Treatment information
Wegovy
Semaglutide. GLP-1 receptor agonist. This page explains the medicine; it is not a product page, price list or checkout.
How it works
How Wegovy is used
Licensed weight-management context
UK product information authorises semaglutide for adult weight management, alongside a reduced-calorie diet and increased physical activity, at an initial BMI of at least 30, or BMI 27 to under 30 with at least one weight-related condition. This describes licensed use; it does not oblige a private prescriber to prescribe.
Key considerations
What a clinician needs to know
- A history of pancreatitis, gallbladder problems, or severe stomach and gut conditions such as gastroparesis.
- Diabetes treatment, especially insulin or sulfonylurea medicines, which may need adjusting, and diabetic retinopathy which may need closer monitoring.
- Kidney or liver disease, and any recent dehydration or persistent vomiting or diarrhoea.
- A history of an eating disorder, or any current concern about disordered eating.
- Pregnancy, breastfeeding, or plans to become pregnant.
- Any surgery, procedure or sedation planned, because the team needs to know you use this medicine.
Common effects
Effects that are commonly reported
- Nausea, vomiting, diarrhoea, constipation and abdominal discomfort are common, especially when the dose is increased.
- Dehydration caused by these effects can lead to more serious complications.
- Gallbladder disease, serious allergic reactions and low blood sugar in some situations are recognised risks.
Safety context
Current safety information
Important safety information for Wegovy
- Severe, persistent abdominal pain that may spread to the back, sometimes with nausea or vomiting, needs urgent medical attention because of the risk of pancreatitis.
- Current UK product information includes a warning about a rare eye condition (NAION) and sudden visual loss, which needs urgent assessment.
- Supply must come through an authorised prescriber and pharmacy because falsified medicines are a real risk.
Medicine-specific considerations
What is different about this medicine
- Semaglutide is not recommended in severe gastroparesis.
- Current guidance advises stopping at least two months before a planned pregnancy.
- Dose changes are made by a prescriber and are not a self-service decision.
Clinical decision
How a decision is made
Dose changes are a clinical decision
Starting, increasing, pausing or stopping a medicine is overseen by a prescriber. All treatment is subject to clinical assessment. Results vary between people and are not guaranteed.
Sources
Where this information comes from
- Wegovy (semaglutide) Summary of Product Characteristics — electronic medicines compendium
- GLP-1 medicines: what you need to know — MHRA
- Strengthened warnings on acute pancreatitis — MHRA Drug Safety Update
- Potential risk of pulmonary aspiration during anaesthesia or deep sedation — MHRA Drug Safety Update
- Reminder of potential side effects and misuse — MHRA Drug Safety Update
- TA875: Semaglutide for managing overweight and obesity — NICE
- Semaglutide — NHS
Is Wegovy right for you?
All treatment is subject to clinical assessment. Results vary between people and are not guaranteed.

