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Saxenda vs. Wegovy

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Liraglutide (Saxenda) and semaglutide (Wegovy) are both medications in the glucagon-like peptide-1 (GLP-1) receptor agonist class, used to help with weight loss in adults and children 12 years and older. They work by slowing down your gut and making you feel less hungry. However, there are several differences between them. Saxenda is injected daily, while Wegovy is injected once a week. Saxenda starts at a dose of 0.6 mg daily and increases weekly to a maintenance dose of 3 mg, whereas Wegovy starts at 0.25 mg weekly and increases monthly to a maintenance dose of 2.4 mg. Both medications can cause side effects such as nausea, vomiting, and diarrhea. Wegovy is also approved to lower the risk of heart attack, stroke, and death in adults with heart disease and a larger body size, which is not an indication for Saxenda. Both medications have similar warnings, such as the potential risk for thyroid cancer and pancreatitis, and should not be used if you have a personal or family history of medullary thyroid cancer or multiple endocrine neoplasia syndrome type 2.

Saxenda

(liraglutide)

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Wegovy

(semaglutide)

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Summary for Saxenda

Prescription only

Saxenda (generic name liraglutide) is a once-daily injection given under the skin that's used for weight loss. It's approved for certain adults and children ages 12 years and up. And it works best when used along with a balanced diet and exercise. This prescription weight loss medication is a glucagon-like peptide-1 (GLP-1) agonist. It works by slowing down your gut and making you feel less hungry. Saxenda (liraglutide) comes as a prefilled pen you use to inject your dose. Some common side effects include nausea, vomiting, and diarrhea.

Indications for Saxenda

Pros and Cons for Saxenda

Pros

  • Can help you lose weight in addition to balanced nutrition and exercise
  • Can take with or without food, at any time during the day
  • Okay for children 12 years of age and older weighing more than 132 lbs with obesity

Cons

  • Must inject once a day
  • Can cause stomach upset
  • Doesn't come with pen needles (must get them separately)

Common Side Effects for Saxenda

Adults:

  • Nausea (39%)
  • Diarrhea (21%)
  • Constipation (19%)
  • Vomiting (16%)
  • Injection site reaction (e.g., redness, itching, rash; 14%)
  • Headache (14%)
  • Low blood sugar in people with Type 2 diabetes (13%)
  • Indigestion (10%)

Children 12 years and up:

  • Nausea (42%)
  • Vomiting (34%)
  • Diarrhea (22%)
  • Low blood sugar (15%)
  • Stomach inflammation (13%)
  • Dizziness (10%)

Warnings for Saxenda

  • Possible risk for thyroid cancer
  • Inflammation of the pancreas (pancreatitis)
  • Gallbladder problems
  • Low blood sugar
  • Faster heart rate
  • Severe stomach side effects
  • Kidney problems due to dehydration
  • Allergic reactions
  • Lung problems during anesthesia or deep sedation

Summary for Wegovy

Prescription only

Wegovy (semaglutide) is a glucagon-like peptide-1 (GLP-1) receptor agonist. It comes in prefilled pens you use to inject the medication under the skin once a week. Wegovy (semaglutide) also comes as tablets that are swallowed once a day. This medication is approved for weight loss in some people. It can help lower the risk of heart attack, stroke, and death due to heart problems in adults with a larger body size and heart disease. The pens are also approved for certain adults with a liver problem called metabolic dysfunction-associated steatohepatitis (MASH). The medication works best when taken with a lower-calorie diet and regular exercise. Side effects include nausea, diarrhea, and stomach pain.

Indications for Wegovy

Injectable pens:

Tablets:

Pros and Cons for Wegovy

Pros

  • Available as once-weekly injectable pens and as once-daily pills
  • Injectable pens approved for weight loss in children ages 12 years and older considered obese

Cons

Common Side Effects for Wegovy

  • Nausea (44%)
  • Diarrhea (30%)
  • Vomiting (24%)
  • Constipation (24%)
  • Stomach pain (20%)
  • Headache (14%)
  • Tiredness (11%)

Warnings for Wegovy

  • Possible risk for thyroid cancer
  • Inflammation of the pancreas (pancreatitis)
  • Gallbladder problems
  • Low blood sugar
  • Kidney damage
  • Allergic reactions
  • Eye problems in people with Type 2 diabetes (diabetic retinopathy)
  • Faster heart rate
  • Lung problems during general anesthesia or deep sedation

Prices with our coupons for Saxenda vs. Wegovy

Price Card Drug Icon
Liraglutide (Saxenda)1 carton / 5 pens of 18mg/3ml
$372.45$1,041.55
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Price Card Drug Icon
Wegovy30 tablets / 1.5mg
$149.00-
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