Signs of Degradation Inspect the solution before each use: Clear and colorless to slightly off-white: Normal, proceed with use Cloudy or milky: Do not use precipitation or aggregation has occurred Visible floating particles: Do not use particulate matter indicates degradation or contamination Yellow or brown discoloration: Do not use oxidative degradation has likely occurred If in doubt, discard and reconstitute a fresh aliquot from lyophilized stock
Consequently, liquid oral formulations typically optimize physical and chemical stability in a slightly acidic, controlled window (often around pH 5.0 to 5.5) to maintain shelf life while preventing drug precipitation
As we discussed above we are careful in our progression to try to minimize side effects
Age 65 or Greater The risk of metformin-associated lactic acidosis increases with the patient's age because elderly patients have a greater likelihood of having hepatic, renal, or cardiac impairment than younger patients
If cost is a concern and you want comparable results, Wegovy 7.2 mg achieves close to Mounjaros results at a lower price