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Zepbound and Vomiting: What Users Say

Vomiting: mentioned by 17 users (5.9%)

Based on user experiences from 289 Zepbound reviews, the following table shows the most commonly mentioned side effects.

All user comments are moderated by Drugs.com. Each review is verified for relevance and screened for inappropriate content. Side effects are user-reported and not clinically verified.

nausea 23.5%
constipation 15.6%
diarrhea 6.9%
burping 6.6%
vomiting 5.9%
fatigue 4.5%
tiredness 4.5%
heartburn 3.5%
loss of appetite 3.5%
dizziness 2.4%

Reviews for Zepbound

Commonly mentioned side effects
  • yan...
  • Taken for less than 1 month
  • April 4, 2025

For Obstructive Sleep Apnea/Hypopnea Syndrome "I take my second 2.5 mg Zepbound tomorrow. I am so impressed so far with this med. I am in my 60s and have tried dieting with initial success and then rebound. I swim and use an elliptical, which makes me feel good but has not helped me lose weight. This is a different experience. Like others say, it turns off the craving 'noise', you feel full all the time, and food is no longer the enemy. I have been eating fruits and veggies, chicken, beef, and eggs. Cottage cheese tastes great for the first time and is a great small meal. I drink water with sliced lemons, which tastes great and is satisfying. I have never been much of a water drinker, but now that is all I want other than tea and coffee. I have probably lost about 2 lbs so far as my always bloated belly is flattening, though I have a long way to go. I have had a few mild headaches and vomited on night three, otherwise, no side effects. I'm all in!"

10 / 10
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  • CJa...
  • Taken for 1 to 6 months
  • April 1, 2025

For Weight Loss (Obesity/Overweight) "I started 3 months ago with the 2 ml, then 5, and now 7.5. I have been nauseous every single day for those 3 months. I have been constipated almost every week. I finally am able to go. I noticed that after the injection, I vomit every time the next day. I am 5'7 and weighed 233. I am now 209. The nausea is sometimes unbearable. I feel like not taking this medicine. Everyone's body is different."

10 / 10
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3 Report
  • D R...
  • Taken for 1 to 6 months
  • March 14, 2025

For Weight Loss (Obesity/Overweight) "It definitely curbs your appetite, however, it destroyed my stomach. After 5 weeks, I couldn’t tolerate it anymore. I’m disappointed that my stomach and vomiting were so severe that it was not worth the risk. In a 3-week period, I had to go to the emergency room twice. I hope others have a better experience than I did."

2 / 10
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4 Report

Frequently asked questions

  • And...
  • Taken for 1 to 6 months
  • June 8, 2024

For Weight Loss (Obesity/Overweight) "Started out great. Moved to 5.0 and had AWFUL vomiting on day 3 after injection. Dr. tried to move me back to 2.5 but Rx store was unable to get it. Went 5 weeks before it was restocked. Started 2.5 again with 0 effect. And I mean zero. Moved to 5.0 and the nausea is there, but so far, no vomiting. What concerns me is that I have suddenly been struggling with an elevated pulse and higher than normal BP. Wasn't an issue before, so not sure if it's related or incidental. May stop it because I just don't feel good. In addition over the 5 months of on and off again, I am down 4 pounds...and following a reasonable diet plan. Discouraged."

5 / 10
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18 Report
  • Eli...
  • Taken for 1 to 6 months
  • December 30, 2024

For Weight Loss (Obesity/Overweight) "I started Zepbound at 2.5. My weight was 249 and I'm 5'2''. I've lost 34 lbs starting in July. I went up to 7.5 and was doing great. Then the third dose, all the side effects started in spades. I started vomiting, no appetite, tired all the time. I drink water all the time (and I'm a reformed soda drinker). I'm suddenly itchy all the time. The weight loss has slowed down. But I'm not giving up in order to get my knee replacement. This comment section makes me feel like I'm not alone. Thanks for listening. Oh, the one thing that could make me quit is the price is ridiculous! I'm running out of money."

10 / 10
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6 Report

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  • Jus...
  • Taken for less than 1 month
  • December 28, 2024

For Weight Loss (Obesity/Overweight) "After my second 2.5 shot, the side effect symptoms are too much for me to handle. I’ve barely kept any food down except for a day and a half before my second shot. I can’t find a way to prevent acute nausea, and the vomiting is now making me weak. I knew there would be side effects, but for me, this medication doesn’t work for my body. I chose to discontinue the medication and will work with my doctor to see what other options may work for me. I have been unable to participate in family and home life, feeling trapped between being so sick I can’t leave my bed and spending a lot of time vomiting or feeling like I will if I try to move or drink water. I hoped this would be the tool to help me on a healthier path, and it’s not the right one for me, but I can see how it would possibly help others if they aren’t affected by side effects."

5 / 10
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  • Mom...
  • Taken for 1 to 6 months
  • November 19, 2024

For Weight Loss (Obesity/Overweight) "I have had great success with Zepbound, currently on 15 mg. Been on it for 6 months, 67 lbs down. Went from a size 20 pants to a 12. I have had some nausea and vomiting. It’s easy to use. I’m squeamish when it comes to shots, so for the first 2 months, my husband had to inject me. I got used to it and can now do it on my own. I feel so much better about myself and so much healthier."

8 / 10
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6 Report

More FAQ

  • kim...
  • Taken for 1 to 6 months
  • February 23, 2025

For Weight Loss (Obesity/Overweight) "Great, minimal side effects. Don't snore anymore. Definitely don't eat too much. I will throw up, but I seriously knew I was eating too much. Definitely helps with my sugar cravings. I am grateful my doctor offered this."

10 / 10
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  • Tim...
  • Taken for 1 to 6 months
  • July 27, 2024

For Weight Loss (Obesity/Overweight) "Severe nausea, horrid vomiting and diarrhea after 7.5 mg dose - did okay with 2.5 and 5 mg doses - there should be more warnings with the higher doses as this was severe. Higher doses should be reviewed further for safety reasons."

6 / 10
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9 Report
  • Deb...
  • Taken for 1 to 2 years
  • December 20, 2024

For Weight Loss (Obesity/Overweight) "Worked great, however, I experienced nausea/dry heaves the 1st and 2nd day after injection and intermittent nausea throughout the week before the next injection. I've lost 20% of my body weight. I believe this medication needs to be taken forever, or all the weight will return."

8 / 10
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3 Report
  • Joa...
  • Taken for less than 1 month
  • November 10, 2024

For Weight Loss (Obesity/Overweight) "I'm a 64-year-old woman. 5'2" and weighed 177. I've lost 10 pounds in my first 3 weeks. With the heartburn, I had to force myself to eat last night when I wasn't really hungry. I think I ate the scrambled eggs too late in the evening. I had horrible diarrhea and vomiting. That was the first time that happened. I'm hoping it's just because I ate so late on such an empty stomach. I have had no desire to eat the first 3 or 4 days after injection. I have to remind myself to eat something."

8 / 10
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  • ck6...
  • Taken for 1 to 6 months
  • December 16, 2024

For Weight Loss (Obesity/Overweight) "I am currently taking the 7.5 mg. I have currently lost 35# since I started my journey 7/2024. I have noticed that I can barely eat anything, feel very full after a few bites of food. To the point where I feel like vomiting and have a burning feeling like when you eat Halls cough drop, the menthol cool burn feel in my stomach and throat. It's NOT heartburn, it's different. Constantly thirsty, severe cotton mouth, especially at night."

10 / 10
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  • Pro...
  • Taken for 6 months to 1 year
  • February 25, 2025

For Weight Loss (Obesity/Overweight) "I’ve been on Zepbound since 8/1/24 (305 lbs, 5’6). So far, I lost 65 lbs, I’m 45 lbs away from my goal. My current dose is 10 mg. I experience side effects within 24 hours of injection administration, ranging from nausea, vomiting, belching, diarrhea, abdominal pain, fatigue, and dizziness. The side effects last about 24-36 hours. The medication definitely decreases my appetite and cravings. My doctor stopped my BP medication as I continue losing weight and my BP readings are good. My husband has noticed that I stopped snoring, lol. My plan is to reach my weight goal and stop the medication. I have changed my relationship with food. I look at food more as fuel for my body instead of indulging and overeating. I also introduced portion control and exercise, mostly walking and swimming. My insurance covers the medication."

9 / 10
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  • Mk6...
  • Taken for 1 to 6 months
  • March 10, 2025

For Weight Loss (Obesity/Overweight) "I started in January 2025 with the 2.5 dose. For the first two weeks, I experienced nausea and diarrhea off and on. For the last two weeks, I was fine. I am on my second week of 5 mg. The first week, I was so sick - I take the shot late Friday afternoon - I was in bed most of the day on Saturday with nausea and fatigue. I did vomit once. Sunday was the same. The rest of the week, I felt fine. Second shot last Friday - I was okay on Saturday - able to function but very nauseous. Woke up on Sunday and spent most of the day in bed due to nausea and fatigue. The anti-nausea medicine helps but not so much for me. Today I am functioning with some nausea. The benefits of this drug are obvious. I don't eat as much as I did before the medicine. I've lost 16 lbs so far. The nausea bothers me. I should be able to function and not get sick every weekend after a shot. I no longer have diarrhea - I am constipated instead. When I take Miralax, I cannot think about it or I get sick."

7 / 10
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  • Me1...
  • Taken for 1 to 6 months
  • March 7, 2025

For Weight Loss (Obesity/Overweight) "I started off with 2.5 mg the first month. Second month is 5 mg. Today I take the 3rd needle from the package. Last night was the first time I was nauseous and vomiting. I don't know if it was from the medication, but that day I had eaten chips and chocolate. I had not since I started. I want to believe eating those led me to being sick. Burping started about 3 weeks ago but only lasts for a day. It has happened 3 times. Been stuck on the same weight for 2 weeks."

7 / 10
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  • Den...
  • Taken for less than 1 month
  • July 14, 2024

For Weight Loss (Obesity/Overweight) "Works for weight loss if you can tolerate it. I went to the ER with nausea, vomiting, severe depression, and anxiety. Won't be continuing."

6 / 10
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4 Report
  • Suz...
  • Taken for 6 months to 1 year
  • April 14, 2025

For Weight Loss (Obesity/Overweight) "Having great success with weight loss but having trouble with nausea and vomiting."

8 / 10
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Reviews may be edited to correct grammar/spelling or remove inappropriate content. Reviews appearing to come from parties with a vested interest are not published. This information is not intended to endorse any medication and should not replace the expertise and judgment of healthcare professionals.