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GLP-1 Decoder

Ozempic and Sleepiness: Is Tiredness a Side Effect?

The Ozempic label names fatigue as a reported side effect but gives no trial rate for it.

In the label
Listed, no rate given
Label term
fatigue

Ozempic in brief

How long it stays in your body
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 is gone, and about 3% remains after five half-lives (35 d).

Main trial weight loss
Ozempic (SUSTAIN 1)4.7 kgPlacebo1.2 kg

SUSTAIN 1 studied type 2 diabetes over 30 weeks: 4.7 kg lost, compared with 1.2 kg for people on placebo.

How the price changes over time
202520262027$1,027.51$0List priceSelf-pay

Monthly figures in US dollars: the list price and the self-pay offers, with each one read from the maker's price page.

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

What the Ozempic label lists instead

For fatigue, the Ozempic label gives no rate. It lists the five side effects it reports most often, and gives a rate for each.

Table 1. Adverse Reactions in Placebo-Controlled Trials Reported in ≥5% of OZEMPIC-Treated Patients Who Have 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

Taken from the Ozempic label (DailyMed).

How Ozempic sleepiness compares with other GLP-1s

Each label covers its own trials, and those trials used different groups of people. Use it as a rough guide.

The pill forms are in the table too: Foundayo.

Fatigue across GLP-1 labels
MedicineHighest rate in the labelDose groupPlaceboPeople in the trials
Wegovy11%2.4 mg5%Adults with obesity or overweight (weight management)
Foundayo9%17.2 mg4%Adults with obesity or overweight (weight management)
Saxenda7.5%all doses4.6%Adults with obesity or overweight (weight management)
Zepbound7%15 mg3%Adults with obesity or overweight (weight management)
Trulicity5.6%1.5 mg2.6%Adults with type 2 diabetes
Byetta4%all doses2%Adults with type 2 diabetes
OzempicListed, no rate given–––
MounjaroListed, no rate given–––
RybelsusNot listed–––
VictozaNot listed–––

Sources: Wegovy label (DailyMed), Zepbound label (DailyMed), Foundayo label (DailyMed), Trulicity label (DailyMed), Saxenda label (DailyMed), Byetta label (DailyMed).

Source: FDA label (DailyMed).

What the Ozempic label says

The label lists fatigue here, word for word:

“Other adverse reactions with a frequency of >0.4% were associated with OZEMPIC include fatigue, dysgeusia and dizziness.”

Source: FDA label (DailyMed).