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IRELAND'S BEST REVIEWED PHARMACY

Wegovy (Semaglutide): A Once-Weekly Weight Management Injection

Wegovy is a weekly injectable medicine to aid weight loss and weight management. Wegovy contains Semaglutide, which can help reduce energy intake, increases feelings of satiety, fullness and control of eating. Food cravings and feelings of hunger can also be controlled. Wegovy is designed to be used alongside a reduced-calorie diet and increased physical activity for weight management, including weight loss and weight maintenance. Wegovy is also proven to reduce the risk of major cardiovascular events and treat obesity.

How is Wegovy Used?

  • Wegovy is presented in a convenient, weekly FlexTouch pen for injection.
  • Wegovy is injected once a week, under the skin of the abdomen (belly), upper arm or upper legs. 
  • Wegovy can be injected at any time during the day independent of meals
  • Wegovy should be injected on the same day each week.
  • A starting dose of 0.25mg is escalated slowly over 16 weeks to a maintenance dose of 2.4mg
  • Instructions on how to use Wegovy Flextouch pen can be downloaded here.

How Wegovy Works: Understanding GLP-1 Receptor Agonists

Wegovy contains semaglutide, a GLP-1 receptor agonist designed to support weight management. With a 94% sequence similarity to human GLP-1, semaglutide mimics the body's natural hormone to regulate appetite and calorie intake. Semaglutide binds selectively to GLP-1 receptors in the brain, activating pathways that influence hunger, satiety, fullness and food cravings. By enhancing feelings of fullness and reducing appetite, semaglutide helps individuals consume fewer calories while promoting better control over eating habits. This addresses multiple root causes of obesity. Lifestyle changes such as increased physical activity work in conjunction with Wegovy to support weight loss and weight management.

How Effective Is Wegovy?

Wegovy (semaglutide) is clinically proven to deliver significant and sustained weight loss. Data from the STEP clinical trial program highlights:

  • Average Weight Loss: Adults lost an average of 14.9% of their body weight over 68 weeks, compared to just 2.4% in the placebo group.
  • High Success Rates: More than 83% of users achieved a weight loss of 5% or more, and 30% of participants lost more than 20% of their total body weight.
  • Sustained Results: Studies show that weight loss is maintainable long-term, with results lasting over 2 years (104 weeks) with continued treatment.
  • Body Composition: Beyond the scales, Wegovy significantly reduces waist circumference and improves overall physical mobility and function.

Beyond Weight Loss: Cardiovascular Health Benefits

Wegovy is the first weight management medication proven to reduce the risk of major heart-related events in people with established heart disease.

  • 20% Reduction in Major Heart Events: In the landmark SELECT trial, which studied over 17,000 adults with established cardiovascular disease and a BMI of 27 or higher, Wegovy reduced the risk of Major Adverse Cardiovascular Events (MACE) by 20%. These events include cardiovascular death, non-fatal heart attack, and non-fatal stroke.
  • Improved Heart Health for Diabetics: For patients with Type 2 diabetes, the SUSTAIN 6 trial confirmed that semaglutide reduced the risk of major cardiovascular events by 26%, primarily driven by a decrease in non-fatal strokes and heart attacks.
  • Support for Heart Failure: Clinical trials (STEP-HFpEF) have shown that Wegovy provides superior benefits for adults with obesity-related heart failure with preserved ejection fraction. Patients reported fewer heart failure symptoms and an increased ability to perform physical activities, such as walking.
  • Addressing Risk Factors: Semaglutide acts on several known cardiovascular risk factors by: Lowering systolic blood pressure, improving lipid profiles (blood fats) ad exerting anti-inflammatory effects.
  • Protection for Major Organs: Semaglutide receptors are present in the heart, vasculature, immune system and kidneys, contributing to its broad range of health benefits beyond weight management.

Wegovy Prices

Prices include needles and discrete delivery in Ireland, shipped in cold-chain packaging from Inish Pharmacy.

  • Wegovy 0.25mg 4 week supply €235
  • Wegovy 0.5mg 4 week supply €235
  • Wegovy 1.0mg 4 week supply €235
  • Wegovy 1.7mg 4 week supply €250
  • Wegovy 2.4mg 4 week supply €280

Wegovy Treatment Frequently Asked Questions

How Does Wegovy Work?

The active ingredient, semaglutide, is a GLP-1 receptor agonist that mimics a natural hormone released after eating.

It targets brain receptors that regulate appetite, making you feel fullerless hungry, and reducing food cravings.

This leads to a reduction in calorie intake and a loss of body weight.

Can Wegovy help with more than just weight loss?

  • Heart health: Clinical trials have shown that Wegovy can reduce the risk of Major Adverse Cardiovascular Events (MACE), such as heart attack, stroke, or cardiovascular death, in adults with established cardiovascular disease and a BMI of 27 kg/m² or higher.

How can I find out If I am suitable for Wegovy?

Adults:Wegovy is indicated for adults with a Body Mass Index (BMI) of30 kg/m² or greater (obesity), or a BMI of27 kg/m² to <30 kg/m²(overweight) if they have at least one weight-related health condition. Such conditions include high blood pressure, abnormal blood fats, pre-diabetes, type 2 diabetes, or a history of heart attack or stroke.

Do I need a prescription for Wegovy?

Yes. Supply of Wegovy in Ireland requires a valid prescription from a doctor. Our online doctor service has a simple and convenient consultation option with a doctor for €20. Based on medical history and other medications, a prescription for Wegovy can be sent directly to us by the doctor for you.

I have a prescription, can Inish Pharmacy dispense my Wegovy?

Yes, the prescription will need to be provided to us in hard copy or sent directly to us by your doctor. For information on dispensing prescriptions for Wegovy, please email prescriptions@inishpharmacy.com.

Can my doctor send Inish Pharmacy my prescription directly?

Doctors in Ireland can send us your prescription directly via Healthmail to inish.buncrana@healthmail.ie.

Can my Wegovy prescription be delivered?

Inish Pharmacy can send your Wegovy prescription to you directly. We use cold chain packaging and send with DPD couriers to ensure your delivery arrives in perfect condition, next working day.

Please note, we only send out these packages on Monday to Thursday.

Can I ask questions about my Wegovy treatment?

Of course, we always have experienced pharmacists on hand to discuss your medication. When we first receive your prescription, one of our pharmacy team will always call you to discuss the treatment and confirm delivery details (if delivery is requested).

Can I request a sharps bin for needle disposal?

If patients require a sharps bin with their Wegovy prescription, this can be arranged free of charge. Please ask the pharmacy team when discussing the treatment.

Do I need to store Wegovy in the fridge?

As per the Summary of Product Characteristics for Wegovy, Wegovy FlexTouch (multi-dose) pens can be kept for 6 weeks after the first use, either at room temperature (below 30°C) or in the refrigerator. While we make every effort to maintain the cold chain during delivery, you should use the last dose of the medication within 6 weeks of the date of the dispensing label.

Wegovy Side Effects

Very Common: May affect more than 1 in 10 people

  • Gastrointestinal issues: Nausea, vomiting, diarrhea, and constipation.
  • Headache: Often reported during the initial weeks.
  • Fatigue: Feeling unusually tired or weak.
  • Abdominal Pain: General discomfort in the stomach area.

Management: These symptoms are most common during the dose-escalation phase and typically decrease over time. Drinking plenty of fluids is essential to prevent dehydration if you experience vomiting or diarrhea.

Serious symptoms: Seek medical attention immediately if you experience severe, persistent stomach pain (a possible sign of acute pancreatitis) or a sudden loss of vision.

Common: May affect up to 1 in 10 people

  • Digestive discomfort: Heartburn (acid reflux), bloating, gas (flatulence), and burping (eructation).
  • Gallstones: Rapid weight loss can increase the risk of developing gallstones.
  • Dizziness: Sometimes linked to eating less or minor dehydration.
  • Hair Loss: Typically temporary and often associated with significant weight loss rather than the drug itself.
  • Injection site reactions: Redness, itching, or minor swelling where the needle was inserted.
  • Hypoglycemia (Low Blood Sugar): Primarily a risk for patients who also have Type 2 Diabetes.

Uncommon: May affect up to 1 in 100 people

  • Acute Pancreatitis: Inflammation of the pancreas. Seek medical help if you experience severe, persistent stomach pain that radiates to your back.
  • Increased Heart Rate: A slight increase in resting pulse.
  • Delayed Gastric Emptying: The stomach takes longer to clear its contents.
  • Increased Pancreatic Enzymes: Detected through blood tests (amylase or lipase).

Rare: May affect from up to 1 in 1000 to 1 in 10,000 people

  • Severe Allergic Reactions: Including anaphylaxis or angioedema (swelling of the face, lips, or throat). This requires emergency medical attention.
  • NAION (Vision Loss): A very rare eye condition (Non-arteritic Anterior Ischaemic Optic Neuropathy) that causes sudden loss of vision. If you notice any sudden changes in your eyesight, stop treatment and contact a doctor immediately.
  • Kidney Problems: Dehydration from severe vomiting or diarrhea can lead to kidney strain or failure.

How can I reduce nausea and digestive issues?

  • Eat smaller meals: Stop eating as soon as you feel full.
  • Stay hydrated: Sip water throughout the day, especially if you have diarrhea or vomiting.
  • Choose bland foods: Focus on low-fat foods like crackers, toast, or rice during the dose-increase phase.
  • Timing: For some, taking the injection in the evening helps "sleep through" the peak of initial nausea.

When should I seek urgent medical advice? You should contact a doctor or emergency services immediately if you experience:

  1. Severe, persistent stomach pain (potential pancreatitis).
  2. Sudden changes in vision or blurred sight.
  3. Signs of a serious allergy: Hives, swelling of the face/tongue, or difficulty breathing.
  4. A lump or swelling in the neck or difficulty swallowing.

Differences between Mounjaro, Wegovy and Saxenda

  • Mounjaro

    • Contains tirzepatide
    • Dual incretin: GLP-1 and GIP receptor agonist — acts on two hormone pathways to regulate appetite and blood sugar
    • Used for weight management and Type-2 Diabetes
    • Up to 20-22% body weight loss
    • Weekly injections
    • Price €280-€580
  • Wegovy

    • Contains semaglutide
    • GLP-1 receptor agonist — mimics a natural gut hormone to enhance fullness and slow digestion
    • Chronic weight management in obesity or overweight adults with risk factors
    • Can help lower the risk of major cardiovascular events such as heart attack, stroke, or death in adults with known heart disease and either obesity or overweight
    • Around 15% body weight loss
    • Weekly injections
    • Price €235-€280
  • Saxenda

    • Contains liraglutide
    • GLP-1 receptor agonist— same class as Wegovy, but shorter-acting
    • Chronic weight management
    • 6-8% body weight loss
    • Daily injections
    • Price €289
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