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GLP-1 Decoder

Ozempic and High Blood Pressure: Does It Lower BP? Is It Safe?

The Ozempic label does not list blood pressure as a side effect. What people mean by it: changes in blood pressure, including low blood pressure that can make you feel faint.

In the label
Not listed
Most common in the label
Nausea 20.3%

Ozempic: key facts

Time your body needs to clear the medicine
100%50%25%0%07 d14 d21 d28 d35 d50%25%12.5%time after the dose

Its half-life is about 1 week: by 7 d, half has cleared, while about 3% remains by 35 d, which equals five half-lives.

Weight loss from the main trial
Ozempic (SUSTAIN 1)4.7 kgPlacebo1.2 kg

The 30-week SUSTAIN 1 trial in type 2 diabetes showed 4.7 kg lost, compared with 1.2 kg on placebo

Cost over time
202520262027$1,027.51$0List priceSelf-pay

Monthly prices in US dollars include the list price and self-pay offers, each taken from the maker's price page.

Sources: FDA label (DailyMed), healthsystemtracker.org, prnewswire.com 1 2.

What the Ozempic label lists instead

The Ozempic label does not list blood pressure. It most often lists these five side effects.

Table 1. Adverse Reactions in Placebo-Controlled Trials Reported for ≥5% of patients among OZEMPIC-Treated Patients with Type 2 Diabetes Mellitus
Side effectPlaceboOzempic 0.5 mgOzempic 1 mgMore than placebo, 1 mg
Nausea6.1%15.8%20.3%+14.2 points
Vomiting2.3%5%9.2%+6.9 points
Diarrhea1.9%8.5%8.8%+6.9 points
Abdominal pain4.6%7.3%5.7%+1.1 points
Constipation1.5%5%3.1%+1.6 points

Source: Ozempic label (DailyMed).

Other GLP-1s and blood pressure

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

Blood pressure across GLP-1 labels
MedicineHighest rate in the labelDose groupPlaceboPeople in the trials
Zepbound2%15 mg0%Adults with obesity or overweight (weight management)
WegovyListed, no rate given–––
FoundayoListed, no rate given–––
SaxendaListed, no rate given–––
OzempicNot listed–––
RybelsusNot listed–––
MounjaroNot listed–––
TrulicityNot listed–––
VictozaNot listed–––
ByettaNot listed–––

Source: Zepbound label (DailyMed).

Source: FDA label (DailyMed).