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Drug Info

Ozempic dosage chart

The Ozempic dosage chart on the drug label is for patients with diabetes, but your healthcare provider may prescribe similar instructions for weight loss
Gerardo Sison medical writer headshot
By | Feb. 20, 2024
A syringe: Ozempic chart
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Ozempic, also known by its generic name semaglutide, is a medication that has become a popular treatment for Type 2 diabetes. It falls into a category of drugs known as GLP-1 receptor agonists, which work by mimicking a hormone that helps lower blood sugar levels in the body. Ozempic can also help reduce appetite and calorie intake, which may help promote weight loss. 

When it comes to treating Type 2 diabetes and, in some cases, heart disease or weight loss, a healthcare professional will prescribe a specific dosage of Ozempic. The Ozempic dosing chart may help provide guidance on starting and adjusting weekly doses. However, the dosage may vary depending on specific needs and treatment goals. Therefore, Ozempic should only be used with guidance from a healthcare provider. 

Keep reading to learn more about the standard dosing chart for Ozempic. 

How to take Ozempic

Ozempic is approved by the Food & Drug Administration to lower blood sugar in adults with Type 2 diabetes, along with a healthy diet and exercise plan for maximum effectiveness. It’s also approved for reducing the risk of heart disease in adults with Type 2 diabetes. Read the instructions that come with the prescription and consult a healthcare provider for the appropriate way to take Ozempic before starting treatment. 

Ozempic is typically injected once weekly with or without food at any time of day. Doctors and healthcare providers recommend patients take the drug on the same day each week for consistency. 

You can inject the medication under the skin of the stomach area, thigh, or upper arm. It should not be injected into the muscle or vein. Avoid injecting the medication in the same spot for each dose. Instead, you should rotate injection sites. 

If you also take insulin, you can inject Ozempic and insulin in the same area of the body. However, avoid mixing insulin and Ozempic in the same injection. 

You should also avoid sharing Ozempic pens with others, even if you’ve changed the needle. Sharing the pens carries a risk of spreading or getting a serious infection. 

Ozempic dosage 

The recommended starting dose of Ozempic is 0.25 milligrams (mg) injected subcutaneously or under the skin once per week for the first four weeks. The dosage can then be increased to the standard dosage of 0.5 mg once weekly. A gradual increase in dosage helps the body adjust to the medication and reduces the risk of side effects.

If blood sugar levels remain uncontrolled at 0.5 mg per week for four weeks, the dosage may be increased to 1 mg once weekly. After four weeks on the 1 mg dose, the dosage may be increased again to 2 mg if needed for further glycemic control. The maximum dose should not exceed 2 mg once per week. 

Adjustments in dosage may be needed based on your blood sugar levels, including your A1C levels. Your healthcare provider may recommend regular lab visits to monitor your condition. 

Below is an overview of what an initial Ozempic dosing schedule might look like. Your healthcare provider will prescribe a dosing schedule that’s right for you.

Ozempic dosage chart
Month # Dose Frequency
Month 1 0.25 mg Once per week
Month 2 0.5 mg Once per week
Month 3 1 mg Once per week
Month 4 and beyond 2 mg Once per week

For more detailed information about the medication, including full prescribing information, review the FDA label for Ozempic with a healthcare provider. Consult a healthcare provider for medical advice if you have any questions about the use of Ozempic. 

Ozempic dosage for weight loss vs. diabetes

The aforementioned dosages are the FDA-approved dosages for managing diabetes mellitus. If an individual has Type 2 diabetes and is overweight or has obesity, the dosage may be the same. In some cases, a healthcare provider may prescribe Ozempic off-label solely for weight loss. However, the dosing for managing blood sugar levels in diabetes may differ from the dosing schedule for weight loss alone.

In any case, there’s no standard dosage for weight loss since the drug is not approved for this purpose. For weight loss, a healthcare provider will generally recommend starting at a lower dosage for the first four weeks. They might then gradually increase the dosage based on treatment response and to achieve the desired effect. 

Semaglutide, the active ingredient of Ozempic, is marketed and FDA approved for weight loss under the brand name Wegovy. The Wegovy pens come in different strengths than Ozempic. While the initial starting dosage of Wegovy is 0.25 mg once weekly for four weeks, the target dosage is 1.7 mg or 2.4 mg once weekly. 

What to do if you miss a dose of Ozempic

Missing a dose of Ozempic is possible, especially since its once-weekly dosing schedule can make it easy to forget. Here’s what to do if you miss a dose:

  • If you forget to take your Ozempic dose and your next dose is over 48 hours away, inject the missed dose as soon as you remember. 
  • If your next dose is due in less than 48 hours, simply wait and continue your regular dosing schedule on the usual day.
  • If you skip two or more doses in a row, you can either return to your regular dosing routine or consider restarting Ozempic with the initial dose escalation. Starting at low doses and gradually increasing them may help reduce potential stomach discomfort after restarting treatment.

Other considerations to keep in mind include the following:

  • Do not take two doses of Ozempic within 48 hours of each other. Doing so may carry a potential risk of overdose and serious side effects.
  • It may be helpful to set reminders or alerts to maintain the dosing schedule and prevent missed doses.

In most cases, missing a dose is not a serious concern. If you continually miss doses, you may want to consult a healthcare provider to determine whether an adjustment to the medication schedule is necessary. For those who prefer a once-daily oral medication, Rybelsus may be an alternative worth considering since it contains the same active ingredient of Ozempic (semaglutide) in an oral form and is taken once daily.

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