Trulicity (dulaglutide) is a prescription injectable medication approved for the treatment of type 2 diabetes. It is part of the GLP-1 receptor agonist drug class, which works by lowering blood sugar, suppressing appetite, and slowing digestion.

Although Trulicity is generally prescribed at lower doses than newer GLP-1 drugs, serious side effects have still been reported, including severe gastrointestinal injury, kidney complications, gallbladder disease, pancreatitis, and vision problems. As GLP-1 safety investigations expand, Trulicity is included in broader litigation and injury reviews involving this drug class.

This page provides a comprehensive overview of Trulicity, how it works, known risks, and when medical or legal review may be appropriate.

What Is Trulicity?

Trulicity is an injectable medication containing dulaglutide.

Key facts:

  • FDA-approved for type 2 diabetes
  • Injected once weekly
  • Manufactured by Eli Lilly
  • Not FDA-approved for weight loss
  • Part of the GLP-1 receptor agonist drug class

Trulicity was one of the earlier GLP-1 drugs, prescribed before semaglutide and tirzepatide became widespread.

How Trulicity Works

Trulicity mimics the hormone GLP-1, which:

  • increases insulin release
  • decreases glucagon secretion
  • slows stomach emptying
  • suppresses appetite
  • affects gut-brain signaling

Although effective for blood sugar control, these mechanisms can also disrupt normal digestion in some patients.

Approved Uses and Prescribing Context

FDA-Approved Use

  • Blood sugar control in adults with type 2 diabetes

Off-Label Context

While not approved for weight loss, some patients experience:

  • appetite suppression
  • unintentional weight loss

Long-term use or dose escalation may increase side-effect risk.

Commonly Reported Side Effects

Many Trulicity users report gastrointestinal symptoms, especially early in treatment:

  • nausea
  • vomiting
  • diarrhea
  • constipation
  • abdominal pain
  • bloating
  • fatigue
  • dizziness

For some patients, these symptoms persist or worsen over time.

Serious Safety Concerns Associated With Trulicity

Severe Gastrointestinal Motility Disorders

Reported injuries include:

  • gastroparesis (stomach paralysis)
  • ileus (functional bowel shutdown)
  • severe constipation
  • chronic digestive dysfunction

➡️ Related: Motility Disorders

Dehydration & Kidney Injury

Ongoing vomiting or diarrhea may lead to:

  • dehydration
  • electrolyte imbalance
  • acute kidney injury (AKI)
  • worsening kidney disease

➡️ Related: Dehydration and Kidney Damage

Gallbladder Disease

Weight loss and altered bile flow may increase the risk of:

  • gallstones
  • gallbladder inflammation
  • gallbladder removal surgery

➡️ Related: Gallbladder Removal

Pancreatitis

Some patients report:

  • severe abdominal pain
  • elevated pancreatic enzymes
  • hospitalization for pancreatitis

➡️ Related: Pancreatitis

Vision Problems / NAION

Serious vision complications, including Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION), have been reported across the GLP-1 drug class.

➡️ Related:

Who May Be at Higher Risk

Higher-risk patients may include:

  • those with prior GI disorders
  • individuals prone to dehydration
  • patients with kidney disease
  • people with diabetes-related vascular disease
  • older adults
  • long-term GLP-1 users

Trulicity and Lawsuits

Trulicity is included in broader GLP-1 litigation, particularly claims involving:

  • severe motility disorders
  • kidney injury
  • gallbladder surgery
  • pancreatitis
  • permanent digestive injury
  • blindness / NAION

➡️ Trulicity lawsuits hub: Lawsuits

When to Consider a Review

You may want to consider review if:

  • you used Trulicity, AND
  • you required ER care or hospitalization, OR
  • you developed a diagnosed complication, OR
  • symptoms persisted after stopping the drug

➡️ Start here: File a Claim

Trulicity is an established GLP-1 medication that helps control blood sugar but may cause serious and persistent side effects in some patients. While many tolerate the drug, others report long-term or life-altering injuries.

If you experienced severe complications after using Trulicity, medical and legal review may be appropriate.