Semaglutide (Rybelsus & Wegovy): Revolutionizing Diabetes and Weight Management

Semaglutide Tablet & Injection – Overview

 

Semaglutide is a medication used to manage type 2 diabetes and promote weight loss. It belongs to a class of drugs known as GLP-1 receptor agonists (Glucagon-like Peptide-1) and helps regulate blood sugar, improve insulin response, and control appetite.

Semaglutide Tablet

Brand Names (India & Global):

 

  • Rybelsus® (Tablet – Novo Nordisc

Strengths Available:

 

  • 3 mg, 7 mg, 14 mg (oral)

Uses of Semaglutide Tablet

 

  • Control blood sugar in type 2 diabetes

  • Assist in weight loss for overweight or obese adults (off-label use in India)

  • May help reduce cardiovascular risk in diabetic patients

How It Works:

 

Semaglutide tablets mimic a natural hormone (GLP-1) that stimulates insulin release, reduces glucose production in the liver, slows stomach emptying, and reduces appetite.

Dosage:

 

  • Usually starts at 3 mg once daily, gradually increased to 7 mg or 14 mg.

  • Taken on an empty stomach with a small amount of water, at least 30 minutes before food.

Semaglutide Injection

Brand Names:

  • Ozempic® (for diabetes)

  • Wegovy® (for weight management)

Strengths Available:

 

  • 0.25 mg, 0.5 mg, 1 mg, 1.7 mg, 2.4 mg (pre-filled pens or vials)

Uses:

 

  • Treatment of type 2 diabetes

  • Weight loss in adults with BMI ≥27 (with comorbidities) or ≥30 (obese)

  • Lowers risk of heart attack or stroke in diabetic patients

How It Works:

 

Injected once weekly under the skin (subcutaneously), semaglutide activates GLP-1 receptors, leading to improved insulin secretion, appetite suppression, and delayed gastric emptying.

Dosage:

 

  • Start: 0.25 mg weekly for 4 weeks

  • Titrate to: 0.5 mg → 1 mg → up to 2.4 mg weekly (as per tolerance and goal)


⚠️ Side Effects:

 

  • Common: Nausea, vomiting, diarrhea, constipation, decreased appetite

  • Serious (rare): Pancreatitis, kidney problems, thyroid tumors (in animals)

  • Not recommended for patients with a history of medullary thyroid cancer


📦 Storage:

 

  • Injection: Store in refrigerator (2°C – 8°C). Do not freeze.

  • Tablet: Store at room temperature away from moisture and heat.

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