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HealthBixby > Diabetes > Can I take metformin and ozenpic together?
Diabetes

Can I take metformin and ozenpic together?

September 8, 2025 12 Min Read
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Boxes of Ozempic and metformin
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Table of Contents

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  • How are metformin and ozempic completely different?
    • Metformin
    • ozempic
  • Why am I prescribed metformin and ozempic?
  • Are you able to safely take the medication collectively?
  • What are the negative effects of taking each metformin and ozempic?
  • Does Ozempic work higher than metformin?
  • Can I take Metformin mixture drugs and Ozempic?
  • Is metformin safer than ozempic?
  • What meals must you keep away from when taking metformin and ozenpic collectively?
  • How a lot weight are you able to lose along with Metformin and Ozempic?

Metformin and Ozempic are common pharmaceuticals that assist individuals handle their diabetes.

These medication work in a wide range of methods and are comparatively new to make use of collectively, so you might have questions on how they work together, what their negative effects are, and the way properly they work.

How are metformin and ozempic completely different?

To know why you’re prescribed one treatment at a time, you will need to know a bit about whether or not you’re prescribed one treatment at a time, and the way every treatment and the way they differ.

Ozempic and metformin differ in a number of methods. First, metformin is an oral treatment day by day (or twice a day) and often takes the type of a capsule, whereas Ozempic is an injectable as soon as per week.

The 2 medication have completely different lively substances and act on the physique in several methods.

Metformin

Metformin is without doubt one of the most prescribed medicines on this planet. The commonest use is as first-line therapy for sort 2 diabetes.

Metformin reduces the quantity of glucose launched by the liver, reduces the quantity of glucose absorbed by the gut, will increase insulin sensitivity, permitting particular person cells within the physique to eat extra sugar and use it extra effectively.

It has additionally been demonstrated to have a variety of different well being advantages. More and more, metformin is being prescribed by:

Metformin has additionally been proven to assist individuals reduce weight in some conditions.

ozempic

Ozempic is the commonest drug model identify that makes use of the lively ingredient semaglutide, and is primarily used to assist handle diabetes.

Different pharmaceutical firms manufacture medication which have the identical lively substances as Ozempic (these embody the model names Rybelsus and Wegovy).

Ozempic is a glucagon-like peptide-1, or Agonist. It mimics the hormones within the physique that assist regulate blood glucose ranges.

It tends to extend the physique’s pure insulin manufacturing, scale back liver glucose manufacturing, gradual the drainage of meals from the abdomen into the small gut, scale back urge for food, and result in weight reduction.

Ozempic is a comparatively new drug accepted by the FDA in 2017, whereas metformin has been available on the market within the US since 1994. Each medication have been utilizing considerably since introduction.

Why am I prescribed metformin and ozempic?

The primary cause these drugs are prescribed is that can assist you handle your blood sugar ranges.

They assist most individuals decrease their common blood glucose ranges, as measured by HBA1C (A1C) blood assessments (a measure of glucose management over the previous 2-3 months). Results are extraordinarily necessary.

Scientific trials have established that metformin helps scale back A1C ranges by 1.5% at most doses, however the common dose of Ozempic might scale back A1C by 1.4%.

In case you are presently utilizing metformin and it’s not providing its full advantages anymore, your healthcare supplier could think about prescribing Ozempic. That is how properly it really works by itself instead of metformin or it’s used as an extra therapy with current metformin routine.

There are different the reason why you’re prescribed metformin or ozempic. Nevertheless, these makes use of are typically off-label (not accepted by the US Meals and Drug Administration (FDA).

Each metformin and ozempic have been proven that can assist you reduce weight, together with their key perform of reducing your common blood glucose degree. Neither drug has accepted the FDA for weight reduction, however it may be helpful results, particularly for individuals with sort 2 diabetes and problem sustaining a wholesome weight.

Each medication are additionally established to cut back the chance of main cardiovascular occasions corresponding to coronary heart assaults.

Whereas many of those off-label results could also be helpful, metformin and ozempic aren’t typically prescribed for these causes alone.

Are you able to safely take the medication collectively?

Typically, the reply is sure. Scientific trials have established that taking metformin and ozenpic collectively is usually secure.

It has truly develop into frequent observe to prescribe these drugs collectively as mixture remedy, not solely are they often secure, but in addition complement one another in serving to with glucose administration.

Medicines additionally assist in cardiovascular well being and weight reduction in methods that may strengthen one another.

Taking metformin and ozempic collectively is an efficient strategy to handle blood sugar ranges, particularly for individuals with sort 2 diabetes.

What are the negative effects of taking each metformin and ozempic?

Each of those medication could also be efficient in controlling blood glucose ranges, however they could even have negative effects, and if they’re put collectively, it could enhance the chance of sure opposed results and negative effects.

Each metformin and ozempic may cause gastrointestinal signs corresponding to nausea, vomiting, and diarrhea.

See extra particulars: Can metformin trigger diarrhea?

Collectively these two medication can enhance the probability and severity of negative effects chances are you’ll expertise.

It’s particularly necessary to concentrate on indicators of hypoglycemia (hypoglycemia) if you’re taking metformin and ozenpic collectively, or if you’re prescribed it along with insulin.

Low blood sugar ranges may cause the next signs:

  • Hungry
  • Dizziness
  • Nervousness or irritated
  • Sweat (sweats)
  • trembling
  • The sensation of tingling in my lips
  • Fast Heartbeat
  • Fatigue or weak point
  • Blurred visible adjustments
  • confusion

In case you are experiencing any of those signs, you will need to test your blood sugar ranges. If it is low, consuming or consuming one thing with carbohydrates will shortly restore your blood sugar to regular vary.

Metformin and Ozempic every have very uncommon potential negative effects, but it surely’s necessary to know.

Within the case of metformin, these embody vitamin B12 deficiency and lactic acidosis. This may trigger lactic acid to build up within the physique.

See extra particulars: Metophone may cause lactic acid illness?

Within the case of Ozempic, this consists of thyroid tumors.

Scientific trials present that taking each drugs as soon as doesn’t enhance the general danger of experiencing severe negative effects.

It is very important learn the documentation that comes along with your prescription and discuss to your physician about every prescription treatment and its potential negative effects.

For extra info on the negative effects of every drug, please see right here.

Does Ozempic work higher than metformin?

Metformin and Ozempic work in some ways and subsequently don’t essentially work Higher Greater than others.

Relying on the dose, both metformin or ozempic could decrease blood sugar ranges than different medication.

Ozempic has typically been proven to assist individuals lose extra weight than metformin, however everybody’s experiences are completely different and outcomes can range from individual to individual. Moreover, the drug doesn’t assure weight reduction, neither is it accepted by the FDA for that function.

Can I take Metformin mixture drugs and Ozempic?

Mixed drugs for individuals with sort 2 diabetes embody metformin paired with one other drug that usually has completely different behaviors. This strategy will increase the general effectiveness of the therapy, as every drug targets numerous facets of diabetes administration, thereby bettering general glycemic management.

Including an Ozempic prescription on high of metformin mixture drugs ought to solely be achieved in session along with your physician, as every of the three (or extra) lively substances can have their very own negative effects, interactions, and contraindications (conditions that may trigger hurt to conditions the place the treatment shouldn’t be used).

Is metformin safer than ozempic?

Metformin is commonly thought of to be one of many most secure and most studied medication to assist individuals handle their blood sugar ranges.

Metformin is extra generally used than Ozempic, however every drug undergoes in depth and rigorous testing.

Nevertheless, every particular person’s distinctive expertise with danger components and negative effects will range. Due to this fact, you will need to work along with your doctor to know how every drug’s security profile, dangers, and negative effects stack up in opposition to its advantages throughout the context of all well being historical past and objectives.

learn extra: Is metformin secure?

What meals must you keep away from when taking metformin and ozenpic collectively?

Meals that may trigger abdomen upset are greatest prevented when taking metformin and ozenpic collectively. These embody fatty and fatty meals (corresponding to butter, slices of fatty meat, cheese).

Typically, it’s best to keep away from refined and extremely processed meals (corresponding to white bread and packaging). Additionally it is really useful to keep away from consuming alcohol whereas taking metformin or ozenpic.

Observe all pointers and directions for the prescription treatment you take. It’s all the time a good suggestion to speak to your physician about meals you must eat, or about meals, drinks, or behaviors to keep away from when beginning a brand new prescription.

You may learn extra about meals to keep away from right here:

How a lot weight are you able to lose along with Metformin and Ozempic?

It is very important do not forget that working with physicians to know advantages and dangers is especially necessary, as utilizing metformin and ozenpic collectively for weight reduction is an off-label function that’s not accepted by the FDA.

Should you prescribe metformin and ozempic for sort 2 diabetes however need to reduce weight, there are FDA accepted weight reduction drugs which can be secure for diabetics, which docs additionally prescribe.

Scientific trials present that metformin alone leads to a mean weight lack of about 5% of physique weight in a few third of individuals taking the drug, together with losses of about 12-15 kilos in individuals with out diabetes.

Ozempic has been demonstrated to result in common weight reduction in weight in people who find themselves chubby or overweight.

For extra info:

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