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semaglutide

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Brand names: Ozempic, Wegovy, Rybelsus

GLP-1 Receptor Agonist Rx

Ozempic is a medicine that helps lower blood sugar in adults with type 2 diabetes. It can also lower the risk of heart problems in adults with both type 2 diabetes and heart disease.

Drug Pricing (NADAC)

Brand Price

$311.86/unit

Generic Available

No

NOVO

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

What it does

Ozempic is used to improve blood sugar control in adults with type 2 diabetes, along with diet and exercise.

Common side effects

Nausea, Vomiting, Diarrhea

Key warnings

Ozempic may cause thyroid C-cell tumors.

How It Works

Ozempic is a GLP-1 receptor agonist. It works by helping your body release insulin when your blood sugar is high. It also slows down how quickly food leaves your stomach.

How to Take It

Inject Ozempic once a week, at any time of day, with or without food. Start with 0.25 mg for 4 weeks. Your doctor may then increase your dose to 0.5 mg, 1 mg, or 2 mg once weekly to control your blood sugar. Inject it under the skin of your stomach, thigh, or upper arm, and use a different injection spot each week.

Pregnancy & Breastfeeding

There is limited information about the safety of Ozempic during pregnancy. Ozempic may pose a risk to your unborn baby. Talk to your doctor if you are pregnant, plan to become pregnant, or are breastfeeding.

Missed Dose

If you miss a dose, take it as soon as possible within 5 days of the missed dose. If more than 5 days have passed, skip the missed dose and take your next dose on your regularly scheduled day.

Storage

Store Ozempic in the refrigerator between 36°F to 46°F (2°C to 8°C).

Side Effects (from patient reports)

Based on 52,256 FDA adverse event reports.

Feeling sick to your stomach
10,666
Throwing up
6,913
Using the medicine for a purpose it's not approved for
6,532
Loose, watery stools
6,093
Not feeling hungry
4,428
Having trouble passing stools
4,344
Losing weight
3,931
Feeling tired
3,312
Pain in your head
3,156
Using the medicine for a condition it's not approved for
2,881

FDA Adverse Event Report Analysis

Detailed analysis of 72,117 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2013–2025.

Total Reports

72,117

Death-Related Reports

1,213

Hospitalization Reports

14,700

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 43,872 (67%)
Male 21,741 (33%)

Age Distribution

0–17 244
18–44 6,424
45–64 17,703
65–74 10,577
75+ 4,884

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 NAUSEA 10,666
2 VOMITING 6,913
3 OFF LABEL USE 6,532
4 DIARRHOEA 6,093
5 DECREASED APPETITE 4,428
6 CONSTIPATION 4,344
7 WEIGHT DECREASED 3,931
8 FATIGUE 3,312
9 HEADACHE 3,156
10 PRODUCT USE IN UNAPPROVED INDICATION 2,881
11 WRONG TECHNIQUE IN PRODUCT USAGE PROCESS 2,774
12 BLOOD GLUCOSE INCREASED 2,752
13 ABDOMINAL PAIN UPPER 2,751
14 IMPAIRED GASTRIC EMPTYING 2,711
15 DIZZINESS 2,631

Reactions in Death Reports

DEATH 384
NAUSEA 84
LACTIC ACIDOSIS 75
VOMITING 68
CARDIAC ARREST 63
OFF LABEL USE 58
DIARRHOEA 54
MYOCARDIAL INFARCTION 52
ACUTE KIDNEY INJURY 48
MULTIPLE ORGAN DYSFUNCTION SYNDROME 46

Reactions in Hospitalization Reports

NAUSEA 2,470
VOMITING 2,446
DIARRHOEA 1,753
IMPAIRED GASTRIC EMPTYING 1,585
OFF LABEL USE 1,503
DEHYDRATION 1,249
CONSTIPATION 1,101
DECREASED APPETITE 1,051
ABDOMINAL PAIN 973
INTESTINAL OBSTRUCTION 686

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Ozempic may cause thyroid C-cell tumors. Animal studies showed that semaglutide, the active ingredient in Ozempic, caused thyroid tumors in rodents. It is not known if Ozempic causes thyroid tumors in humans. You should not take Ozempic if you or your family have a history of medullary thyroid carcinoma (MTC) or if you have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Tell your doctor if you notice a lump in your neck, have trouble swallowing, have trouble breathing, or have a hoarse voice that won't go away.

Common Questions

What should I do if I experience severe stomach pain?
Stop taking Ozempic and contact your doctor right away, as this could be a sign of pancreatitis.
Can Ozempic be used for weight loss?
While some people may lose weight on Ozempic, it is not specifically approved for weight loss at this dosage. Wegovy is a higher dose semaglutide product approved for weight loss.
What happens if my blood sugar gets too low?
Talk to your doctor about how to treat low blood sugar. You may need to adjust the dose of other diabetes medicines you are taking.
Can I share my Ozempic pen with others?
No, never share your Ozempic pen with anyone, even if you change the needle. Sharing pens can spread infections.
What if I have kidney problems?
Tell your doctor if you have kidney problems. They may need to monitor your kidney function while you are taking Ozempic.
Can Ozempic cause allergic reactions?
Yes, serious allergic reactions can occur. Stop using Ozempic and get medical help right away if you have symptoms like rash, itching, swelling, or trouble breathing.
Does Ozempic interact with other medications?
Yes, Ozempic can affect how your body absorbs other oral medications. Talk to your doctor about all the medicines you take.
How often should I check my blood sugar?
Follow your doctor's instructions on how often to check your blood sugar. Regular monitoring is important.
What are the symptoms of thyroid tumors?
Symptoms include a lump in your neck, trouble swallowing, trouble breathing, or a hoarse voice that won't go away.
What should I do if I am planning to have surgery?
Talk to your doctor about whether you need to stop taking Ozempic before surgery.
What are the common side effects of semaglutide?
The most commonly reported side effects of semaglutide include Nausea, Vomiting, Diarrhea, Abdominal pain, Constipation. Based on 52,256 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
What drug class is semaglutide?
semaglutide belongs to the GLP-1 Receptor Agonist drug class. It requires a prescription (Rx). Ozempic is used to improve blood sugar control in adults with type 2 diabetes, along with diet and exercise.
Is semaglutide safe during pregnancy?
There is limited information about the safety of Ozempic during pregnancy. Ozempic may pose a risk to your unborn baby. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.
Has semaglutide been recalled?
There are 18 recalls associated with semaglutide products. Presence of Particulate Matter: Hair was found in a prefilled syringe. Check the recalls section below for full details and affected products.

Active Recalls

Class II December 19, 2025

Presence of Particulate Matter: Hair was found in a prefilled syringe

Novo Nordisk Inc.

Class II December 19, 2025

Presence of Particulate Matter: Hair was found in a prefilled syringe

Novo Nordisk Inc.

Class II October 15, 2025

Lack of Assurance of Sterility

ProRx LLC

Class II October 15, 2025

Lack of Assurance of Sterility

ProRx LLC

Class II October 15, 2025

Lack of Assurance of Sterility

ProRx LLC

Class II October 15, 2025

Lack of Assurance of Sterility

ProRx LLC

Class II July 18, 2025

Lack of Processing Controls.

AEQUITA PHARMACY

Class II July 18, 2025

Lack of Processing Controls.

AEQUITA PHARMACY

Class II July 18, 2025

Lack of Processing Controls.

AEQUITA PHARMACY

Class II July 18, 2025

Lack of Processing Controls.

AEQUITA PHARMACY

Class II July 9, 2025

Subpotent Drug

Boothwyn Pharmacy LLC

Class II May 21, 2025

Lack of Assurance of Sterility

Thrive Health and Wellness, LLC, dba Thrive Health Solutions (Colorado)

Class II April 9, 2025

Temperature abuse: Wegovy product was potentially exposed to temperatures outside of the products labeled storage conditions due to a shipping error involving a Cardinal Health distribution center. More specifically, product was removed from refrigerated storage for an extended period of time and inappropriately released.

Cardinal Health Inc.

Class II August 22, 2024

Lack of Assurance of Sterility

ProRx LLC

Class II August 22, 2024

Lack of Assurance of Sterility

ProRx LLC

Class II August 22, 2024

Lack of Assurance of Sterility

ProRx LLC

Class II April 13, 2023

Lack of assurance of sterility.

Pharmacy Plus, Inc. dba Vital Care Compounder

Class II March 7, 2022

Lack of Assurance of Sterility

TMC Acquisition LLC dba Tailor Made Compounding

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What the FDA Data Shows for semaglutide

The FDA label for semaglutide (sold under brand names such as Ozempic, Wegovy, Rybelsus) classifies it as a prescription-only medication in the GLP-1 Receptor Agonist class. Ozempic is used to improve blood sugar control in adults with type 2 diabetes, along with diet and exercise. Official labeling lists 5 commonly reported side effects, including Nausea, Vomiting, Diarrhea.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 52,256 voluntary reports. Interaction data is drawn directly from FDA-approved prescribing information. NADAC pricing from CMS.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history (currently 18 recall records on file), and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: November 22, 2023

All federal data sources used on this page