Wegovy® (semaglutide injection) is indicated as an adjunct to a reduced-calorie diet and increased physical activity for chronic weight management in:1
Adult patients with an initial body mass index (BMI) of 30 kg/m2 or greater (obesity), or 27 kg/m2 or greater (overweight) in the presence of at least one weight-related comorbidity such as hypertension, type 2 diabetes mellitus, dyslipidemia, or obstructive sleep apnea.
Pediatric patients aged 12 to less than 18 years with an initial BMI at the 95th percentile or greater for age and sex (see Table 1 below), a body weight above 60 kg (132 lbs), and an inadequate response to reduced-calorie diet and physical activity alone.
Wegovy® is also indicated to reduce the risk of non-fatal myocardial infarction in adults with established CVD and BMI ≥27 kg/m2.1
Wegovy® should not be used in combination with any other semaglutide-containing drug (e.g., Ozempic®, Rybelsus®) or any other GLP-1 receptor agonist.
Table 1: Body mass index (BMI) cut-off points for obesity by sex and age for patients aged 12 to less than 18 years
Please consult the Product Monograph at www.wegovypm-e.ca or click here for more information on:
Contraindications in patients with a personal or family history of medullary thyroid carcinoma (MTC), Multiple Endocrine Neoplasia syndrome type 2 (MEN 2), and patients who are pregnant or breastfeeding.
The most serious warning and precaution regarding the risk of thyroid C-cell tumours.
Other relevant warnings and precautions regarding cardiovascular effects; theoretical risk of dependence, tolerance, and/or abuse; risk of hypoglycemia with concomitant insulin or insulin secretagogue use (precaution with driving and operating machinery); gastrointestinal events leading to dehydration; delayed gastric emptying; acute pancreatitis (including fatal and non-fatal hemorrhagic or necrotizing pancreatitis); acute gallbladder disease; severe hypersensitivity reactions; retinal disorder in patients with type 2 diabetes; suicidal behaviour and ideation; aspiration in association with general anesthesia or sedation; acute kidney injury; use in hepatic insufficiency; end-stage renal disease; fertility; and recommendation for contraception use.
Conditions of clinical use, adverse reactions, drug interactions, and dosing instructions.
The Product Monograph is also available by calling Novo Nordisk at 1-800-465-4334.
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CVD, cardiovascular disease; GLP-1 RA, glucagon-like peptide-1 receptor agonist.
* Comparative clinical significance has not been established.
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