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GLP-1 Decoder

Ozempic and Trouble Sleeping: Is Insomnia a Side Effect?

The Ozempic label does not include trouble sleeping as a side effect. What people mean by it: trouble falling or staying asleep.

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

Ozempic overview

Time it remains 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 has gone; after five half-lives (35 d), about 3% remains.

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

In SUSTAIN 1, which lasted 30 weeks, people with type 2 diabetes lost 4.7 kg, compared with 1.2 kg on placebo.

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

Monthly prices in US dollars include list prices and self-pay offers. Each price is read from the maker's price page.

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

What the Ozempic label covers instead

The Ozempic label does not include trouble sleeping. These five side effects are the ones listed most often.

Table 1. Adverse Reactions from Placebo-Controlled Trials Reported in ≥5% of 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).

Sleep trouble on Ozempic compared with other GLP-1s

Each label covers its own trials, and each set of trials used a different group of people. Consider this a rough guide.

Trouble sleeping across GLP-1 labels
MedicineHighest rate in the labelDose groupPlaceboPeople in the trials
Saxenda2.4%all doses1.7%Adults with obesity or overweight (weight management)
OzempicNot listed–––
WegovyNot listed–––
RybelsusNot listed–––
MounjaroNot listed–––
ZepboundNot listed–––
FoundayoNot listed–––
TrulicityNot listed–––
VictozaNot listed–––
ByettaNot listed–––

Source: Saxenda label (DailyMed).

Source: FDA label (DailyMed).