Wegovy vs Zepbound

Quick Facts

  • Type: GLP-1 vs GLP-1/GIP
  • FDA Approval: Wegovy (2021), Zepbound (2023)
  • Frequency: Once weekly

Weight Loss Data

  • Wegovy: 15-17% in 68 weeks
  • Zepbound: 15-20% in 72 weeks

Primary Uses

  • Weight Management
  • Obesity Treatment

Medication Overview

Wegovy

GLP-1

Basic Information

  • Generic Name: semaglutide
  • Manufacturer: Novo Nordisk
  • FDA Approval: 2021

Key Benefits

  • Significant weight loss potential
  • Once-weekly dosing
  • Improved cardiovascular markers
  • Established safety profile

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 DetailsWegovyZepbound
Starting Dose0.25mg2.5mg
Maintenance Dose1mg to 1.7mg5mg to 10mg
Maximum Dose2.4mg15mg
ScheduleInject once weekly on the same day each weekInject once weekly at any time of day
TitrationStart with 0.25mg, increase every 4 weeks through 0.5mg, 1mg, 1.7mg to reach 2.4mgStart with 2.5mg for 4 weeks, then increase to 5mg. Can increase by 2.5mg every 4 weeks

Side Effects

Wegovy

  • Nausea
  • Diarrhea
  • Vomiting
  • Constipation
  • Abdominal Pain
  • Headache

Zepbound

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

Practical Information

Wegovy

Storage & Handling

  • Storage: Refrigerate until first use, then can be stored at room temperature for up to 56 days
  • Needle Info: Comes with NovoFine® Plus needles

Insurance & Coverage

Variable coverage for weight management, often requires prior authorization

Clinical Results

  • Weight Loss: 15-17%
  • Study Duration: 68 weeks
  • Study: STEP 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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