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Ozempic drug interactions

Ozempic · semaglutide · by Novo Nordisk

Reviewed by the glpzoom Editorial Team against primary clinical sources — FDA labeling, peer-reviewed trials, and specialty-society guidelines.
Content current as of June 2026; updated when guidance or availability changes.
Same interaction profile as Wegovy (same active ingredient). Most clinically meaningful: insulin and sulfonylureas (combined hypoglycemia risk — clinicians often reduce these when starting Ozempic), warfarin (monitor INR), oral contraceptives (effectiveness may reduce in patients with severe GI symptoms). Ozempic does not interact with metformin, statins, antihypertensives, or thyroid hormone at standard doses. Insulin co-administration is common in T2D regimens — dose adjustments are standard practice.

Interaction lookup

Search by medication name or drug class to see clinically meaningful Ozempic interactions.

  • Insulin

    Moderate

    Class: insulin

    Hypoglycemia risk when combined; dose adjustment required.

  • Sulfonylureas

    Moderate

    Class: sulfonylurea

    Hypoglycemia risk; sulfonylurea dose reduction usually needed.

  • Oral contraceptives

    Moderate

    Class: estrogen / progestin

    Delayed gastric emptying — barrier method recommended during titration.

Editorial table from FDA labels + drug compendia. Not exhaustive. Discuss any concurrent medication, supplement, or condition with your prescriber before starting or stopping treatment.

Where to get Ozempic

  • Ro logo

    Ro

    from $145/mo
    • Best for insured patients
    • Best for clinical oversight

    Ro Body — branded GLP-1 weight care program

More on Ozempic

People also ask

Frequently asked

What medications interact with Ozempic?+

Same interaction profile as Wegovy (same active ingredient). Most clinically meaningful: insulin and sulfonylureas (combined hypoglycemia risk — clinicians often reduce these when starting Ozempic), warfarin (monitor INR), oral contraceptives (effectiveness may reduce in patients with severe GI symptoms). Ozempic does not interact with metformin, statins, antihypertensives, or thyroid hormone at standard doses. Insulin co-administration is common in T2D regimens — dose adjustments are standard practice.

Can I take Ozempic with metformin?+

Ozempic and metformin are commonly co-prescribed without major interaction concerns. GI side effects may be additive in some patients.

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