstones
  • Low blood sugar (hypoglycaemia)

If you are concerned that you are developing these side effects, we advise that you stop the medication and seek medical advice.

Potentially serious side effects are uncommon but include:

  • Severe allergic reactions (anaphylaxis)
    • Seek URGENT medical advice if you experience lip/ tongue swelling, breathing problems, rapid heart rate.
  • Pancreatitis (inflammation of the pancreatitis)
    • This is a serious, potentially life threatening condition
    • Seek URGENT medical advice if you develop nausea/ vomiting AND severe persistent pain in your upper tummy (this may move through to your back).

For full details of the potential side effects of Saxenda, please ensure that you read the patient information leaflet here that comes with your medication before you start to use it.

What will be included in my prescription?
  • Saxenda pens:
    • If you are starting treatment: 18 Saxenda pens
    • Repeat prescription: 30 Saxenda pens
  • A sharps box
  • Needles for the Saxenda pen

Please note: the price of Saxenda medication can vary between pharmacies. This should be checked directly with your chosen pharmacy.

Weight Loss Treatments That We Prescribe

Need help to manage your weight? Order your prescription for oral or self-injectable medication online with Webdoctor.ie. All you need to do is complete a suitability questionnaire, then upload a picture of your height, weight and blood pressure measurements from your local pharmacy and a picture of your photo ID. Once approved, our Irish-registered doctors will send your prescription to a pharmacy of your choice.

Most Common Brands

We issue prescriptions for the following medicines. Please check your dispensed prescription before leaving the Pharmacy as no changes can be made after that point.

Why Choose Webdoctor.ie?

Expertise

All of our doctors are registered with the Irish Medical Council and provide convenient and confidential healthcare to our patients.

Confidential

The same doctor-patient confidentiality exists as in a regular face-to-face consultation, so you’ll be in good hands.

Caring

Webdoctor.ie was created by and is led by medical professionals, so patient safety is always our priority.
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Convenience

From the comfort of home, avail of instant access to medical expertise, including evenings & weekends.

Value

Affordable healthcare with prescriptions from just €30 and video consultations starting from €39.

Irish

Webdoctor.ie is an Irish-based healthcare provider that has carried out over 130,000 patient consultations.

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