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GLP-1 Decoder

Ozempic Insomnia: How Common, How Long It Lasts, What Helps

The Ozempic label does not list 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 facts at a glance

How long the body retains it
100%50%25%0%07 d14 d21 d28 d35 d50%25%12.5%time after the dose

Its half-life is about 1 week: after 7 d, half is gone, and after five half-lives (35 d), about 3% remains.

How much weight came off in the main trial
Ozempic (SUSTAIN 1)4.7 kgPlacebo1.2 kg

Across SUSTAIN 1, which ran 30 weeks, people with type 2 diabetes lost 4.7 kg. Placebo participants lost 1.2 kg.

Costs as time goes on
202520262027$1,027.51$0List priceSelf-pay

Monthly amounts are given in US dollars for both the list price and self-pay offers. Each amount came from the maker's price page.

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

What the Ozempic label lists in its place

The Ozempic label does not list trouble sleeping. The five side effects it lists most often are shown here.

Table 1. Here, Adverse Reactions Seen in Placebo-Controlled Trials Reported in ≥5% of OZEMPIC-Treated Patients with Type 2 Diabetes Mellitus are presented
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

This information comes from Ozempic label (DailyMed).

Ozempic insomnia compared with other GLP-1s

Each label describes its own trials, and those trials involved different groups of people. Treat it as 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).

Information source: FDA label (DailyMed).