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Exenatide

Prescription
GLP-1 Receptor Agonist (Incretin Mimetic)
Last reviewed 21 Apr 2026 · PetCare.AI Editorial Team
Species
Dog, Cat
Brands
2 available
Formulations
2

Mechanism of action

Synthetic exendin-4 (Gila monster venom peptide) that activates GLP-1 receptors on pancreatic beta cells, enhancing glucose-dependent insulin secretion, suppressing glucagon, slowing gastric emptying, and promoting satiety. Only stimulates insulin when glucose is elevated.

At a glance

Class
GLP-1 Receptor Agonist (Incretin Mimetic)
Schedule
Prescription
Storage
Refrigerate 2–8°C; pen in use can be at room temperature up to 30 days

Dosing

🐕

Dog

Off-label investigational use for canine diabetes and insulinoma (paradoxically
Dose
0.2–1 mcg/kg
Route
SQ
Frequency
q12h
🐈

Cat

Investigational for feline diabetes — may promote beta cell regeneration and dia
Dose
0.2 mcg/kg
Route
SQ
Frequency
q12h

Formulations

💊

Other — 2

Strength
Strength

Storage

Refrigerate 2–8°C; pen in use can be at room temperature up to 30 days

Safety

Monitoring parameters

Blood glucose curvesFructosamineBody weightGI toleranceLipase (pancreatitis screening)

Interactions

No documented interactions.

Brands

Other markets

Byetta
Bydureon

FAQs

Frequently asked questions

What is Exenatide?
Exenatide is a glp-1 receptor agonist (incretin mimetic) used in pets. Synthetic exendin-4 (Gila monster venom peptide) that activates GLP-1 receptors on pancreatic beta cells, enhancing glucose-dependent insulin secretion, suppressing glucagon, slowing gastric emptying, and promoting satiety. Only stimulates insulin when glucose is elevated.
What is Exenatide used for in pets?
Exenatide is used in veterinary medicine for: Off-label investigational use for canine diabetes and insulinoma (paradoxically ; Investigational for feline diabetes — may promote beta cell regeneration and dia.
What is the Exenatide dose for dogs?
For dogs, Exenatide is typically dosed as follows — Off-label investigational use for canine diabetes and insulinoma (paradoxically : 0.2–1 mcg/kg SQ q12h. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
What is the Exenatide dose for cats?
For cats, Exenatide is typically dosed as follows — Investigational for feline diabetes — may promote beta cell regeneration and dia: 0.2 mcg/kg SQ q12h. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
Does Exenatide need a prescription?
Yes. Exenatide is a prescription medication and should only be administered under veterinary supervision.

References

References

Textbooks & handbooks

  • Plumb, D.C. Plumb's Veterinary Drug Handbook. 10th ed., Wiley-Blackwell, 2023.
  • Vail, D.M., Thamm, D.H., & Liptak, J.M. (eds.). Withrow & MacEwen's Small Animal Clinical Oncology. 6th ed., Saunders/Elsevier, 2020.
  • Riviere, J.E., & Papich, M.G. (eds.). Veterinary Pharmacology and Therapeutics. 10th ed., Wiley-Blackwell, 2018.
  • National Research Council. Nutrient Requirements of Dogs and Cats. National Academies Press, Washington DC, 2006.
  • The Merck Veterinary Manual. Merck & Co., Online edition. https://www.merckvetmanual.com/

Clinical guidelines & consensus

  • Fletcher, D.J., Boller, M., Brainard, B.M., et al. "RECOVER Evidence and Knowledge Gap Analysis on Veterinary CPR." Journal of Veterinary Emergency and Critical Care, 2012;22(S1):S102–S131.
  • American Animal Hospital Association. 2018 AAHA Diabetes Management Guidelines for Dogs and Cats. AAHA Press.

Journals & peer-reviewed studies

  • Hogan, D.F., Fox, P.R., Jacob, K., et al. "Secondary prevention of cardiogenic arterial thromboembolism in the cat: The FAT CAT study." Journal of Veterinary Cardiology, 2015;17(Suppl 1):S306–S317.
  • Boswood, A., Häggström, J., Gordon, S.G., et al. "Effect of Pimobendan in Dogs with Preclinical Myxomatous Mitral Valve Disease and Cardiomegaly: The EPIC Study — A Randomized Clinical Trial." Journal of Veterinary Internal Medicine, 2016;30(6):1765–1779.
  • ASPCA Animal Poison Control Center. Toxicology and Poison Management Guidelines. American Society for the Prevention of Cruelty to Animals. https://www.aspca.org/pet-care/animal-poison-control

Regulatory & approvals

  • Central Drugs Standard Control Organisation (CDSCO), Government of India. Veterinary Drug Approval Registry, 1969–2026. Directorate General of Health Services. https://cdsco.gov.in/

Databases

  • Washington State University, College of Veterinary Medicine. Veterinary Clinical Pharmacology Laboratory (VCPL) — MDR1 Multidrug Sensitivity Database. https://vcpl.vetmed.wsu.edu/
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →