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Nevolat Injections


Nevolat Injections

Nevolat (liraglutide) is a prescription injectable medication for weight loss and weight maintenance in adults and adolescents with obesity or overweight with weight-related conditions. This medication is available through Chemist Doctor's regulated online service following a consultation with UK-licensed clinicians.

Prices from £62.99 £64.99
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You must complete a short online consultation so that our prescriber can ensure that the treatment is suitable for you.

What is Nevolat?

Nevolat is a prescription weight-loss medication containing the active substance liraglutide, presented as a 6 mg/ml solution for injection in a pre-filled pen. It belongs to a class of medicines called GLP-1 receptor agonists, designed to mimic the effects of the naturally occurring hormone glucagon-like peptide-1 (GLP-1) that regulates appetite.

Mechanism of Action

When administered, Nevolat works through a dual-action mechanism:

  • Appetite regulation: Acts on receptors in the hypothalamus (brain's appetite center) to increase satiety signals
  • Gastric emptying: Slows down food movement from stomach to intestine, prolonging fullness
  • Glucose regulation: Enhances insulin secretion while suppressing glucagon release. For detailed mechanism studies, refer to scientific research.

Imagine your appetite control system as a complex thermostat - Nevolat helps recalibrate this system to reduce hunger signals and increase satisfaction after smaller meals.

What is Nevolat Used For?

Nevolat is indicated for weight management as an adjunct to:

  • Reduced-calorie diet
  • Increased physical activity

Approved Patient Groups

Patient Group BMI Requirements Additional Criteria
Adults (≥18 years) BMI ≥30 kg/m² or
BMI 27-29.9 kg/m²
Weight-related comorbidities:
- Type 2 diabetes
- Hypertension
- Dyslipidaemia
- Obstructive sleep apnoea
Adolescents (12-17 years) Obesity (clinically diagnosed) - Body weight ≥60 kg
- Growth completion (Tanner stage 4-5)

Critical Continuation Requirement:

Treatment should be discontinued if after 12 weeks at 3.0mg dose:

  • Adults: Less than 5% initial body weight loss
  • Adolescents: Less than 4% BMI reduction

Nevolat Dietary & Exercise Requirements

Nevolat is not a standalone solution - it requires concurrent lifestyle modifications:

Essential Components

ComponentRecommendationRationale
Dietary Plan 500-1000 kcal deficit daily Creates necessary energy deficit for weight loss
Exercise Programme 150 mins moderate exercise/week Preserves lean muscle mass during weight loss
Behavioural Support Regular clinical reviews Addresses emotional eating patterns

Hydration Guidance

Due to gastrointestinal side effects, maintain:

  • 2-3 litres water daily
  • Electrolyte balance during initial treatment phase

Before Using Nevolat

Essential considerations before initiating treatment:

Medical History Assessment

  • Thyroid disease history (especially medullary thyroid carcinoma)
  • Pancreatitis history (acute or chronic)
  • Gallbladder disease
  • Renal impairment (eGFR assessment)
  • Depression or suicidal ideation

Required Baseline Tests

  1. Thyroid function tests (TSH, calcitonin)
  2. Pancreatic enzymes (amylase, lipase)
  3. Renal function (eGFR, creatinine)
  4. Liver function (ALT, AST)

Nevolat Contraindications

Absolute contraindications where Nevolat must not be used:

Absolute Contraindications

  • Personal or family history of medullary thyroid carcinoma (MTC)
  • Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)
  • Hypersensitivity to liraglutide or excipients
  • Severe gastrointestinal disease (gastroparesis, IBD)

Special Warnings

ConditionPrecaution
Pancreatitis historyExtreme caution; monitor enzymes monthly
Diabetic retinopathyWorsening reported with rapid glucose control
Suicidal behaviourMonitor mood changes (especially adolescents)

Special Population Considerations

Elderly Patients (≥75 years)

  • Limited clinical experience
  • Not recommended due to increased dehydration risk

Renal Impairment

  • Mild-moderate impairment: No dose adjustment
  • Severe impairment (eGFR <30): Avoid use
  • End-stage renal disease: Contraindicated

Hepatic Impairment

  • Mild-moderate (Child-Pugh A-B): Caution advised
  • Severe (Child-Pugh C): Not studied - avoid use

Nevolat and Other Medicines

Significant interactions requiring monitoring:

High-Risk Combinations

  • Insulin/Sulfonylureas: Increased hypoglycaemia risk (dose reduction needed)
  • Oral anticoagulants (warfarin): Requires frequent INR monitoring

Absorption Interactions

Due to delayed gastric emptying:

  • Take oral medications 1 hour before Nevolat injection
  • Particularly critical for:
    • Antibiotics
    • Oral contraceptives
    • Thyroid medications

Pregnancy & Breastfeeding

Pregnancy

  • Contraindicated during pregnancy
  • Discontinue immediately if pregnancy occurs
  • Use effective contraception during treatment

Breastfeeding

  • Avoid during breastfeeding
  • Unknown if liraglutide excreted in human milk
  • Potential risk to infant based on animal studies

Driving & Machine Operation

  • No direct impairment of driving ability
  • Caution advised due to possible:
    • Dizziness (especially first 3 months)
    • Hypoglycaemia (when combined with other agents)
  • Do not drive if experiencing warning signs of low blood sugar

Nevolat Ingredients

Active Substance

  • Liraglutide 6 mg/ml

Excipients

IngredientFunctionQuantity per ml
Sodium citrate dihydratepH stabiliser5.50 mg
Propylene glycolSolvent14.0 mg
PhenolPreservative5.50 mg
Water for injectionVehicleq.s. to 1 ml

Sodium Content

  • Less than 1 mmol sodium (23 mg) per dose
  • Essentially 'sodium-free'

How to Use Nevolat

Preparation Steps

  1. Check pen label (ensure correct medication)
  2. Inspect solution: must be clear and colourless
  3. Attach new needle (32G recommended)
  4. Perform flow check before first use

Injection Technique

  • Sites: Abdomen, thighs, or upper arms
  • Angle: 90° insertion (45° if lean)
  • Depth: Subcutaneous tissue only
  • Rotation: Change site daily

Post-Injection Protocol

  1. Hold dose button until counter shows "0"
  2. Count slowly to 6 before needle removal
  3. Dispose needle immediately
  4. Replace pen cap

Nevolat Dosage Guidelines

Standard Titration Schedule

Treatment WeekDaily DoseAdministration Notes
Week 10.6 mgStarting dose
Week 21.2 mg
Week 31.8 mg
Week 42.4 mg
Week 5 onwards3.0 mgMaintenance dose

Dose Adjustment Criteria

  • If significant GI side effects: maintain current dose for 1 week before increasing
  • Maximum dose: 3.0 mg daily
  • Never exceed recommended dose

Administration Instructions

Step-by-step injection guide:

Dose Selection

  1. Turn dose selector until correct dose aligns with pointer
  2. Verify dose counter shows exact mg (0.6, 1.2, 1.8, 2.4 or 3.0)
  3. Never use pen clicks to determine dose

Injection Process

  1. Insert needle at 90° angle
  2. Press and hold dose button until counter shows "0"
  3. Keep needle inserted for 6 seconds after injection
  4. Withdraw needle gently

Post-Injection Care

  • Apply light pressure if bleeding occurs
  • Do not rub injection site
  • Rotate sites daily to prevent lipodystrophy

Missed Dose Management

General Principles

  • Do NOT double doses
  • Do NOT increase next dose

Time-Based Guidance

Time Since Missed DoseAction
Less than 12 hoursAdminister immediately
More than 12 hoursSkip dose; resume next scheduled dose

Overdose Information

Symptoms

  • Severe nausea/vomiting
  • Hypoglycaemia (if combined with other agents)
  • Dehydration

Management

  1. Seek immediate medical attention
  2. Bring medication packaging
  3. Symptomatic treatment:
    • IV fluids for dehydration
    • Glucose for hypoglycaemia
    • Antiemetics if severe vomiting

Nevolat Side Effects

Understanding potential adverse reactions is crucial. For comprehensive safety profiles, consult authoritative resources.

Very Common (more than 1 in 10 people)

  • Nausea (39.3%)
  • Diarrhoea (20.9%)
  • Headache (13.6%)

Common (1 in 10 to 1 in 100 people)

  • Vomiting
  • Fatigue
  • Injection site reactions
  • Gallstones

Serious Side Effects

EffectFrequencyAction Required
Acute PancreatitisUncommonDISCONTINUE immediately
AnaphylaxisRareEmergency treatment
Acute Kidney InjuryRareDiscontinue; monitor renal function

How to Store Nevolat

Unopened Pens

  • Refrigerate at 2-8°C
  • Do not freeze
  • Keep in original carton

In-Use Pens

  • May store at ≤30°C
  • Use within 30 days
  • Keep pen cap on when not in use

Disposal

  • Dispose needles in sharps container
  • Return unused pens to pharmacy
  • Never dispose in household waste

Pack Information

Pack Sizes

  • 1 pre-filled pen
  • 3 pre-filled pens
  • 5 pre-filled pens

Components

  • Pre-filled pen (3ml solution)
  • Needles NOT included
  • Instructions for use

Appearance

  • Clear, colourless solution
  • Pre-filled disposable pen

Where Can I Buy Nevolat Online in the UK

Secure Nevolat Prescription & Next-Day Delivery Service

Order Nevolat with confidence through our UK-registered medical prescribers, who review all requests within 4 working hours. We guarantee same-day prescription approval for eligible patients and dispatch orders placed before 3pm for next-day tracked delivery.

Our Nevolat service combines competitive pricing with strict adherence to MHRA safety standards, ensuring your medication is dispensed through GPhC-registered pharmacies. Every purchase includes discreet packaging and a GDPR-compliant consultation process.

Our Nevolat clinical team ensures:

  • Full medical history review (including BMI and weight-related conditions)
  • Drug interaction checks (especially with diabetes medications)
  • Personalised dosing guidance (starting at 0.6mg and titrating to 3.0mg)

Always consult your GP for first-time weight management treatment or if you have a history of thyroid cancer or pancreatitis. Not recommended for children under 12.

Nevolat (Liraglutide) FAQs

Clinical trials show average weight loss of:

  • 5-10% of body weight at 3.0mg dose after 56 weeks
  • Significant weight loss noticeable within first 12 weeks
  • Results vary based on starting weight, adherence, and lifestyle changes

Moderate alcohol consumption is generally acceptable but consider:

  • Alcohol may worsen gastrointestinal side effects
  • Increases pancreatitis risk (avoid heavy drinking)
  • Calorie content may hinder weight loss
  • Limit to ≤14 units/week with alcohol-free days

Each pen contains multiple doses:

  • 1 pen = approximately 18 days of treatment at 3.0mg dose
  • 3 pens = approximately 54 days of treatment
  • Opened pens expire after 30 days regardless of remaining doses

For nausea management:

  1. Eat smaller, more frequent meals
  2. Avoid high-fat or spicy foods
  3. Stay hydrated with small sips of water
  4. Inject at bedtime
  5. Consult doctor if persistent beyond 2 weeks

Yes, with precautions:

  • Use insulated bag with cool packs for air travel
  • Never place in checked luggage
  • Carry prescription documentation
  • Maximum temperature 30°C during travel

Apply gentle pressure with clean gauze for 1-2 minutes. Do not rub. Small bleeds are common and harmless. Contact your clinician if:

  • Bleeding persists >5 minutes
  • You notice significant bruising
  • Injection site becomes warm or painful

Yes, Nevolat is approved for:

  • Type 2 diabetes management (at different doses)
  • Weight management in adults with type 2 diabetes
  • May be used alone or with other diabetes medications
  • Requires blood glucose monitoring when used with insulin or sulfonylureas

Proper disposal protocol:

  1. Remove needle and place in sharps container
  2. Place empty pen in household waste
  3. Never recycle medical devices
  4. Return unused pens to pharmacy

Yes, with these guidelines:

  • Administer at approximately the same time each day
  • Can adjust by 1-2 hours if needed
  • Maintain consistent daily schedule
  • Avoid frequent time changes

If weight loss stalls for >4 weeks at maintenance dose:

  1. Re-evaluate calorie intake and activity levels
  2. Consider consulting a nutritionist
  3. Ensure proper injection technique
  4. Discuss medication alternatives with your doctor

Plateaus are common after 6-9 months of treatment.

Most patients see initial weight loss within 4-8 weeks, with optimal results after 6 months of continuous use.

  • Week 1-4: Appetite suppression begins
  • Month 2: Noticeable weight changes
  • Month 6: Full therapeutic effect

Combine with dietary changes and exercise for enhanced results, as recommended by NICE guidelines.

  • Recommended: Calorie tracking + weekly exercise
  • Optional: Behavioural therapy
  • Consultation required for combination with other medications
Medical Content Manager
Authored by Nabeel

Medical Content Manager

Nabeel is a co-founder, and medical content manager of Chemist Doctor. He works closely with our medical team to ensure the information is accurate and up-to-date.

Medical Doctor

Dr. Talal is a GMC registered doctor and medical reviewer at Chemist Doctor. He ensures clinical accuracy and reliability across health content.

Medical Director
Approved by Usman

Medical Director

Usman is a co-founder, and medical director of Chemist Doctor. He leads the organisation's strategic vision, bridging clinical and operational priorities.

Review Date: 01 May 2025

Next Review: 04 December 2025

Published on: 01 May 2025

Last Updated: 02 May 2025

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