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Wegovy (semaglutide) injection pen information
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Wegovy is a prescription injectable medicine used for chronic weight management alongside diet and physical activity. It is supplied as a prefilled injection pen designed for once-weekly use. This page summarizes how it works, dosing steps to know, safety considerations, and practical handling details.
What Wegovy Is and How It Works
CanadianInsulin operates as a prescription referral service rather than a dispensing pharmacy. Eligible prescriptions may be coordinated with US shipping from Canada, using a cash-pay model for some people without insurance.
This medicine contains semaglutide, a glucagon-like peptide-1 (GLP-1) receptor agonist. GLP-1 medicines act on appetite and satiety pathways in the brain and also slow stomach emptying. In plain terms, the treatment can help reduce hunger and support smaller meal sizes over time. Because gastric emptying can slow, some oral medicines may absorb differently, and gastrointestinal symptoms are common during dose increases.
Who It’s For
Indications are defined by the product label and local regulations. In general, semaglutide for weight management is used for long-term weight reduction and weight maintenance in adults with obesity, or adults who are overweight with at least one weight-related condition. Some regions also authorize use in adolescents (for example, ages 12 years and older) with obesity. For related medication options, browse the Weight Management hub or condition listings such as Obesity.
Contraindications and key exclusions also come from the label. Use is not appropriate for people with a personal or family history of medullary thyroid carcinoma or with MEN2 (multiple endocrine neoplasia syndrome type 2). The medicine is also contraindicated in those with serious hypersensitivity to semaglutide or product components. Pregnancy planning and current pregnancy should be discussed with a healthcare professional, since weight-loss therapy is generally not recommended during pregnancy.
Dosage and Usage
Administration is subcutaneous (under-the-skin) injection, typically once weekly on the same day each week. Injection sites commonly include the abdomen, thigh, or upper arm, and sites are rotated to reduce local irritation. Dose adjustments are made according to the titration plan in the prescribing information, because this medicine is started low and increased in steps.
Typical titration schedule (high level)
Label-based schedules usually begin with a low starter dose and increase every several weeks until a maintenance dose is reached. A common step-up pattern progresses through 0.25 mg, 0.5 mg, 1 mg, and 1.7 mg before moving to a 2.4 mg maintenance dose, with each step lasting about four weeks unless the prescriber directs otherwise. This gradual approach is intended to improve tolerability, especially gastrointestinal symptoms. Missed-dose instructions depend on timing within the weekly interval, so the package insert and prescriber directions should be followed for specific situations.
| Phase | Typical goal |
|---|---|
| Start | Low-dose initiation |
| Escalation | Stepwise increases over several weeks |
| Maintenance | Continue the selected long-term dose |
Why it matters: Slow titration can reduce nausea and other stomach-related effects.
Prescriptions may be confirmed with the prescriber before processing.
Strengths and Forms
Wegovy is provided as single-dose, prefilled pens in multiple dose strengths intended for the titration steps and maintenance. Common label strengths include 0.25 mg, 0.5 mg, 1 mg, 1.7 mg, and 2.4 mg per injection. Fill volume can differ by strength, so the carton label and pen label are the most reliable identifiers.
Packaging and supply can vary by market and pharmacy source. When multiple pens are stored together, mix-ups can happen during titration. Keeping cartons separated by strength and recording the week’s dose on a calendar can help avoid selection errors. For patients who use other injectable therapies, storing different brands in separate bins can also reduce confusion.
Storage and Travel Basics
Refrigerated storage is standard for many GLP-1 products. In general, unopened pens are kept in the refrigerator at 2°C to 8°C and protected from light in the original carton. The medication should not be frozen, and pens exposed to freezing temperatures are typically discarded per labeling. If refrigeration is not available, room-temperature allowances may apply for a limited period; follow the package insert for the exact limits.
For travel planning, a temperature-stable container and a plan for airport screening can prevent avoidable exposure. The guidance in Travel With Ozempic covers practical packing approaches that often translate well to other injectable pens. A pharmacy can confirm how to interpret expiration dating after time at room temperature.
Quick tip: Avoid placing pens directly on ice packs.
Side Effects and Safety
Wegovy can cause gastrointestinal effects, especially during dose escalation. The most commonly reported issues include nausea, vomiting, diarrhea, constipation, abdominal discomfort, and reduced appetite. Headache and fatigue may also occur. Many reactions are dose-related, which is why stepwise increases are used.
Serious risks require prompt medical assessment. The label includes warnings about pancreatitis (inflammation of the pancreas), gallbladder disease such as cholelithiasis (gallstones), and acute kidney injury, particularly in the setting of dehydration from vomiting or diarrhea. Because of the boxed warning regarding thyroid C-cell tumors in rodent studies, this therapy is contraindicated in people with medullary thyroid carcinoma or MEN2. Any symptoms like severe persistent abdominal pain, signs of allergic reaction, or a neck mass should be evaluated urgently by a clinician.
Drug Interactions and Cautions
Clinically important interactions are often related to blood-glucose effects and absorption changes. When used with insulin or insulin secretagogues (such as sulfonylureas), the risk of hypoglycemia can increase, and prescribers may adjust other diabetes medicines. Because gastric emptying is slowed, the timing and effect of some oral drugs may be altered, which matters most for medicines with a narrow therapeutic index.
Combination use with other GLP-1 receptor agonists is generally avoided unless a prescriber gives a clear rationale. People with type 2 diabetes or those taking multiple cardiometabolic therapies may benefit from an interaction review; the Type 2 Diabetes hub can be used to browse related treatments. For a broader discussion of the medication class, see Tirzepatide Vs Semaglutide.
Compare With Alternatives
Several prescription options exist for chronic weight management. One alternative is tirzepatide (a dual GIP/GLP-1 agonist), which is also administered weekly; another is liraglutide, which is injected daily. These therapies have different titration schedules, side-effect profiles, and contraindications, so comparisons should rely on the official labeling and an individualized clinical assessment.
For reference when reviewing options, the pages Zepbound Details and Saxenda Details summarize other branded products. General background on the broader class is covered in GLP 1 Weight Loss Drugs. Non-drug approaches, including nutrition support, activity programs, and bariatric procedures, may also be part of a long-term plan.
Pricing and Access
Out-of-pocket expense varies by dose, supply chain conditions, and whether coverage applies. Some plans require prior authorization or step therapy, and coverage rules can change. For people paying cash, total monthly expense often depends on the current titration stage and the dispensing pharmacy’s acquisition costs. For site-wide updates, Site Promotions may list limited administrative offers.
Wegovy requires a valid prescription, and documentation requirements depend on the medication and destination. Licensed pharmacies in Canada dispense the medication that is supplied. For some patients without insurance coverage, using a referral platform can be one way to access cash-pay dispensing when permitted.
Authoritative Sources
For the most reliable details on indications, contraindications, and dosing schedules, use official prescribing information. These documents also list storage limits, warnings, and medication guide language in full.
For the U.S. label, review the FDA Prescribing Information PDF. For the manufacturer’s prescribing document, see Novo Nordisk Prescribing Information.
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How long does it take to titrate to a maintenance dose?
Dose increases generally occur every several weeks, as tolerated, until you reach the prescribed maintenance dose. Your clinician will decide the schedule based on your response and tolerability.
Can I change my weekly injection day?
Yes. If needed, you can change to a new weekly day as long as the time between injections is appropriate. Follow the instructions in the prescribing information or ask your clinician.
What if I feel nauseated after my dose?
Mild nausea is common during dose escalation. Small meals, bland foods, and hydration may help. If symptoms are severe or persistent, contact your prescriber for advice.
Can this be used with insulin or sulfonylureas?
It can be used in patients with type 2 diabetes, but combining with insulin or sulfonylureas can increase hypoglycemia risk. Your prescriber may adjust monitoring plans accordingly.
How should I store pens I’m traveling with?
Keep unused pens refrigerated when possible. During travel, use an insulated case, avoid freezing, protect from heat and light, and carry your supplies and prescription with you.
What are serious side effects to watch for?
Seek medical attention for severe abdominal pain, signs of pancreatitis or gallbladder disease, allergic reactions, vision changes, or mood changes including suicidal thoughts.
Will insurance cover this medicine?
Coverage varies by plan. Many compare cash-pay and insurance routes before ordering. Your prescriber and pharmacy can help estimate total costs and documentation for claims.
Is Wegovy the same medicine as Ozempic?
Wegovy and Ozempic both contain semaglutide, but they are approved for different primary indications and are supplied in different dosing regimens. Ozempic is labeled for type 2 diabetes management (and cardiovascular risk reduction in certain patients), while Wegovy is labeled for chronic weight management in eligible patients. Because the pens and titration schedules are not interchangeable, substitution should not occur without prescriber direction. The product labeling for each brand is the best source for strength, dosing, and storage specifics.
What should be done if a weekly dose is missed?
Missed-dose instructions depend on how much time has passed since the scheduled injection day. Product labeling commonly provides a time window in which the missed dose can be taken, and guidance on when to skip and resume the next scheduled dose. Because this is a once-weekly medicine with stepwise dose escalation, doubling up or changing the schedule without guidance can increase side effects. A pharmacist or prescriber can clarify what to do based on the exact timing and the current dose step.
What side effects are most common when starting treatment?
The most common effects are gastrointestinal and often appear during dose increases. Nausea, vomiting, diarrhea, constipation, abdominal discomfort, and reduced appetite are frequently reported. Headache and fatigue can also occur. Many people find symptoms lessen as the body adjusts, which is why dosing is typically increased gradually. Persistent vomiting, inability to keep fluids down, or severe abdominal pain warrants medical assessment because dehydration and pancreatitis are important safety concerns discussed in the prescribing information.
What monitoring is usually recommended during therapy?
Monitoring depends on the person’s health history and any other medicines used. Clinicians commonly track weight trend, tolerability, and symptoms that could indicate serious adverse effects, such as persistent severe abdominal pain (pancreatitis concern) or signs of gallbladder disease. For patients with diabetes, blood glucose monitoring may be intensified, especially if insulin or sulfonylureas are part of the regimen due to hypoglycemia risk. Mental health changes should also be discussed promptly if they arise, consistent with label cautions.
Can it be used with other diabetes medications?
Co-administration with other diabetes medicines may be possible, but it requires a medication review because the risk profile can change. When GLP-1 therapy is combined with insulin or sulfonylureas, hypoglycemia risk can increase and dose adjustments of the other agents may be considered by the prescriber. The slowing of gastric emptying may also affect the absorption of some oral drugs. A clinician or pharmacist can assess the full medication list, including non-prescription products, for interaction and safety considerations.
What should be discussed with a clinician before starting?
Key topics include medical history, current medicines, and treatment goals. The prescriber should be informed about any personal or family history of medullary thyroid carcinoma or MEN2, prior pancreatitis, gallbladder disease, kidney problems, and pregnancy plans. It also helps to review prior experiences with GLP-1 medicines and any history of severe gastrointestinal intolerance. Asking how titration will be handled, what symptoms require urgent assessment, and how missed doses should be managed can support safer use within the labeled regimen.
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