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How long does Ozempic last in your system?

Medically reviewed by Kristianne Hannemann, PharmD. Last updated on Nov 21, 2024.

Official answer

by Drugs.com

For most people, Ozempic (semaglutide) stays in your system for about 5 weeks. This is based on its half-life, which is 1 week. How long before Ozempic is out of your system can be different for everyone. The effects of Ozempic will slowly wear off during the weeks after your last dose.

What happens when you stop taking Ozempic?

The effects from taking Ozempic are not permanent. When you stop taking Ozempic, your blood sugar will likely rise again. You might also notice some weight gain. Your risk for heart problems can also go up.

Because Ozempic takes over a month to completely leave your system, you will see these changes gradually. Ozempic mimics a hormone in your body that controls your blood sugar and digestion. Once it is no longer present, your digestion will speed up and you might feel more hungry than when you were taking it. People typically see these changes in their appetite within a week.

In long-term studies, people who stopped taking Ozempic regained about two-thirds of their original weight. Additionally, some positive effects on heart health and type 2 diabetes were reversed.

If you are stopping Ozempic due to side effects, you should see them get better over about 1-2 months. If you are still experiencing side effects such as nausea, vomiting, and diarrhea after this time, let your healthcare provider know.

Are there any withdrawal symptoms from stopping Ozempic?

When stopping a medication, you might experience withdrawal symptoms from the changes that happen in your body. The manufacturer of Ozempic does not list potential withdrawal symptoms in the product label. However, it is normal to experience a larger appetite as the effects of the medication wear off. A rise in blood sugar after stopping Ozempic can also cause symptoms such as increased thirst and frequent urination.

If you and your healthcare provider decide you should stop taking Ozempic, monitor your blood sugar levels, blood pressure, and weight closely in the months that follow.

Can you stop Ozempic cold turkey?

Whether you can stop Ozempic cold turkey depends on how long you have been taking it, your dose, and the reason you are stopping. Work closely with your healthcare provider to safely stop taking Ozempic. They might recommend slowly reducing your dose before stopping the medication completely. This strategy gives your body more time to adjust compared to stopping it abruptly.

In some situations, like if you are having serious side effects from Ozempic, your healthcare provider might recommend stopping it right away. Examples include if you develop pancreatitis or if you have a serious allergic reaction after taking Ozempic.

Can you flush Ozempic out of your system?

No, you cannot flush Ozempic out of your system. Your body will need time to process it, and eventually all of the medication will exit your system. Most of the medication leaves the body through the urine and stool. There is not a way to remove the medication faster from the body.

Taking too much Ozempic can lead to more side effects, including low blood sugar, nausea, diarrhea, fast heartbeat, and mood changes. If you think you might have taken too much Ozempic, contact a Poison Center or your healthcare provider. Get immediate medical attention if you experience severe symptoms. Treatment for an Ozempic overdose typically involves supportive care, treating individual symptoms. Keep in mind that you may need to be observed closely for weeks after the overdose, since the medication lasts around 5 weeks in your system.

Related questions

How long do I need to stop Ozempic before surgery?

Whether or not you need to stop Ozempic before surgery depends on your risk for pulmonary aspiration and the type of surgery you are getting. Experts recommend stopping Ozempic 1 week before the day you plan to have your surgery if you are at risk for pulmonary aspiration, and you are getting anesthesia or heavy sedation. According to guidelines from the American Society of Anesthesiologists, all GLP-1 agonists (including Ozempic) should be stopped before surgery in these situations. This includes if you take it for diabetes or weight loss.

The reason you may need to stop Ozempic is that it can raise the risk for contents in your stomach getting into your lungs (aspiration), which can be dangerous when you are under anesthesia. Your healthcare provider can tell you when you should stop and start Ozempic around your surgery.

Do I need to stop Ozempic if I get pregnant?

There is not enough data in humans to know how safe Ozempic is to take during pregnancy. Studies in animals showed an increased risk of some birth defects, but it is not known if the medication causes harm to human babies. The product label for Ozempic recommends stopping Ozempic 2 months before a planned pregnancy. This should give your body enough time to clear all of the medication from your system.

If you get pregnant while taking Ozempic, weigh the risks and benefits of continuing the medication with your healthcare provider. If you do decide to stop taking it for diabetes, it is important to switch to another treatment that can help keep your blood sugar levels under control. Having high blood sugar can raise the risk of birth defects and complications during your pregnancy.

This is not all the information you need to know about Ozempic (semaglutide) for safe and effective use and does not take the place of your doctor’s directions. Review the full product information and discuss this information and any questions you have with your doctor or other health care provider

References

American Diabetes Association. n.d. Hyperglycemia (High Blood Glucose). Accessed 11/21/2024 at https://diabetes.org/living-with-diabetes/treatment-care/hyperglycemia

American Gastroenterological Association. 2024. Multisociety Clinical Practice Guidance for the Safe Use of Glucagon-like Peptide-1 Receptor Agonists in the Perioperative Period. Accessed 12/04/2024 at https://www.cghjournal.org/article/S1542-3565(24)00910-8/fulltext

Amirshahi, M., et. al. 2023. What is Ozempic? Accessed 11/20/2024 at https://www.poison.org/articles/can-ozempic-help-me-lose-weight

Anderson, L.A. 2023. What happens when you stop taking Ozempic? Accessed 11/21/2024 at https://www.drugs.com/medical-answers/what-happens-when-you-stop-taking-ozempic-3575107/

International Association for Physicians in Aesthetic Medicine. n.d. What Happens if You Take Too Much Ozempic®? Accessed 11/20/2024 at https://iapam.com/medical-weight-management-library/what-happens-if-you-take-too-much-ozempic

Joshi, G. P. 2023. Drugs for Diabetes or Weight Loss. Accessed 11/21/2024 at https://madeforthismoment.asahq.org/preparing-for-surgery/risks/drugs-diabetes-weight-loss/

National Library of Medicine. 2023. Semaglutide. In: Mother To Baby | Fact Sheets [Internet]. Accessed 11/21/2024 at https://www.ncbi.nlm.nih.gov/books/NBK600385/

Ozempic [package insert]. Updated November 2024. Novo Nordisk. Accessed 11/20/2024 at https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=adec4fd2-6858-4c99-91d4-531f5f2a2d79

Wilding, J. P. H., et. al. 2022. Weight regain and cardiometabolic effects after withdrawal of semaglutide: The STEP 1 trial extension. In: Diabetes, Obesity, and Metabolism. DOI:  https://doi.org/10.1111/dom.14725

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How long does it take for Ozempic to work?

Your blood glucose (sugar) levels should start to fully decline within the first week after you start using Ozempic (semaglutide) at your regular dose. However, the full effect can take 8 weeks or longer, as this is a long-acting medication that is injected only once per week. Continue reading

Ozempic vs Wegovy: What's the difference between them?

Ozempic is used to treat type 2 diabetes in adults, while Wegovy is used for weight loss and chronic weight management in adults and children 12 years of age and older with overweight or obesity. In these populations, both agents are approved reduce the risk of heart attack, stroke and heart-related death in people with cardiovascular (heart, blood vessel) disease.

Ozempic and Wegovy are the two brand names that Novo Nordisk uses to market injectable semaglutide. Ozempic and Wegovy come in different strengths to treat the different conditions. Continue reading

How many doses are in an Ozempic pen?

Ozempic pens come in 3 sizes. Each pen holds 4 maintenance doses of either 0.5 mg, 1 mg, or 2 mg of medicine given once weekly and will last for one month. Continue reading

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