What is Semaglutide (Ozempic) Made of? Ingredients and Sources

Semaglutide serves as the active ingredient in Ozempic, Wegovy, and Rybelsus.

Medically Reviewed By Mostafa Elhennawy MS, Pharm D

Semaglutide, commonly marketed under the brand name Ozempic, is a medication used primarily for the treatment of type 2 diabetes. It belongs to a class of drugs known as GLP-1 receptor agonists, which work by mimicking the incretin hormones that the body usually produces to stimulate insulin release in response to meals. 

This not only helps to control blood sugar levels but also contributes to weight loss, making it a dual-benefit option for patients managing type 2 diabetes. 

Knowing the source of the ingredients can inform healthcare providers and patients about the sustainability and ethical sourcing practices of the manufacturing process, aspects increasingly important to consumer choices and regulatory compliance in the pharmaceutical industry.

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What is Semaglutide?

Semaglutide is a medication classified as a glucagon-like peptide-1 (GLP-1) receptor agonist, used primarily in the management of type 2 diabetes. It works by enhancing the body’s ability to produce insulin, the hormone that regulates blood sugar levels, in response to increased blood glucose. 

This mechanism not only aids in controlling blood sugar levels but also slows gastric emptying and reduces appetite, which can contribute to weight loss. Semaglutide is administered via injection and has also been found to have cardiovascular benefits, making it a multifaceted tool in diabetes management.

The development of Semaglutide was part of an expansion in the use of incretin mimetics for diabetes treatment, which began in the early 2000s. It was developed by Novo Nordisk, a global leader in diabetes care, and is a modified form of the human incretin hormone, which is more effective and longer-lasting than naturally occurring peptides. 

Semaglutide was approved by the U.S. Food and Drug Administration (FDA) in 2017 for the treatment of type 2 diabetes. Its approval was based on a series of clinical trials that demonstrated significant improvements in blood glucose control and reductions in cardiovascular risk factors among patients with type 2 diabetes.

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How Does Semaglutide Work?

Semaglutide operates in the body by mimicking the action of the incretin hormone GLP-1 (glucagon-like peptide-1), which is naturally secreted in response to food intake. As a GLP-1 receptor agonist, Semaglutide binds to and activates GLP-1 receptors in the pancreas, enhancing the release of insulin when blood glucose levels are high. 

Additionally, it suppresses the release of glucagon, a hormone that raises blood glucose levels, from the pancreas. These actions together help in lowering blood glucose levels. Semaglutide also acts on the brain to reduce appetite and food intake, contributing to weight loss. 

Furthermore, it slows gastric emptying, which helps in reducing the speed at which glucose is absorbed into the bloodstream after eating, aiding in overall glucose management.

While Semaglutide effectively manages blood sugar levels, it’s also recognized for its weight loss benefits. For those interested in understanding how to optimize their diet while using Semaglutide, visit our comprehensive guide on the Semaglutide diet for tailored nutritional advice.

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What is Semaglutide's Active Ingredient?

Semaglutide serves as the active ingredient in Ozempic, Wegovy, and Rybelsus. It is prescribed for weight management in specific patients and to decrease blood sugar levels, as well as to mitigate the risk of major cardiovascular events like heart attacks or strokes in certain individuals. As a GLP-1 agonist, semaglutide functions by enhancing insulin secretion, reducing glucagon release, slowing gastric emptying, and curbing appetite.

Among the brands, Wegovy is distinctively approved by the FDA specifically for weight loss, making it the sole semaglutide-based product designated for this purpose.

Understanding the action of Semaglutide in the body raises questions about its onset of effectiveness. For those curious about how quickly they can expect to see results, read more about how long Semaglutide takes to work, including what factors influence its efficacy.

What are Other Ozempic Ingredients?

The formulation of Ozempic, aside from its active ingredient semaglutide, includes several inactive ingredients that serve various purposes in the medication’s stability, delivery, and absorption. Here’s a list of these ingredients and their functions:

  • Disodium phosphate dihydrate: Helps in maintaining the pH balance of the solution.
  • Propylene glycol: Acts as a solvent and stabilizer in the formulation.
  • Phenol: Used as a preservative to prolong shelf life.
  • Water for injections: Serves as the solvent in which all the ingredients are dissolved.

Among these components, phenol is notable as it could potentially be a common allergen for some individuals. Additionally, propylene glycol, while generally safe, can sometimes cause irritation or allergic reactions, making these two ingredients particularly important to be aware of if you have sensitivities or allergies.

Dosage for Ozempic

Ozempic is supplied as a pre-filled injection pen and is administered once a week subcutaneously, meaning just under the skin, which can be done in the abdomen, thigh, or upper arm. The timing of your meals does not impact the effectiveness of the dose. 

It’s important to choose a consistent day and time each week that fits your schedule to maintain a routine. Initially, Ozempic is started at a dose of 0.25 mg weekly, which is primarily intended to help your body adjust to the medication and mitigate any digestion-related side effects rather than to control blood sugar.

Here’s a breakdown of the typical Ozempic dosing schedule:

  • Month 1: Start with 0.25 mg once weekly.
  • Month 2: Increase to 0.5 mg once weekly.
  • Month 3: Optional increase to 1 mg once weekly.
  • Month 4 and onward: Optional increase to 2 mg once weekly, depending on your needs and doctor’s advice.

Your usual dosage will likely range from 0.5 mg to 2 mg once weekly, which is the maximum. Always follow your healthcare provider’s specific instructions, which may vary from the general guidelines.

Wegovy, another semaglutide-containing medication, is not for diabetes management but is instead approved for weight loss in individuals with or without Type 2 diabetes. While Ozempic’s maximum dosage is 2 mg weekly, Wegovy can be administered up to 2.4 mg once weekly.

Side Effects of Ozempic

Common side effects experienced by patients using Ozempic include:

  • Nausea
  • Vomiting
  • Diarrhea
  • Stomach pain
  • Constipation
  • Reduced appetite
  • Heartburn
  • Injection site reactions

Some side effects may be severe. If you notice any of the following symptoms, contact your doctor immediately or seek emergency medical attention:

  • Persistent pain in the upper left or middle stomach that may radiate to the back, with or without vomiting
  • Rash, itching, swelling of the eyes, face, mouth, tongue, or throat, or difficulty breathing or swallowing
  • Reduced urination, or swelling in the legs, ankles, or feet
  • Changes in vision
  • Fainting or dizziness
  • Pain in the upper stomach, yellowing of the skin or eyes, fever, or clay-colored stools 
  • Rapid heart rate
  • Dizziness, lightheadedness, sweating, confusion or drowsiness, headache, blurred vision, slurred speech, shakiness, fast heart rate, anxiety, irritability or mood changes, hunger, weakness, or feeling jittery.

While most side effects of Ozempic are manageable and often diminish over time, some serious side effects require immediate medical attention. These include signs of pancreatitis such as severe abdominal pain that may radiate to the back, nausea or vomiting that does not stop, and rapid heartbeat.

Frequently Asked Questions

Does Ozempic Contain Preservatives?

Ozempic includes a small quantity of phenol, which serves as a preservative. This addition is crucial because an Ozempic pen is utilized multiple times, and phenol helps inhibit the growth of bacteria and other microbes in the medication throughout its usage.

Can Any Ingredients in Ozempic Cause an Allergic Reaction?

You may experience an allergic reaction to an ingredient in Ozempic. If you have any history of allergies or food sensitivities, it’s important to inform your doctor before starting Ozempic.

Is Ozempic Actually Insulin?

No, Ozempic is not a type of insulin, nor does it replace insulin. However, it does encourage your pancreas to produce insulin when glucose levels rise, such as after eating. Ozempic’s effectiveness depends on your body’s natural insulin production.

Key Takeaways

 

  • Semaglutide, the active ingredient in Ozempic, manages blood sugar levels and supports weight loss, offering significant benefits for type 2 diabetes patients.
  • Knowing the ingredients and their sources in Ozempic helps identify potential allergies and ensures ethical pharmaceutical practices.
  • Approved by the FDA in 2017, Semaglutide is effective for diabetes management and is also used in other brands like Wegovy for weight loss.

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