Comparison GuideSemaglutide

Ozempic vs Wegovy: UK Comparison

Ozempic and Wegovy both contain semaglutide, but they're approved for different purposes in the UK. This guide explains the key differences in dosing, cost, availability, and which might be appropriate for your situation.

Quick Answer

Ozempic is approved for type 2 diabetes with weight loss as a secondary benefit. Wegovy is specifically approved for weight management and offers higher doses. Both contain semaglutide and work the same way, but have different eligibility criteria and costs in the UK.

Head-to-Head Comparison

Feature
Ozempic
Wegovy
Active IngredientSemaglutideSemaglutide
UK Approved ForType 2 DiabetesWeight Management
Maximum Dose1mg weekly (2mg available)2.4mg weekly
Average Weight Loss~12%~15%
NHS Available
Yes (for diabetes)
Limited (specialist services)
Private Cost£70-150/month£150-250/month
Supply Status
Occasional shortages
Frequent shortages
AdministrationWeekly injectionWeekly injection

Key Differences Explained

Approved Use

Ozempic is licensed in the UK specifically for type 2 diabetes. Any weight loss is considered a beneficial side effect.

Wegovy is licensed specifically for chronic weight management in adults with BMI ≥30 (or ≥27 with weight-related conditions).

Dosing

Ozempic is typically dosed at 0.25mg, 0.5mg, or 1mg weekly. A 2mg dose exists but is less commonly prescribed.

Wegovy titrates up to 2.4mg weekly over 16-20 weeks, providing a higher maximum dose for weight management.

Cost & Access

Ozempic is more widely available and generally cheaper privately (£70-150/month). Available on NHS for diabetes patients.

Wegovy costs more (£150-250/month privately) and has more restricted NHS access through specialist weight management services.

Availability

Ozempic has experienced supply issues but is generally more available than Wegovy in the UK.

Wegovy has faced significant supply constraints since its UK launch, with intermittent availability.

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Which Might Be Right for You?

Ozempic May Be Suitable If...
  • You have type 2 diabetes
  • You want to manage blood sugar with weight loss benefits
  • You prefer a lower-cost option
  • Better availability is important to you
Wegovy May Be Suitable If...
  • Weight loss is your primary goal
  • You don't have type 2 diabetes
  • You meet BMI criteria (≥30 or ≥27 with conditions)
  • You want the maximum approved dose for weight loss

Important Note

This information is for general guidance only. The choice between Ozempic and Wegovy should be made with a qualified healthcare professional who can assess your individual circumstances, medical history, and eligibility.

Side Effects Comparison

Since both medications contain semaglutide, they share similar side effect profiles. The most common side effects are gastrointestinal:

Nausea

Very Common

Diarrhoea

Common

Vomiting

Common

Constipation

Common

Side effects are typically most pronounced during dose escalation and tend to improve over time. Because Wegovy uses higher doses, some people may experience more intense side effects initially.

Frequently Asked Questions

Related Guides

References & Sources

  • NICE. Semaglutide for managing overweight and obesity. Technology appraisal guidance [TA875]. 2023.
  • Electronic Medicines Compendium (EMC). Ozempic Summary of Product Characteristics.
  • Electronic Medicines Compendium (EMC). Wegovy Summary of Product Characteristics.
  • Wilding JPH, et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity. N Engl J Med. 2021.

Medical Disclaimer

This comparison is provided for educational purposes only and should not be used to make treatment decisions. Both Ozempic and Wegovy are prescription medications that require assessment by a qualified healthcare professional. Individual results, eligibility, and suitability vary. Always consult your GP or prescriber before starting, stopping, or switching medications.

Last updated: December 2025

Stay Updated on Semaglutide Availability

Get notified about availability changes, price updates, and new research. Plus receive our free UK medication guide when it launches.

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