Saxenda vs Zepbound

Quick Facts

  • Type: GLP-1 vs GLP-1/GIP
  • FDA Approval: Saxenda (2014), Zepbound (2023)
  • Frequency: Once daily

Weight Loss Data

  • Saxenda: 5-10% in 56 weeks
  • Zepbound: 15-20% in 72 weeks

Primary Uses

  • Weight Management
  • Obesity Treatment

Medication Overview

Saxenda

GLP-1

Basic Information

  • Generic Name: liraglutide
  • Manufacturer: Novo Nordisk
  • FDA Approval: 2014

Key Benefits

  • Established weight loss medication
  • Well-studied safety profile
  • May improve cardiovascular risk factors
  • Flexible dosing schedule

Zepbound

GLP-1/GIP

Basic Information

  • Generic Name: tirzepatide
  • Manufacturer: Eli Lilly
  • FDA Approval: 2023

Key Benefits

  • Significant weight loss potential
  • Dual-action mechanism
  • Once-weekly dosing
  • Improved metabolic health

Dosing Information

Dosing DetailsSaxendaZepbound
Starting Dose0.6mg2.5mg
Maintenance Dose3.0mg5mg to 10mg
Maximum Dose3.0mg15mg
ScheduleInject once daily at any time of dayInject once weekly at any time of day
TitrationStart with 0.6mg, increase by 0.6mg weekly until reaching 3.0mgStart with 2.5mg for 4 weeks, then increase to 5mg. Can increase by 2.5mg every 4 weeks

Side Effects

Saxenda

  • Nausea
  • Diarrhea
  • Constipation
  • Vomiting
  • Injection Site Reactions
  • Low Blood Sugar

Zepbound

  • Nausea
  • Diarrhea
  • Decreased Appetite
  • Vomiting
  • Constipation
  • Indigestion

Practical Information

Saxenda

Storage & Handling

  • Storage: Refrigerate until first use, then can be stored at room temperature for up to 30 days
  • Needle Info: Comes with NovoFine® needles

Insurance & Coverage

Variable coverage for weight management, often requires prior authorization

Clinical Results

  • Weight Loss: 5-10%
  • Study Duration: 56 weeks
  • Study: SCALE clinical trial program

Zepbound

Storage & Handling

  • Storage: Refrigerate until first use, then can be stored at room temperature for up to 21 days
  • Needle Info: Comes with attached hidden needle

Insurance & Coverage

Variable coverage for weight management, often requires prior authorization

Clinical Results

  • Weight Loss: 15-20%
  • Study Duration: 72 weeks
  • Study: SURMOUNT-1 trial

Medical Disclaimer: This comparison is for informational purposes only and should not replace professional medical advice. Always consult with your healthcare provider about which medication is right for you. Treatment decisions should be based on your individual medical needs and circumstances.

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