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Endsley JJ, Furrer JL, Endsley MA, McIntosh MA, Maue AC, Waters WR, Lee DR, Estes DM: Characterization of bovine homologues of granulysin and NK-lysin
Whilst mild, temporary sleep changes may occur as your body adjusts to Mounjaro, certain situations warrant medical attention : Contact your GP or diabetes specialist nurse if: Sleep disturbances persist beyond 46 weeks or progressively worsen Insomnia significantly affects your daily functioning, mood, or ability to work You experience severe fatigue despite adequate time in bed Sleep problems are accompanied by mood changes, anxiety, or depression You suspect nocturnal hypoglycaemia (night sweats, nightmares, morning headaches, or waking with confusion) You have symptoms of obstructive sleep apnoea (loud snoring, witnessed breathing pauses, choking/gasping during sleep, excessive daytime sleepiness) Seek urgent medical advice if you experience: Signs of severe hypoglycaemia that don't respond to usual treatment Chest pain, severe breathlessness, or palpitations during the night Symptoms of pancreatitis (severe, persistent abdominal pain radiating to the back, with or without vomiting) Signs of gallbladder disease (severe pain in the right upper abdomen, fever, jaundice) Severe dehydration (extreme thirst, dry mouth, little or no urination, dizziness) Your healthcare team may recommend several approaches, including: Dose adjustment: Temporarily reducing your Mounjaro dose or slowing the titration schedule Medication review: Assessing other medications that might contribute to sleep disturbances Sleep study referral: Investigating for underlying sleep disorders, particularly if you have risk factors for sleep apnoea Specialist input: Referral to endocrinology or sleep medicine if problems persist According to NICE guidance NG28 on type 2 diabetes management, treatment should be individualised, and side effects that significantly impact quality of life should prompt medication review
& Kochenderfer, J
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