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GLP-1 Decoder

Ozempic and Your Kidneys: AKI Risk vs FLOW Trial Protection

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

In the label
Listed, no rate given
Label term
acute kidney injury

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

About 1 week is the half-life: at 7 d half of it is gone, and at five half-lives (35 d) about 3% is left.

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

In SUSTAIN 1, which ran 30 weeks in people with type 2 diabetes, 4.7 kg was lost against 1.2 kg on placebo.

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

Monthly prices in US dollars: the list price and self-pay offers, all read 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 gives no rate for kidney problems. It names these five side effects most often, along with how often they happen.

Table 1. Adverse Reactions listed 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).

Source: FDA label (DailyMed).

What the Ozempic label says

The label uses these exact words for kidney problems:

“There have been postmarketing reports of acute kidney injury, in some cases requiring hemodialysis, in patients treated with semaglutide.”

Source: FDA label (DailyMed).