Oops, looks like you need to register to access this feature.
Select “Keep Exploring” to look around Scholars in Medicine. You have full access to all videos and podcasts for a limited time. Registration is provided at no cost exclusively for healthcare providers.
Sign Up or Log In

Semaglutide

Brand and Other Names: WEGOVY
Mechanism of Action:

emaglutide is a GLP-1 analog that:

  • Stimulates insulin secretion.
  • Reduces glucagon secretion.
  • Delays gastric emptying.
  • Reduces appetite and caloric intake.
Indications:

WEGOVY is a GLP-1 receptor agonist indicated for:

Reducing cardiovascular events in adults with cardiovascular disease and obesity or overweight.

Chronic weight management in:

    • Adults and adolescents (12+) with obesity.

    • Adults with overweight and at least one weight-related comorbidity.

 

Route: subcutaneous
Dose:

Initiation & Titration Schedule:

  • Weeks 1–4: 0.25 mg
  • Weeks 5–8: 0.5 mg
  • Weeks 9–12: 1 mg
  • Weeks 13–16: 1.7 mg
  • Week 17 onward: 2.4 mg (recommended maintenance dose)
Adverse Reactions:

Common (≥5%):

  • GI issues: nausea, vomiting, diarrhea, constipation, abdominal pain.
  • Others: headache, fatigue, dizziness, hypoglycemia (in T2DM), dyspepsia.

Serious:

  • Acute pancreatitis, gallbladder disease, kidney injury, suicidal ideation, allergic reactions.

Contraindication:
  • History of MTC or MEN 2.

  • Prior serious hypersensitivity to semaglutide or formulation ingredients.

Warnings and Precautions:

Includes risks of:

  • Thyroid tumors
  • Acute pancreatitis
  • Gallbladder disease (e.g., cholelithiasis, cholecystitis)
  • Hypoglycemia (especially with insulin or sulfonylureas)
  • Kidney injury (especially with severe GI symptoms or pre-existing impairment)
  • Severe GI events
  • Hypersensitivity reactions (e.g., anaphylaxis)
  • Diabetic retinopathy complications
  • Increased heart rate
  • Suicidal ideation
  • Pulmonary aspiration during anesthesia
See package insert for full prescribing information.