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Adlyxin

MED-000011

Adlyxin® (lixisenatide) is a once-daily, mealtime GLP-1 receptor agonist approved as an adjunct to diet and exercise to improve blood sugar control in adults with type 2 diabetes. Unlike weekly GLP-1 medications, Adlyxin is timed to a meal and taken once daily within the hour before the first meal of the day.

Medication Overview

Generic Name: 

Medication Class: 

Manufacturer:

Route:

Dosing Frequency:

Lixisenatide

GLP-1

Sanofi

Injection

Daily

Status:

Draft

Medication Summary

Adlyxin® (lixisenatide) is a once-daily, mealtime GLP-1 receptor agonist approved as an adjunct to diet and exercise to improve blood sugar control in adults with type 2 diabetes. Unlike weekly GLP-1 medications, Adlyxin is timed to a meal and taken once daily within the hour before the first meal of the day.

Aliases

Adlyxin

Search Keywords

adlyxin, lixisenatide

Medication Uses

Part of the DietApp.com GLP-1 Medication Database, a comprehensive, regularly reviewed reference covering every GLP-1-class medication.

Adlyxin® (lixisenatide) is an FDA-approved GLP-1 receptor agonist indicated as an adjunct to diet and exercise to improve blood sugar control in adults with type 2 diabetes. It's a once-daily, mealtime-timed injection — a different dosing pattern from the once-weekly GLP-1 medications like Ozempic or Trulicity.

Adlyxin is not approved for type 1 diabetes or diabetic ketoacidosis, and should not be used as a substitute for insulin.

Dosage

The starting dose of Adlyxin is 10 mcg subcutaneously once daily for 14 days. The dose is then increased to the maintenance dose of 20 mcg once daily starting on day 15.

Administration

Adlyxin is injected within the hour before the first meal of the day, ideally the same meal each day. It's administered subcutaneously into the abdomen, thigh, or upper arm.

Benefits

When used as prescribed, Adlyxin may help lower blood sugar levels in adults with type 2 diabetes, particularly by targeting post-meal blood sugar spikes given its mealtime dosing pattern.

Side Effects

The most frequently reported side effects include nausea (up to 26.5% of patients), vomiting (up to 10.5%), headache, diarrhea, dizziness, and hypoglycemia — particularly when combined with a sulfonylurea or insulin. In clinical trials, about 70% of patients developed antibodies to lixisenatide; a small subset with the highest antibody levels showed reduced blood sugar benefit.

Warnings

Adlyxin carries warnings for anaphylaxis and serious hypersensitivity reactions (reported in about 0.1% of patients in trials), pancreatitis, and increased hypoglycemia risk when combined with insulin or a sulfonylurea. Never share an Adlyxin pen between patients, even with a new needle. Seek immediate medical attention for severe abdominal pain, difficulty breathing, or facial/throat swelling.

Drug Interactions

Adlyxin slows gastric emptying, which may reduce or delay the absorption of oral medications taken around the same time — including antibiotics, acetaminophen, and oral contraceptives. Oral contraceptives should be taken at least 1 hour before or at least 11 hours after an Adlyxin dose. When combined with a sulfonylurea or basal insulin, a dose reduction of that medication may be needed to reduce hypoglycemia risk.

Storage

Before first use, refrigerate Adlyxin pens at 36°F–46°F (2°C–8°C). Do not freeze. Follow manufacturer instructions for in-use storage. Keep out of reach of children.

References

  • U.S. FDA prescribing information for Adlyxin®
  • DailyMed prescribing information
  • RxList: Adlyxin Side Effects and Dosing

Last medically reviewed and updated: July 11, 2026.

Track Your Progress

Because Adlyxin is timed to a specific meal each day, tracking when you inject alongside your food log can help you and your provider see how well your dose timing is working. DietApp.com helps you log daily doses, meals, blood sugar patterns, and side effects in one place.

Download DietApp.com

Related Resources

Related Articles

  • What Is Lixisenatide?
  • Mealtime vs. Weekly GLP-1 Medications: What's the Difference?
  • How GLP-1 Medications Support Blood Sugar Control
  • Frequently Asked Questions About GLP-1 Therapy

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DietApp.com combines evidence-based GLP-1 medication education with practical treatment tracking tools. The information on DietApp.com is intended for educational purposes only and should not replace professional medical advice, diagnosis, or treatment.

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