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GLP-1 Decoder

Zepbound and Alcohol: Is It Safe? Label, Studies

No alcohol interaction is listed, but drinking can worsen nausea and add to low blood sugar risk.

Verdict
Handled with care, it is fine
Label names it
No

Check a GLP-1 interaction

A quick look at Zepbound

How long it remains in the body
100%50%25%0%05.5 d11 d16.5 d22 d27.5 d50%25%12.5%time after the dose

The half-life is 5 to 6 days. After 5.5 d, half is gone; after five half-lives (27.5 d), about 3% remains.

Weight loss in its main trial
SURMOUNT-1: 5 mg weekly15%SURMOUNT-1: 10 mg weekly19.5%SURMOUNT-1: 15 mg weekly20.9%Placebo3.1%

Compared with 3.1% on placebo, the 72-week SURMOUNT-1 result was 20.9% of body weight.

Costs over time
202420252026$1,086.37$0List priceSelf-pay

The maker's price page shows monthly price points in US dollars for both the list price and self-pay offers.

Sources: FDA label (DailyMed), Eli Lilly 1 2, cnbc.com.

Zepbound and alcohol: the verdict

Handled with care, it is fine

On the Zepbound label, alcohol is not listed as an interaction. NIAAA says that alcohol taken with diabetes medicines can cause abnormally low blood sugar.

The Zepbound label: what it says

No line on alcohol. For anyone who drinks anything at all, kidney injury from fluid loss is the warning that matters most. Kidney injury can result from fluid loss caused by vomiting or diarrhea. Report any heavy fluid loss, and drink fluids.

Source: FDA label (DailyMed).

What studies show

Sources: FDA label (DailyMed), niaaa.nih.gov.

The rule to follow in practice

If you drink, keep the amount of alcohol low, eat something at the same time, and get help for ongoing severe stomach pain.

Source: FDA label (DailyMed).

Alcohol with other GLP-1s

None of the 10 GLP-1 labels lists Alcohol in its drug interaction section, so the answer applies to the whole class.

You can ask the same question about Ozempic, Wegovy, Rybelsus, Mounjaro, Trulicity, Saxenda, Victoza.