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GLP-1 Decoder

Semaglutide Allergic Reaction: How Common, How Long It Lasts

The semaglutide labels name hypersensitivity as a reported side effect but give no trial rate for it.

In the label
Listed, no rate given
Label term
hypersensitivity

Wegovy details at a glance

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

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

Body weight lost in its main trial
Wegovy (STEP 1)14.9%Placebo2.4%

At 68 weeks, STEP 1 reported 14.9% of body weight, compared with 2.4% on placebo.

Costs over time
202520262027$1,349.02$0List priceSelf-pay

In US dollars, monthly figures cover the list price and self-pay offers. Each figure comes 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 allergic reaction. Five side effects appear most often, with a rate given for each.

Table 1. Adverse Reactions Seen in 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).

Allergic reaction involving other GLP-1s

Labels describe separate trials involving different groups of people. Treat this information as a rough guide. For a rough guide, use it.

Allergic reaction across GLP-1 labels
MedicineHighest rate in the labelDose groupPlaceboPeople in the trials
Zepbound5%5 mg3%Adults with obesity or overweight (weight management)
OzempicListed, no rate given–––
WegovyListed, no rate given–––
RybelsusListed, no rate given–––
MounjaroListed, no rate given–––
FoundayoListed, no rate given–––
TrulicityListed, no rate given–––
SaxendaListed, no rate given–––
VictozaListed, no rate given–––
ByettaListed, no rate given–––

Source: Zepbound label (DailyMed).

Source: FDA label (DailyMed).

What the Ozempic label says

The label mentions allergic reaction in these exact words:

“Serious hypersensitivity reactions (e.g., anaphylaxis, angioedema) have been reported in patients treated with OZEMPIC.”

Source: FDA label (DailyMed).