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Comparisons

Ozempic vs Wegovy vs Mounjaro

The short answer: Ozempic and Wegovy contain the same substance (semaglutide), Mounjaro contains tirzepatide. Ozempic is registered for type 2 diabetes, while Wegovy and Mounjaro are (also) registered for weight management. All three are weekly injections and are available only on prescription through a doctor and pharmacy. Below we set out the differences factually; a doctor always assesses whether a medicine is suitable for you.

The three medicines in brief

Ozempic and Wegovy are both brand names for semaglutide, a GLP-1 receptor agonist. The difference lies mainly in registration and maximum dosage: in the EU, Ozempic is registered for type 2 diabetes, and Wegovy for weight management with a higher maximum dosage. Mounjaro contains tirzepatide, which acts on both the GLP-1 and the GIP receptor ("dual action"). If you want to know how these substances work in the body, read how GLP-1 works. A more direct two-way comparison can be found at Ozempic or Mounjaro and Wegovy vs Ozempic.

Comparison table

OzempicWegovyMounjaro
Active substanceSemaglutideSemaglutideTirzepatide
Mechanism of actionGLP-1GLP-1GLP-1 + GIP
Registered forType 2 diabetesWeight managementType 2 diabetes and weight management
AdministrationWeekly injectionWeekly injectionWeekly injection
Weight loss (indicative, study averages)n/a as a weight-loss medicine*approx. 15% (STEP-1, 68 wk)approx. 16–22.5% (SURMOUNT-1, 72 wk)
*Ozempic is not registered as a weight-loss medicine; such use is off-label and solely at a doctor's discretion. The percentages quoted are indicative study averages, not a promise of results.

What do the studies say about weight loss?

The figures below are averages from clinical studies and say nothing about your personal outcome. In the STEP-1 study, participants on semaglutide (Wegovy dosage) lost on average about 15% of their body weight after 68 weeks, alongside lifestyle support. In the SURMOUNT-1 study with tirzepatide (Mounjaro), an average weight reduction of about 16% (5 mg) to 22.5% (15 mg) was reported after 72 weeks. Results vary from person to person and depend on dosage, lifestyle and support. You can find more context at how much weight can you lose and dose titration.

Cost and reimbursement (indicative)

The price varies by medicine, dosage and pharmacy; consult the current cost estimate for an overview. Reimbursement depends on your indication and policy — different rules apply for type 2 diabetes than for weight management. Read more about the conditions at reimbursement. You can read exactly what a doctor and pharmacy do at the doctor's intake.

Which medicine when?

Which medicine is appropriate is determined by the doctor based on your situation, BMI, any diabetes and other conditions. Wegovy and Mounjaro are registered for weight management; Mounjaro is also registered for type 2 diabetes. Ozempic is primarily a diabetes medicine. Not sure whether you qualify? See who it is suitable for. You can find an overview of clinics that carry out intakes at clinics.

Frequently asked questions

Is Ozempic the same as Wegovy?
Both contain the same active substance, semaglutide. The difference lies in registration and maximum dosage: Ozempic is registered for type 2 diabetes, Wegovy for weight management. A doctor assesses which medicine is appropriate.
Does Mounjaro work better than Ozempic or Wegovy?
In studies, tirzepatide (Mounjaro) showed higher average weight loss than semaglutide, but these are study averages and not a guarantee. Suitability depends on your personal situation and is assessed by a doctor.
Are these medicines available without a prescription?
No. Ozempic, Wegovy and Mounjaro are prescription-only and available only through a doctor and pharmacy. Buying without a prescription carries risks, such as counterfeits; see buying without a prescription.
How often do I need to inject?
All three medicines are injected weekly. The doctor or pharmacy explains the injection technique; see also the page on injecting.

Official sources on this topic

Independent, authoritative information from official bodies: