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Inclusion of a compound does not constitute endorsement. Information sourced from published research and regulatory filings.

Semaglutide

FDA Approved

GLP-1 Agonist · Novo Nordisk

GLP-1 receptor agonist for type 2 diabetes and chronic weight management. Originally marketed as Ozempic (diabetes) and Wegovy (obesity).


About

Mechanism
Mimics GLP-1 to enhance insulin secretion, suppress glucagon, slow gastric emptying, and reduce appetite via hypothalamic signaling.
Half-Life
Approximately 1 week (168 hours)
Route
subcutaneous
Frequency
Once weekly

Clinical Dosing

0.25-2.4 mgonce weekly

Titration Protocols

Wegovy Label Titration

Source: Wegovy (semaglutide) prescribing information, Novo Nordisk, 2021

DoseDurationDraw (5 mg vial in 2mL)Notes
0.25 mg4 weeks0.10 mL (10 units)Starting dose
0.5 mg4 weeks0.20 mL (20 units)First escalation
1 mg4 weeks0.40 mL (40 units)Second escalation
1.7 mg4 weeks0.68 mL (68 units)Third escalation
2.4 mgMaintenance0.96 mL (96 units)Maintenance dose

Ozempic Label Titration

Source: Ozempic (semaglutide) prescribing information, Novo Nordisk, 2017

DoseDurationDraw (5 mg vial in 2mL)Notes
0.25 mg4 weeks0.10 mL (10 units)Starting dose
0.5 mg4 weeks0.20 mL (20 units)First escalation
1 mgMaintenance0.40 mL (40 units)Maintenance (may increase to 2 mg)

Available Vial Sizes

5 mg

5 mg vial

10 mg

10 mg vial


Citations

  1. [1]Wegovy (semaglutide) injection, for subcutaneous use - Prescribing Information. FDA / Novo Nordisk. Link(Reviewed: 2024-01-01)
  2. [2]Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1). New England Journal of Medicine, 384(11), 989-1002. Link(Reviewed: 2024-01-01)