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GLP-1 Decoder

Liraglutide Diarrhea: How Common, How Long It Lasts

Yes. Diarrhea is listed in 2 of 2 liraglutide labels. The highest rate in each label runs from 12% on Victoza to 20.9% on Saxenda. Placebo in the Saxenda trials: 9.9%. Smaller, slower meals help most.

Labels that list it
2 of 2
Highest rate
20.9% Saxenda
Lowest rate
12% Victoza

Saxenda facts at a glance

How long it remains in the body
100%50%25%0%013 h26 h39 h2.2 d2.7 d50%25%12.5%time after the dose

Its half-life is about 13 hours. After 13 h, half is gone, and about 3% remains after five half-lives (2.7 d).

Body weight lost in its main trial
Saxenda (SCALE Obesity and Prediabetes)7.4%Placebo3%

The SCALE Obesity and Prediabetes, 56 weeks trial reported 7.4% of body weight, versus 3% on placebo.

Sources: FDA label (DailyMed).

Liraglutide compared with placebo: how often it happens

Each dose group has Liraglutide diarrhea listed in the label trials. Within each trial, the placebo group serves as the comparison group.

Labels for Liraglutide: Diarrhea
Medicine and doseDiarrheaPlaceboMore than placeboPeople in the trials
Victoza 1.2 mg10%4%+6 pointsAdults with type 2 diabetes
Victoza 1.8 mg12%4%+8 pointsAdults with type 2 diabetes
Saxenda Saxenda20.9%9.9%+11 pointsAdults with obesity or overweight (weight management)
Saxenda Saxenda22.4%14.3%+8.1 pointsChildren 12 and older with obesity

These sources were used: Victoza label (DailyMed) and Saxenda label (DailyMed).

Diarrhea rates on liraglutide and other GLP-1s

Each label covers its own trials, which involved different groups of people. Treat it as a rough guide.

The pill forms Rybelsus and Foundayo also appear in the table.

Diarrhea across GLP-1 labels
MedicineHighest rate in the labelDose groupPlaceboPeople in the trials
Wegovy30%2.4 mg16%Adults with obesity or overweight (weight management)
Foundayo25%17.2 mg11%Adults with obesity or overweight (weight management)
Zepbound23%15 mg8%Adults with obesity or overweight (weight management)
Saxenda20.9%all doses9.9%Adults with obesity or overweight (weight management)
Mounjaro17%15 mg9%Adults with type 2 diabetes
Byetta13%all doses6%Adults with type 2 diabetes
Trulicity12.6%1.5 mg6.7%Adults with type 2 diabetes
Victoza12%1.8 mg4%Adults with type 2 diabetes
Rybelsus10%14 mg4%Adults with type 2 diabetes
Ozempic8.8%1 mg1.9%Adults with type 2 diabetes

Information came from these sources: Ozempic label (DailyMed), Wegovy label (DailyMed), Rybelsus label (DailyMed), Mounjaro label (DailyMed), Zepbound label (DailyMed), Foundayo label (DailyMed), Trulicity label (DailyMed), Saxenda label (DailyMed), Victoza label (DailyMed), and Byetta label (DailyMed).

Source: FDA label on DailyMed.

Why it happens on liraglutide

They slow the rate at which your stomach empties. When food stays longer, diarrhea may follow, especially after a big or fatty meal.

Source: health.clevelandclinic.org.

What the Victoza label says

About diarrhea, these are the label's exact words:

“majority of the reported events occurred in patients who experienced gastrointestinal reactions leading to dehydration such as nausea, vomiting, or diarrhea [see Adverse Reactions (6.1)].”

Source: FDA label on DailyMed.

What helps, step by step

  1. Drink water and an electrolyte drink to replace fluids and salts.
  2. For a while, eat soft, bland foods with little fiber.
  3. Cut back on caffeine, alcohol and milk drinks.
  4. Ask your prescriber about an anti-diarrhea medicine that you can buy at the drugstore.
  5. Keep meal sizes small, and stop once you feel full. The stomach empties more slowly because of these medicines.
  6. Eat slowly. Your brain needs some time to register when you are full.
  7. If it does not ease, tell your prescriber. They may slow the dose increases, or they may suggest another GLP-1.

Before taking any drugstore product, check it with the GLP-1 interactions checker.

Source: health.clevelandclinic.org.