Suicidal Thoughts and Self-injurious Behavior Associated With Glucagon- Like Peptide-1 Receptor Agonists - A Review

Naina Mohamed Pakkir Maideen1, Sultan Al Rashid2

  • 1Pharmacologist, Dubai Academic Health Corporation, Dubai, UAE.

Current Drug Safety
|May 20, 2024
PubMed

Insights

Glucagon-like peptide-1 (GLP-1) receptor agonists, used for diabetes and weight loss, are linked to serious side effects like suicidal thoughts. Regulatory agencies warn against misuse, urging physician consultation for safe weight management.

Area of Science:

  • Pharmacology
  • Endocrinology
  • Public Health

Background:

  • Glucagon-like peptide-1 (GLP-1) receptor agonists are widely prescribed for type 2 diabetes and weight management.
  • Recent trends show misuse of these antidiabetic medications for cosmetic weight loss purposes.
  • This misuse raises concerns regarding potential serious adverse events.

Purpose of the Study:

  • To review and highlight serious side effects associated with GLP-1 receptor agonists.
  • To focus on adverse events reported by regulatory agencies, particularly concerning misuse.
  • To inform healthcare professionals and patients about associated risks.

Main Methods:

  • Comprehensive literature search across major scientific databases (Medline/PubMed/PMC, Google Scholar, Scopus, Web of Science, Embase, etc.).
  • Inclusion of pharmacovigilance analyses and official notifications from regulatory bodies.
  • Identification of studies detailing serious side effects linked to GLP-1 receptor agonist use.

Main Results:

  • Pharmacovigilance data and regulatory notifications indicate a link between GLP-1 receptor agonists and suicidal ideation.
  • Self-injurious behaviors have also been documented as potential serious side effects.
  • These findings underscore the risks associated with both therapeutic use and misuse.

Conclusions:

  • Healthcare providers must be vigilant regarding the potential for GLP-1 receptor agonist-associated suicidal thoughts and self-injurious behavior.
  • Patients are strongly advised against the misuse or abuse of these medications for weight loss.
  • Consultation with a healthcare professional is essential before initiating any GLP-1 receptor agonist therapy.

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