Severe Gastroparesis-Like Syndrome Following Single-Dose Liraglutide Administration: A Case Report
Keywords:
Liraglutide; Gastroparesis; GLP-1 Agonist; Drug-induced Gastropathy; Refractory Vomiting; Adverse Drug ReactionAbstract
As a GLP-1 analogue, liraglutide is given to patients as a treatment for both obesity and type 2 diabetes. It taken safely most of time, though there are also reports of effects on the digestive system. In this case, a 30-year-old healthy female developed severe slowing of her stomach after a single injection of liraglutide (1 mg) for weight loss, without a doctor’s care. Within a few hours of getting the treatment, the patient began having severe abdominal pain and kept vomiting. A thorough review using imaging and lab tests did not find anything wrong with her system to explain her symptoms. It points out that a single dose of liraglutide may result in major gastric motility problems for some patients. She recovered from her condition over two weeks with supportive care which eliminated her symptoms. Further study is required to explain these reactions and to set up rules for safer use of GLP-1 receptor agonists outside the diabetic population.
References
Drucker DJ. Mechanisms of action and therapeutic application of glucagon-like peptide-1. Cell Metab. 2018;27(4):740-56.
https://doi.org/10.1016/j.cmet.2018.03.001
PMid:29617641
Müller TD, Finan B, Bloom SR, D'Alessio D, Drucker DJ, Flatt PR, et al. Glucagon-like peptide 1 (GLP-1). Mol Metab. 2019;30:72-130.
https://doi.org/10.1016/j.molmet.2019.09.010
PMid:31767182 PMCid:PMC6812410
Maselli D, Atieh J, Clark MM, Beckman JA, Lantigua RA, Bissig M, et al. Effects of liraglutide on gastrointestinal functions and weight in obesity: a randomized clinical and pharmacogenomic trial. Obesity (Silver Spring). 2022;30(8):1608-20.
https://doi.org/10.1002/oby.23481
PMid:35894080 PMCid:PMC9335902
Hellström PM, Näslund E, Edholm T, Schmidt PT, Kristensen J, Theodorsson E, et al. GLP-1 suppresses gastrointestinal motility and inhibits the migrating motor complex in healthy subjects and patients with irritable bowel syndrome. Neurogastroenterol Motil. 2008;20(6):649-59.
https://doi.org/10.1111/j.1365-2982.2007.01079.x
PMid:18298441
Newsome JS. Lixisenatide: a new option for managing type 2 diabetes. J Pharm Technol. 2017;33(5):195-203.
https://doi.org/10.1177/8755122517711958
PMid:34860974 PMCid:PMC5998422
Horowitz M, Flint A, Jones KL, Hindsberger C, Rasmussen MF, Kapitza C, et al. Effect of the once-daily human GLP-1 analogue liraglutide on appetite, energy intake, energy expenditure and gastric emptying in type 2 diabetes. Diabetes Res Clin Pract. 2012;97(2):258-66.
https://doi.org/10.1016/j.diabres.2012.02.016
PMid:22446097
Almustanyir S, Alhabeeb H, AlHusseini N, Al Thow M. Gastroparesis with the initiation of liraglutide: a case report. Cureus. 2020;12(11):e11735.
https://doi.org/10.7759/cureus.11735
Dimino J, Kuo B. Current concepts in gastroparesis and gastric neuromuscular disorders-pathophysiology, diagnosis, and management. Diagnostics (Basel). 2025;15(7):935.
https://doi.org/10.3390/diagnostics15070935
PMid:40218285 PMCid:PMC11988396
Marso SP, Daniels GH, Brown-Frandsen K, Kristensen P, Mann JFE, Nauck MA, et al. Liraglutide and cardiovascular outcomes in type 2 diabetes. N Engl J Med. 2016;375(4):311-22.
https://doi.org/10.1056/NEJMoa1603827
PMid:27295427 PMCid:PMC4985288
Davies MJ, Bergenstal R, Bode B, Kushner RF, Lewin A, Skjøth TV, et al. Efficacy of liraglutide for weight loss among patients with type 2 diabetes: the SCALE diabetes randomized clinical trial. JAMA. 2015;314(7):687-99.
https://doi.org/10.1001/jama.2015.9676
PMid:26284720
Lembo A, Camilleri M, McCallum R, Sastre R, Wolfgang S, Goodin T, et al. Relamorelin reduces vomiting frequency and severity and accelerates gastric emptying in adults with diabetic gastroparesis. Gastroenterology. 2016;151(1):87-96.e6.
https://doi.org/10.1053/j.gastro.2016.03.038
PMid:27055601
Bin Nafisah S, Almatrafi D, Al-Mulhim K. Liraglutide overdose: a case report and an updated review. Turkish journal of emergency medicine. 2020 Jan 1;20(1):46-9.
https://doi.org/10.4103/2452-2473.276386
PMid:32355902 PMCid:PMC7189825
Lai M, Hosking P, Sawhney R, Nicoll A. Liraglutide-Induced Liver Injury: A Case Report and Review. Case Reports in Gastroenterology. 2025 Jan 1;19(1):653-8.
https://doi.org/10.1159/000547634
PMid:41064547 PMCid:PMC12503594
Ashraf S, Nadkarni P, Bansal N, Stred SE. Liraglutide for the treatment of hypothalamic obesity. AACE Clinical Case Reports. 2018 Jul 1;4(4):e342-5.
https://doi.org/10.4158/ACCR-2018-0009
Caputo M, Daffara T, Bellone S, Mancioppi V, Marzullo P, Aimaretti G, Prodam F. Case Report: Liraglutide for Weight Management in Beckwith-Wiedemann Syndromic Obesity. Frontiers in Endocrinology. 2021 Jun 22;12:687918.
https://doi.org/10.3389/fendo.2021.687918
PMid:34239499 PMCid:PMC8258411
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Galen Medical Journal

This work is licensed under a Creative Commons Attribution 4.0 International License.





