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GLP-1 Decoder

Semaglutide and Antidepressants: Is It Safe? Label, Studies

No antidepressant interaction is listed; ask your pharmacist about your specific medicine.

Verdict
Ask your prescriber first
Label names it
0 of 3
General caution
Pills absorbed more slowly

Check a GLP-1 interaction

Wegovy 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: after 7 d half is gone, and after five half-lives (35 d) about 3% is left.

Weight lost in the main trial
Wegovy (STEP 1)14.9%Placebo2.4%

STEP 1 covered 68 weeks: 14.9% of body weight, versus 2.4% for placebo.

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

For each month, price points in US dollars cover both the list price and self-pay offers, taken from the maker's price page.

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

Semaglutide and antidepressants: the verdict

Ask your prescriber first

Word for word from the drug interactions section of the Ozempic label:

“OZEMPIC causes a delay of gastric emptying, and thereby has the potential to impact the absorption of concomitantly administered oral medications. In clinical pharmacology trials,”

Source: FDA label on DailyMed.

Semaglutide label: what it states

Antidepressants are not named in the Ozempic label. These statements still apply to it.

Drug interactions in the Ozempic label
Named in the labelThe riskWhat the label tells doctors
Oral medicinesPills absorbed differentlyStomach emptying slows down, so other pills may be absorbed in a different way.

Source: Ozempic label (DailyMed).

What the studies show

Source: FDA label on DailyMed.

The practical rule

  1. Keep taking your antidepressant, and tell your prescriber if your mood changes or if your side effects get worse.
  2. Tell the person who prescribes your GLP-1 about every pill you take, including this one.
  3. Ask your pharmacist if any of the pills you take need a steady level in your blood. For those pills, a check may be needed when you first start, or when the dose goes up.

Source: FDA label on DailyMed.

Antidepressants with other GLP-1s

None of the 10 GLP-1 labels name Antidepressants in the drug interaction section. All of them give the same general caution about pills you swallow, so the answer does not change across the class.

This question applies equally to Ozempic, Wegovy, Mounjaro, Zepbound.

Source: FDA label on DailyMed.