Pramlintide (Symlin) is the only FDA-approved amylin analog, used as an adjunct to mealtime insulin in both type 1 and type 2 diabetes. While it preceded the GLP-1 RA era and is less widely prescribed today, it remains an important therapeutic option and the foundation for next-generation amylin analogs like cagrilintide.
Dosage Information (Research Use)
T2D: 60mcg SC before major meals, may increase to 120mcg. T1D: 15mcg before meals, titrate to 60mcg. Must reduce mealtime insulin by 50% when starting. Prescription medication.
Reconstitution & Handling
Pre-filled pen — no reconstitution.
Half-Life & Pharmacokinetics
~48 minutes
Reported Observations in Literature
Nausea (28-48%, dose-dependent and usually transient), anorexia, vomiting, headache. Risk of severe hypoglycemia if mealtime insulin is not reduced. Injection site reactions.
Key Research References
- Whitehouse F et al. “A randomized study and open-label extension evaluating the long-term efficacy of pramlintide.” Diabetes Care. 2002;25:724-30