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Semaglutide Vs. Ozempic®: Drug Comparison

Compare common side effects, interactions, warnings, and more.

Medical Review byMike Bohl, MD, MBA, MPH, MS, ALMNov 4, 2024

Medication Name

Semaglutide

*image for illustrative purpose only

Semaglutide

*image for illustrative purpose only

Summary

Prescription only

Semaglutide is the active ingredient in the brand-name medication Ozempic®. The information below is about brand name Ozempic.

Ozempic (semaglutide) is an injectable medication used to improve blood sugar control in adults with type 2 diabetes, to reduce the risk of major cardiovascular events in individuals with established heart disease, and to reduce the risk of kdiney problems in certain populations. It works by mimicking the hormone glucagon-like peptide-1 (GLP-1), which increases insulin secretion, decreases glucagon release, and slows gastric emptying. Administered once weekly, Ozempic is often part of a comprehensive treatment plan that includes diet and exercise. Common side effects include nausea, vomiting, diarrhea, and abdominal pain, and it should be used with caution in patients with a history of pancreatitis​.

Prescription only

Ozempic® (semaglutide) is an injectable medication used to improve blood sugar control in adults with type 2 diabetes, to reduce the risk of major cardiovascular events in individuals with established heart disease, and to reduce the risk of kdiney problems in certain populations. It works by mimicking the hormone glucagon-like peptide-1 (GLP-1), which increases insulin secretion, decreases glucagon release, and slows gastric emptying. Administered once weekly, Ozempic is often part of a comprehensive treatment plan that includes diet and exercise. Common side effects include nausea, vomiting, diarrhea, and abdominal pain, and it should be used with caution in patients with a history of pancreatitis​.

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Drug Category

Glucagon-like peptide-1 (GLP-1) receptor agonist

Glucagon-like peptide-1 (GLP-1) receptor agonist

Approved Uses

Ozempic (semaglutide) is indicated:

  • As an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus

  • To reduce the risk of major adverse cardiovascular events in adults with type 2 diabetes mellitus and established cardiovascular disease

  • To reduce the risk of sustained eGFR decline, end-stage kidney disease and cardiovascular death in adults with type 2 diabetes mellitus and chronic kidney disease

Ozempic (semaglutide) is indicated:

  • As an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus

  • To reduce the risk of major adverse cardiovascular events in adults with type 2 diabetes mellitus and established cardiovascular disease

  • To reduce the risk of sustained eGFR decline, end-stage kidney disease and cardiovascular death in adults with type 2 diabetes mellitus and chronic kidney disease

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Dosage

  • Typically taken as an injection once weekly

  • Comes in single-patient-use pens that deliver 0.25 mg, 0.5 mg, 1 mg, or 2 mg per injection

  • Typically taken as an injection once weekly

  • Comes in single-patient-use pens that deliver 0.25 mg, 0.5 mg, 1 mg, or 2 mg per injection

Known Common Side Effects

The most common adverse reactions, reported in ≥5% of patients are:

  • Nausea

  • Vomiting

  • Diarrhea

  • Abdominal pain

  • Constipation

The most common adverse reactions, reported in ≥5% of patients are:

  • Nausea

  • Vomiting

  • Diarrhea

  • Abdominal pain

  • Constipation

Interactions & Contraindications

  • Personal or family history of medullary thyroid carcinoma or in patients with multiple endocrine neoplasia syndrome type 2

  • Serious hypersensitivity reaction to semaglutide or any of the excipients in Ozempic

  • Drug interactions: Ozempic delays gastric emptying and may impact the absorption of concomitantly administered oral medications

  • Personal or family history of medullary thyroid carcinoma or in patients with multiple endocrine neoplasia syndrome type 2

  • Serious hypersensitivity reaction to semaglutide or any of the excipients in Ozempic

  • Drug interactions: Ozempic delays gastric emptying and may impact the absorption of concomitantly administered oral medications

Warnings & Precautions

  • Pancreatitis

  • Diabetic retinopathy complications

  • Never share an Ozempic pen between patients, even if the needle is changed

  • Low blood sugar: Concomitant use with an insulin secretagogue or insulin may increase the risk of low blood sugar, including severe low blood sugar

  • Acute kidney injury

  • Hypersensitivity reactions

  • Acute gallbladder disease

  • Females and males of reproductive potential: Discontinue Ozempic in women at least 2 months before a planned pregnancy due to the long washout period for semaglutide

  • Pancreatitis

  • Diabetic retinopathy complications

  • Never share an Ozempic pen between patients, even if the needle is changed

  • Low blood sugar: Concomitant use with an insulin secretagogue or insulin may increase the risk of low blood sugar, including severe low blood sugar

  • Acute kidney injury

  • Hypersensitivity reactions

  • Acute gallbladder disease

  • Females and males of reproductive potential: Discontinue Ozempic in women at least 2 months before a planned pregnancy due to the long washout period for semaglutide

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Boxed Warning

WARNING: RISK OF THYROID C-CELL TUMORS

In rodents, semaglutide causes thyroid C-cell tumors. It is unknown whether Ozempic causes thyroid C-cell tumors, including medullary thyroid carcinoma (MTC), in humans as the human relevance of semaglutide-induced rodent thyroid C-cell tumors has not been determined.

Ozempic is contraindicated in patients with a personal or family history of MTC or in patients with multiple endocrine neoplasia syndrome type 2 (MEN 2). Counsel patients regarding the potential risk of MTC and symptoms of thyroid tumors.

WARNING: RISK OF THYROID C-CELL TUMORS

In rodents, semaglutide causes thyroid C-cell tumors. It is unknown whether Ozempic causes thyroid C-cell tumors, including medullary thyroid carcinoma (MTC), in humans as the human relevance of semaglutide-induced rodent thyroid C-cell tumors has not been determined.

Ozempic is contraindicated in patients with a personal or family history of MTC or in patients with multiple endocrine neoplasia syndrome type 2 (MEN 2). Counsel patients regarding the potential risk of MTC and symptoms of thyroid tumors.

References

*This information is from the label for brand name Ozempic®. See the Full Prescribing Information for more complete information. Semaglutide, the active ingredient in Ozempic, may also be the active ingredient in other medications, and this information may not be accurate for all medications that include the active ingredient semaglutide.

*This information is from the label for brand name Ozempic®. See the Full Prescribing Information for more complete information. Semaglutide, the active ingredient in Ozempic, may also be the active ingredient in other medications, and this information may not be accurate for all medications that include the active ingredient semaglutide.

The information provided here is NOT MEDICAL ADVICE and is for informational and educational purposes only. The drug comparison tool does not determine eligibility for medications or treatments provided via the Hims/Hers platform. Consultation with a healthcare provider is required to assess suitability for any medical treatment based on individual health and medical history. All product names and associated trademarks are the property of their respective owners.

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