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Patients should contact their GP or diabetes specialist nurse if they have concerns about alcohol consumption whilst taking Rybelsus, particularly if they: Experience frequent hypoglycaemic episodes, especially if these occur after drinking alcohol Find it difficult to control their alcohol intake or have a history of alcohol dependency Develop new or worsening gastrointestinal symptoms (persistent nausea, vomiting, or abdominal pain) that may be exacerbated by alcohol Have existing liver disease or elevated liver enzymes, as both alcohol and diabetes can affect hepatic function Are taking multiple medications for diabetes or other conditions that may interact with alcohol Urgent medical attention (call 999 or attend A&E) is required if: Severe hypoglycaemia occurs with loss of consciousness, seizures, or inability to swallow safely Symptoms of acute pancreatitis develop: severe, persistent abdominal pain (often radiating to the back), vomiting, and fever Signs of diabetic ketoacidosis appear: excessive thirst, frequent urination, confusion, fruity-smelling breath, and rapid breathing (though rare in type 2 diabetes) If you need urgent advice and it's not life-threatening, contact NHS 111

PMC 434288

We have two compartments for the glucose