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GLP-1 Decoder

Victoza Nausea: How Common, How Long It Lasts, What Helps

Yes. In the Victoza trials, 20% of people on 1.8 mg had nausea, against 5% on placebo: about 4 times the placebo rate. It is the most common side effect in that table. Smaller, slower meals help most.

In the Victoza label
Yes, with a rate
On Victoza 1.8 mg
20%
On placebo
5%
Rank in the label table
1 of 10

Victoza overview

How long it remains in your body
100%50%25%0%013 h26 h39 h2.2 d2.7 d50%25%12.5%time after the dose

Its half-life is about 13 hours. Half remains after 13 hours, and about 3% is still present after five half-lives (2.7 days).

Weight loss in its main trial
Victoza (LEAD-3)2.5 kgPlacebo1.1 kg

With type 2 diabetes, the LEAD-3 trial lasted 52 weeks. Weight loss was 2.5 kg, compared with 1.1 kg on placebo.

Sources: FDA label (DailyMed).

How often it appears with Victoza versus placebo

The Victoza label lists Victoza nausea by dose group for its trials. In that same trial, the placebo group serves as the comparison group.

Nausea shown in the Victoza label
Medicine and doseNauseaPlaceboMore than placeboPeople in the trials
Victoza 1.2 mg18%5%+13 pointsAdults with type 2 diabetes
Victoza 1.8 mg20%5%+15 pointsAdults with type 2 diabetes

Source: Victoza label (DailyMed).

Nausea with Victoza compared with other GLP-1s

Each label covers its own trials, which include different groups of people. Use it as a rough guide.

You will find the pill forms in the table as well: Rybelsus, Foundayo.

Nausea across GLP-1 labels
MedicineHighest rate in the labelDose groupPlaceboPeople in the trials
Wegovy44%2.4 mg16%Adults with obesity or overweight (weight management)
Byetta44%all doses18%Adults with type 2 diabetes
Saxenda39.3%all doses13.8%Adults with obesity or overweight (weight management)
Foundayo35%17.2 mg10%Adults with obesity or overweight (weight management)
Zepbound29%10 mg8%Adults with obesity or overweight (weight management)
Trulicity21.1%1.5 mg5.3%Adults with type 2 diabetes
Ozempic20.3%1 mg6.1%Adults with type 2 diabetes
Rybelsus20%14 mg6%Adults with type 2 diabetes
Victoza20%1.8 mg5%Adults with type 2 diabetes
Mounjaro18%15 mg4%Adults with type 2 diabetes

Sources: Ozempic label (DailyMed), Wegovy label (DailyMed), Rybelsus label (DailyMed), Mounjaro label (DailyMed), Zepbound label (DailyMed), Foundayo label (DailyMed), Trulicity label (DailyMed), Saxenda label (DailyMed), Victoza label (DailyMed), Byetta label (DailyMed).

Source: FDA label (DailyMed).

Why it happens with Victoza

These medicines slow the rate at which your stomach empties. Food stays around longer, which can bring on nausea, especially after big or fatty meals.

Source: health.clevelandclinic.org.

What the Victoza label says

Here, the label mentions nausea word for word:

“majority of the reported events occurred in patients who experienced gastrointestinal reactions leading to dehydration such as nausea, vomiting, or diarrhea [see Adverse Reactions (6.1)].”

Source: FDA label (DailyMed).

What helps, step by step

  1. Sip unsweetened ginger or peppermint tea.
  2. After eating, stay upright rather than lying down.
  3. Ask your prescriber about a nausea medicine to keep available.
  4. Eat smaller meals, then stop once you feel full. These medicines slow down how fast your stomach empties.
  5. Eat slowly. Your brain needs time to recognize when you are full.
  6. Go easy on foods that are fatty, greasy and sugary, since they often bring symptoms on.
  7. Tell your prescriber if the nausea continues. Slowing dose increases or suggesting a different GLP-1 are options your prescriber may choose.

Use the GLP-1 interaction checker to check any drugstore product before you take it.

Source: health.clevelandclinic.org.