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GLP-1 Decoder

Liraglutide Nausea: How Common, How Long It Lasts

Yes. Nausea is listed in 2 of 2 liraglutide labels. The highest rate in each label runs from 20% on Victoza to 39.3% on Saxenda. Placebo in the Saxenda trials: 13.8%. Smaller, slower meals help most.

Labels that list it
2 of 2
Highest rate
39.3% Saxenda
Lowest rate
20% Victoza

Saxenda overview

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 remains; after five half-lives, about 3% is left (2.7 d).

Main trial: weight lost
Saxenda (SCALE Obesity and Prediabetes)7.4%Placebo3%

The figure was 7.4% of body weight versus 3% on placebo in SCALE Obesity and Prediabetes, 56 weeks.

Sources: FDA label (DailyMed).

On liraglutide compared with placebo: how often it appears

In the label trials, Liraglutide nausea is grouped by dose. The placebo group provides the comparison in each trial. The placebo is the comparison group in that same trial.

The liraglutide labels include Nausea
Medicine and doseNauseaPlaceboMore than placeboPeople in the trials
Victoza 1.2 mg18%5%+13 pointsAdults with type 2 diabetes
Victoza 1.8 mg20%5%+15 pointsAdults with type 2 diabetes
Saxenda Saxenda39.3%13.8%+25.5 pointsAdults with obesity or overweight (weight management)
Saxenda Saxenda42.4%14.3%+28.1 pointsChildren 12 and older with obesity

Sources: Victoza label (DailyMed), Saxenda label (DailyMed).

Comparing liraglutide with other GLP-1s: Nausea

Each label covers its own trials, which involve separate groups of people. Use the results as a rough guide.

The table also lists the pill forms: Rybelsus, Foundayo.

Nausea across GLP-1 labels
MedicineHighest rate in the labelDose groupPlaceboPeople in the trials
Wegovy44%2.4 mg16%Adults with obesity or overweight (weight management)
Byetta44%all doses18%Adults with type 2 diabetes
Saxenda39.3%all doses13.8%Adults with obesity or overweight (weight management)
Foundayo35%17.2 mg10%Adults with obesity or overweight (weight management)
Zepbound29%10 mg8%Adults with obesity or overweight (weight management)
Trulicity21.1%1.5 mg5.3%Adults with type 2 diabetes
Ozempic20.3%1 mg6.1%Adults with type 2 diabetes
Rybelsus20%14 mg6%Adults with type 2 diabetes
Victoza20%1.8 mg5%Adults with type 2 diabetes
Mounjaro18%15 mg4%Adults with type 2 diabetes

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), Byetta label (DailyMed).

Source: FDA label (DailyMed).

Why it happens on liraglutide

These medicines slow how quickly your stomach empties. Food sitting longer can lead to Nausea, particularly after you eat large or fatty meals.

Source: health.clevelandclinic.org.

What Victoza's label tells you

On nausea, the label uses these 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 (DailyMed).

What helps, step by step

  1. Sip tea prepared with ginger or peppermint and no sweetener.
  2. After eating, remain upright instead of lying down.
  3. Ask your prescriber about a nausea medicine to keep on hand.
  4. Choose smaller meals and stop once you feel full. These medicines delay stomach emptying. These medicines slow down how fast the stomach empties.
  5. Eat slowly. Your brain needs time to recognize that you are full.
  6. Reduce fatty, greasy and sugary foods, as they often cause symptoms.
  7. If it does not ease up, tell your prescriber. They may slow the increases in your dose or suggest a different GLP-1.

Use the GLP-1 interactions checker to check any drugstore product before taking it.

Source: health.clevelandclinic.org.