
Many people inject these medications for diabetes or weight management. You must tell your dentist if you are using them or have used them in the preceding 90 days.
These include: semaglutide (Ozempic and Wegovy needles and Rybelsus tablets), Tirzepatide (Mounjaro), Trulicity (dulaglutide) and liraglutide (Saxenda, Victoza and Xultophy).
Part of the reason they tend to result in weight loss is that they signal the stomach to slow down (our natural GLP does that to enable digestion to start). As such, the stomach can remain full after six hours’ fasting, for up to three months after the last dose of these medications.
Therefore, to reduce the risk of anything coming up and being inhaled, we ask that you observe a clear fluid diet for 24 hours before your procedure. Your dentist will give you specific instructions from the anaesthetic college on what you can and cannot consume.
We all have a lot on our minds and sometimes we forget things. If that’s you and you have accidentally eaten dinner the night before but still missed breakfast, depending on your own circumstances, Dr Ayling may perform a bedside gastric ultrasound to look at your stomach to see if it is empty. People vary, so a quick (cost free) scan can verify if your stomach is empty.
If your stomach is not empty on the day, then it will not be best practice to continue at that appointment. So it is recommended to set a calendar reminder an hour or so before dinner time the night before, to remind you not to eat food or drink milk.
To view and download the Anaesthetic College guidelines on pre-operative fasting for patients prescribed GLP medications, please click here
Please be sure to wear a loose-fitting shirt, blouse or T-shirt so that monitoring equipment can be easily applied.
You will also need to know your weight (in kg) and height (in cm, not feet) so they can be entered into medication infusion pumps. Each dose is tailored to the individual.