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Liraglutide: Uses, Dosage, Side Effects & Complete Patient Guide

Introduction

Liraglutide is a medicine belonging to the group of GLP-1 receptor agonists (GLP-1 RA) typically used for management of diabetes. It works like the body’s natural hormone GLP-1, which helps lower blood sugar by increasing insulin reducing glucagon (a hormone that raises blood sugar), and slowing how quickly food leaves the stomach so sugar levels rise more steadily after meals. It also helps to reduce appetite. Because of these actions, it is useful for managing blood sugar in people with type 2 diabetes and for supporting weight management in individuals with obesity1,2

This medicine is available in two brands: Victoza and Saxenda3,4. The U.S. FDA approved Victoza in 2010 for diabetes control, while Saxenda was approved in 2014 for weight management at a higher dose2.  

In this blog, we will try to explain how liraglutide works, its recommended dosage, possible side effects, precautions, and helpful tips for its safe use. 

What is Liraglutide?

Liraglutide is a prescription medicine approved for the following medical conditions: 

Liraglutide or Lirafit as commonly known in the Indian market is not a very common drug compared to an Ozempic or Mounjaro unless prescribed by your Physician. The diet does play an important role to avoid any Gastrointestinal Disturbances. Thus managing it with a Dietician or Nutritionist who has seen patients on this drug is very important. The cost being cheaper compared to other Semaglutide drugs is appealing, but needs to be taken only on prescription.

Dr. Malavika Athavale, Consulting Clinical and IBS Nutritionist

How Liraglutide Works?

Liraglutide works by copying the action of the GLP-1 hormone in the body. GLP-1 hormone has four main roles. It helps the pancreas release insulin when blood sugar is high. It reduces the release of another hormone called glucagon, which normally raises blood sugar. It slows down how food leaves the stomach so blood sugar rises more gradually after meals. It also acts on the brain to reduce appetite and give a feeling of fullness1,6

Liraglutide medicine is almost 97% similar to the GLP-1 our body makes. This medicine attaches to special spots (receptors) not only on the pancreas but also in the gut and brain, which helps regulate sugar and appetite. On the pancreas, it encourages release of insulin and reduces glucagon. This lowers blood sugar and keeps it in the correct level. Importantly, this medicine does not make the body release too much insulin when sugar is normal or low. 

It also acts on the brain, especially in areas like the hypothalamus and brainstem to reduce hunger and food intake7. It may increase the body’s sensitivity to leptin, the hormone that signals fullness, which helps give a feeling of satiety1,8. Another special feature of liraglutide is that it does not break down easily, so its effects last longer. Because of these effects, liraglutide helps manage blood sugar in diabetes patients and also supports weight loss in obese individuals1,9

In my opinion, liraglutide offers distinct advantages, even though it shows modest weight loss when compared to newer molecules, Liraglutide can benefit individuals who struggle with remembering weekly injections beacuse of its daily dosing schedule. Moreover, it has demonstrated a significant reduction in major adverse cardiovascular events in high-risk patients. Importantly, it is approved for diabetes management in individuals aged 10 years and older, and for obesity management in those aged 12 years and above , making it a valuable option in younger populations where choices are limited.

Dr. Mikhil Kothari, MBBS ,PG Dip. Clinical Endocrinology & Diabetes (RCP, UK)

Liraglutide Brand Names & Generic Availability

Liraglutide is commonly available under 2 brand names- Victoza and Saxenda. Even though they contain the same drug, they are used for different health conditions. 

Victoza is used for people with type 2 diabetes. It helps to lower blood sugar levels when combined with healthy food choices and regular exercise. This medicine is not used for type 1 diabetes or for serious conditions like diabetic ketoacidosis. It is also not meant to be taken with insulin. People who had problems with the pancreas in the past need to be careful with it.  

Saxenda is used to help manage body weight. It is given to adults who are overweight or obese, especially if they also have health issues like high blood pressure, diabetes, or high cholesterol. It works best when combined with a low-calorie diet and regular physical activity. Saxenda is not a treatment for type 2 diabetes and should not be taken with insulin or with similar medicines.  

Victoza comes as an injection pen with doses such as 0.6 mg, 1.2 mg, or 1.8 mg. While Saxenda also comes as an injection pen, it comes as Liraglutide doses ranging from 0.6 mg up to 3 mg. Both are usually started at a low dose of 0.6 mg and then Victoza is gradually increased to 1.2–1.8 mg for diabetes but Saxenda may be given till 3 mg for weight management3,4

Liraglutide is sold under different brand names and is available in many countries across the world. 

Recently, the US FDA has approved a generic liraglutide version for treating type 2 diabetes with diet and exercise. It’s the first generic Liraglutide and only the second GLP-1 receptor agonist allowed as a generic. This aims to improve the accessibility and affordability of this medication for a wider population17

Liraglutide Dosage & Administration

The liraglutide dosing is different depending on whether it is used for diabetes management or for weight management. 

The medicine is available as liraglutide injection pens. It is injected under the skin, usually in the stomach, thigh, or upper arm, and should not be injected into a vein or muscle. To avoid swelling or small lumps, the liraglutide injection site should be changed each time. The injection is to be taken once daily at about the same time, following doctor’s instructions. It is important to follow the step-up schedule carefully and not take it more than prescribed4,5. 

Missed Dose & Overdose Guidance

If a liraglutide dose is missed, the next dose can be taken as per usual schedule on the following day. There is no need to take an extra dose to make up for the missed one. If the medicine is missed for 3 days or more, doctor should be consulted before restarting the treatment. He may restart from the lower starting dose (0.6 mg) and gradually increase again to avoid stomach-related side effects. 

In case of an overdose of liraglutide, symptoms such as severe nausea and vomiting may occur. It can also lower blood sugar (hypoglycaemia), especially if taken along with other medicines that reduce blood sugar, such as insulin or sulfonylureas. If this happens, seek medical help immediately. If after taking the medicine a patient collapses, has a seizure, has trouble breathing, or does not wake up, they must be taken to the hospital without delay4,5

Common Side Effects of Liraglutide

Some patients taking liraglutide injection may experience mild side effects, including: 

Changes in blood sugar may also be noticed, though this is uncommon when liraglutide is taken alone. The risk of low blood sugar increases mainly when combined with other medicines like insulin or sulfonylureas. Signs of low blood sugar (hypoglycaemia) can include: 

Serious Side Effects – When to Call Your Doctor

Some Liraglutide side effects are serious and need immediate medical attention. These include: 

These are red flag symptoms that require urgent attention. Always contact your doctor if you notice anything unusual while using liraglutide3,4

Who Should Not Use Liraglutide

Liraglutide should not be used in individuals: 

Tell your doctor before using liraglutide if you have: 

Drug, Food & Alcohol Interactions

Liraglutide may slow stomach emptying, which can affect how oral medicines work. Most medicines are not affected by liraglutide, but some, like digoxin, lisinopril, paracetamol, and birth-control pills, may have small changes in how they are absorbed. For this reason, doctors may adjust the timing of these medicines so that they do not interfere with each other1

When liraglutide is taken together with other anti-diabetic medicines such as sulfonylureas, there is a risk of lowering blood sugar too much, which is called hypoglycaemia. Liraglutide can be used with sulfonylureas or insulin, but the dose of these medicines may need to be reduced, and blood sugar should be monitored carefully3.  

It is best to limit or completely avoid alcohol while using liraglutide. Liraglutide itself does not directly interact with alcohol, but people with diabetes who also use insulin or sulfonylureas may face a higher risk of low blood sugar when they drink. Alcohol can also increase the risk of pancreatitis, which makes it unsafe for people taking liraglutide19,20

Also Read: Wegovy vs Ozempic: Differences, Uses, Dosage, Side Effects and More! 

Lifestyle & Diet Tips While on Liraglutide

When taking liraglutide, it’s important to follow proper certain lifestyle and dietary changes. These include: 

Taking the medicine along with following a proper diet and exercise helps achieve better results. 

Storage & Handling of Liraglutide

When using liraglutide injection, these instructions for proper storage and handling must always be followed: 

Also Read: Everything to Know About GLP-1 Receptor Agonist and Its Role in Weight Management 

Conclusion

Liraglutide is a GLP-1 receptor agonist that helps manage blood sugar in type 2 diabetes and supports weight control in adults with obesity. This injection should be used safely by following the doctor’s prescribed dose, proper injection technique, along with recommended lifestyle changes. Always work closely with your doctor for personalised dosage and monitoring. Do not adjust the dose on your own, and report severe abdominal pain (possible pancreatitis), continuous vomiting, swelling in the neck (possible thyroid issue), or any other unusual side effects of liraglutide promptly to ensure your treatment is safe and effective. 

Also Read: Yurpeak: How It Works, Benefits, Dosage, and Side Effects 

Frequently Asked Questiona (FAQs)

How to pronounce “liraglutide”? 

Liraglutide is pronounced “leer-a-gloo-tide.” Break it into parts: leer – a – gloo – tide for correct pronunciation5

Is liraglutide safe long-term? 

Yes, liraglutide is safe for long-term use, even up to five years, with studies showing sustained blood sugar and weight control in diabetic and overweight patients24

What is the difference between Victoza & Saxenda? 

Victoza is approved to manage blood sugar in type 2 diabetes, given in doses of 0.6 to 1.8 mg daily, while Saxenda is used for weight loss in overweight or obese adults, in doses of 0.6 to 3 mg. Both contain liraglutide as the main active ingredient2,3,4

Should I check my sugar levels when I am on liraglutide injection? 

If liraglutide is prescribed for diabetes, the doctor may ask you to get sugar tests and an HbA1c test, which shows your average sugar over 2–3 months. Sometimes, you may also be asked to check your sugar at home. 
When liraglutide is prescribed only for weight management, the doctor may focus more on checking your heart rate and weight regularly5

References

  1. Cerillo JL, Parmar M. Liraglutide [Internet]. Nih.gov. StatPearls Publishing; 2024. Available from: https://www.ncbi.nlm.nih.gov/books/NBK608007/ 
  2. Caffrey MK. Liraglutide Approved Under New Name to Treat Obesity. AJMC [Internet]. 2015 Jan 23;21. Available from: https://www.ajmc.com/view/liraglutide-approved-under-new-name-to-treat-obesity 
  3. FDA. Victoza (liraglutide [rDNA origin] injection [Internet]. 2010. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2010/022341lbl.pdf 
  4. U.S. Food and Drug Administration. Saxenda (liraglutide) injection, for subcutaneous use. Full prescribing information. 2018 Oct. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/206321s007lbl.pdf 
  5. Liraglutide Injection: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2018. Available from: https://medlineplus.gov/druginfo/meds/a611003.html 
  6. Collins L, Costello RA. Glucagon-like peptide-1 receptor agonists [Internet]. PubMed. Treasure Island (FL): StatPearls Publishing; 2024. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551568/ 
  7. Secher A, Jelsing J, Baquero AF, Hecksher-Sørensen J, Cowley MA, Dalbøge LS, et al. The arcuate nucleus mediates GLP-1 receptor agonist liraglutide-dependent weight loss. The Journal of Clinical Investigation [Internet]. 2014 Oct 1 [cited 2021 May 24];124(10):4473–88. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4215190/ 
  8. Iepsen EW, Lundgren J, Dirksen C, Jensen J-EB, Pedersen O, Hansen T, et al. Treatment with a GLP-1 receptor agonist diminishes the decrease in free plasma leptin during maintenance of weight loss. International Journal of Obesity. 2014 Oct 7;39(5):834–41. Available from: https://www.nature.com/articles/ijo2014177 
  9. Majumder A, Roy Chaudhuri S, Sanyal D, Bhattacharjee K. Liraglutide – Indian Experience. Indian J Endocrinol Metab. 2018;22(6):819–825. Available from: https://www.researchgate.net/publication/373360443_Liraglutide-_Indian_Experience 
  10. Balogun B. Weight loss medicines in England [Internet]. 2025 Apr. Available from: https://researchbriefings.files.parliament.uk/documents/CBP-10171/CBP-10171.pdf 
  11. Victoza – European Medicines Agency [Internet]. European Medicines Agency. 2018. Available from: https://www.ema.europa.eu/en/medicines/human/EPAR/victoza 
  12. Saxenda – European Medicines Agency [Internet]. European Medicines Agency. 2018. Available from: https://www.ema.europa.eu/en/medicines/human/EPAR/saxenda  
  13. Central Drugs Standard Control Organization. List of Approved New Drugs. Available from: https://www.cdscoonline.gov.in/CDSCO/cdscoDrugs 
  14. Glenmark Pharmaceuticals Ltd. Glenmark is the first to launch biosimilar of popular anti-diabetic drug, liraglutide, in India. Mumbai: Glenmark Pharmaceuticals Ltd.; 2024 Jan 3. Available from: Notification to the exchange_Press Release_Glenmark is the first to launch Biosimilar of Popular Anti-Diabetic Drug Liraglutide in India.pdf 
  15. Vidal.ru. Enligria (liraglutide) – prescribing information. Vidal; updated 28 Jul 2025. Available from: Enligria instructions for use: indications, contraindications, side effects – description Enligria solution for subcutaneous administration 6 mg/1 ml: syringe pens 3 ml 1, 2, 3, 4, 5 or 6 pcs. (65339) – reference book of drugs and medicines 
  16. VictozaTM. Healthline [Internet]. Healthdirect.gov.au. 2024. Available from: https://www.healthdirect.gov.au/medicines/brand/amt,97761000036103/victoza  
  17. Anderer S. FDA Approves Generic Liraglutide to Address GLP-1 Drug Shortage. JAMA. 2025 Mar 4;333(9):746. Available from: FDA Approves Generic Liraglutide to Address GLP-1 Drug Shortage | Diabetes | JAMA | JAMA Network 
  18. Kalaria T, Ko YL, Issuree KKJ. Literature review: drug and alcohol-induced hypoglycaemia. Journal of Laboratory and Precision Medicine [Internet]. 2021 Jul 30 [cited 2022 May 31];6(0). Available from: https://jlpm.amegroups.com/article/view/6405/html  
  19. Molina-Castro M, Rowitz B, Pepino MY. Glucagon-like peptide-1, fibroblast growth factor 21, and other endocrine responses to alcohol ingestion in women before and after metabolic surgery. Front Pharmacol. 2025 May 22;16:1575156. doi: 10.3389/fphar.2025.1575156. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC12137268/
  20. Herreros-Villanueva M. Alcohol consumption on pancreatic diseases. World Journal of Gastroenterology. 2013;19(5):638. Available from: https://www.wjgnet.com/1007-9327/full/v19/i5/638.htm  
  21. Gorgojo-Martínez JJ, Mezquita-Raya P, Carretero-Gómez J, Castro A, Cebrián-Cuenca A, de Torres-Sánchez A, et al. Clinical Recommendations to Manage Gastrointestinal Adverse Events in Patients Treated with Glp-1 Receptor Agonists: A Multidisciplinary Expert Consensus. Journal of Clinical Medicine [Internet]. 2023 Jan 1;12(1):145. Available from: https://www.mdpi.com/2077-0383/12/1/145 
  22. Almandoz JP, Wadden TA, Tewksbury C, Apovian CM, Fitch A, Ard JD, et al. Nutritional Considerations with Antiobesity Medications. Obesity. 2024 Jun 10;32(9). Available from: Nutritional considerations with antiobesity medications – Almandoz – 2024 – Obesity – Wiley Online Library 
  23. Wadden TA, Chao AM, Moore MB, Tronieri JS, Iwamoto SJ, Amaro A, et al. The Role of Lifestyle Modification with Second-Generation Anti-obesity Medications: Comparisons, Questions, and Clinical Opportunities. Current Obesity Reports. 2023 Dec 2;12(4). Available from: The Role of Lifestyle Modification with Second-Generation Anti-obesity Medications: Comparisons, Questions, and Clinical Opportunities – PMC 
  24. Astrup A, Carraro R, Finer N, Harper A, Kunesova M, Lean MEJ, et al. Safety, tolerability and sustained weight loss over 2 years with the once-daily human GLP-1 analog, liraglutide. International Journal of Obesity [Internet]. 2011 Aug 16;36(6):843–54. Available from: https://www.nature.com/articles/ijo2011158 

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

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Wegovy Diet Plan: Complete Food Guide, Side Effect Management & Meal Ideas 

Introduction

In India, obesity is on the rise, especially in cities, where almost 4 out of 10 adults are affected. This can increase the risk of serious health problems like high blood pressure, type 2 diabetes, and heart disease1,2. Wegovy is a prescription medicine that contains semaglutide, a medicine belonging to the GLP-1 receptor agonist group. This medicine may help to manage weight in people aged 12 years and above who are overweight or obese, and may also help reduce the risk of heart problems in some people. The starting dose of Wegovy is 0.25 mg, and it goes up to 2.4 mg. It should be taken along with a proper diet and regular physical activity2,3. In this blog, we will explore options for a healthy eating plan which works well with Wegovy as well as helps manage its side effects and supports long-term health. 

How Wegovy Works & Why Diet Matters?

Wegovy works by acting like a natural hormone called GLP-1, which helps control appetite and how much we eat. It works in two ways. In the stomach, it slows down how quickly food leaves, so you feel full for a longer time and eat less. In the brain, it reduces hunger and lowers cravings for high calorie foods. It also helps balance the hunger and fullness hormones in the body4

As  Wegovy affects the appetite and digestion, it is important to pay attention to the diet while taking the same. The medication reduces how much you eat, lowers calorie intake, and slows stomach emptying, which can make it harder for the body to absorb all essential nutrients. This may lead to lower energy levels, tiredness, or fatigue. Keeping this in mind your diet should focus on getting all the necessary vitamins and minerals5,6.  

Many people may also experience gastrointestinal side effects such as nausea, vomiting, diarrhoea, or constipation. These effects happen because Wegovy acts on certain areas in the brain and gut, affecting digestion. Adjusting what and when you eat can help reduce these side effects7,8

Long-term results with Wegovy also depend on food choices. The medication is most effective when combined with a structured, calorie-controlled diet and regular physical activity, leading to an average body weight reduction of around 16% in clinical studies9. 

Following a balanced and properly structured diet is important for using Wegovy effectively. In the next section, we will explore the core principles of a Wegovy-friendly diet. 

Core Principles of a Wegovy-Friendly Diet?

Any person who is on Wegovy medicine needs to adopt a dietary approach that not only supports the treatment but also reduces side effects and improves overall outcomes. The key principles of a Wegovy diet include: 

Healthy carbohydrates should include whole grains, fruits, vegetables, nuts, seeds, and dairy. Don’t go for very low-carbohydrate diets, as you may lose out on important nutrients and fibre. Healthy fats should be consumed as they also help support gallbladder health. Also, the right amount of protein should be taken, and preferably first at each meal11,12

Get your fibre from fruits, vegetables, and whole grains. For those on Wegovy medicine, the fibre intake may be slowly increased along with a good amount of water or fluids to prevent constipation. 

While following the Wegovy diet, one should keep in mind the GI disturbances and add foods to aid in better digestion. Some quick hacks to avoid any acid reflux issues or bloating issues should be incorporated while planning the diet. In my clinic practice, chewing a tsp of Saunf/ Fennel Seeds (roasted) or 4 Raisins (if not a Diabetic) post meals has shown an immense response to patients on wegovy to avoid any acidity post meals

Dr Malavika Athavale, Consulting Clinical and IBS Nutritionist

Best Foods to Eat on Wegovy

You must be wondering what to eat on Wegovy if you are using this medicine. Actually, choosing the right foods is key to get the best results in weight loss and manage side effects when on Wegovy. The best foods to include are: 

1. Protein Sources

Adding protein to the diet helps to build muscle, boosts metabolism, and makes you feel full for longer. It also reduces cravings and helps you eat less, which supports weight loss. Losing weight can reduce muscle and bone mass, especially in older people or those who don’t eat enough protein or exercise. To prevent this, it’s important to include nutrient-rich, smaller-portion protein foods like: 

2. Low-GI Carbs

Foods with a glycaemic index of 55 or lower provide slow, steady energy release that helps with appetite control and blood sugar balance, which can help specially those who are on Wegovy. Examples of low-GI carbs that can be included in wegovy food list: 

3. Healthy Fats

Healthy fats help absorb vitamins A, D, E, and K, stimulate gallbladder emptying, and prevent stone formation. Recommended sources of healthy fats include: 

4. Fibre-Rich Veggies & Fruits

Fibre is good for digestive health, helps feel full, lowers cholesterol, and keeps blood sugar under control. Some fibre-rich foods that can be included are: 

5. Hydration (Water + Electrolytes)

Adequate hydration is essential. Suitable options include: 

Additionally, easy-to-digest, low-fat foods, mainly bland ones, may be included in a Wegovy diet plan, prepared using cooking methods such as oven baking, boiling, or pan-searing8,11

Foods to Limit or Avoid?

When taking Wegovy, some foods can cause nausea, bloating, and other digestive issues, and can also affect weight loss results. These are some foods to avoid when taking Wegovy: 

Bonus tips: Soups or broths consumed late in the evening slow digestion. Large amounts of fruit with large meals can contribute to bloating, which has to be considered while meal planning8,17

Managing Side Effects Through Diet

To avoid digestive problems such as nausea, vomiting, diarrhoea, or constipation when taking Wegovy, the following recommendations may be helpful: 

If digestive symptoms like nausea, vomiting, or other side effects occur while on Wegovy, drinking water or other fluids during meals should be avoided, with intake timed 30–60 minutes before or after eating instead. 

One key instruction I emphasise to all my patients is to avoid eating until the stomach feels completely full. Overeating significantly increases the likelihood of nausea, bloating, and reflux while on GLP-1 therapy. Healthy fats and high-quality proteins naturally complement the mechanism of GLP-1 receptor agonists by promoting satiety and metabolic stability. Hydration is just as important as protein. Thirst is frequently misinterpreted as hunger, and increasing protein intake should always be accompanied by proportionate water intake. To reduce constipation, I would recommend 1–2 teaspoons of chia seeds soaked overnight.

Dr. Mikhil Kothari, MBBS | PG Dip. Clinical Endocrinology & Diabetes (RCP, UK)

Best Time to Take Wegovy to Avoid Nausea

The best time to take Wegovy to help prevent feeling nauseous is at least 30 minutes after the last dose before consuming food. Foods that are gentle on your stomach, like crackers, peeled apples, fresh mint, pieces of ginger root, or ginger-based drinks are recommended to be included in meals. These should be eaten slowly and in small amounts so the stomach can tolerate the medicine better, and nausea is reduced8

Customizable Meal Frameworks

For individuals taking Wegovy, following a simple food plan can help improve digestion and reduce side effects like nausea, vomiting, bloating or other digestive issues. This plan outlines the types of foods to include each day and how much, while still allowing flexibility for personal preferences. 

Sample Wegovy Diet Day

A simple one-day Wegovy diet plan may include easy-to-digest small meals and snacks that cover the key principles of a Wegovy diet11,19.  

1. Breakfast

2. Mid-Morning Snack

3. Lunch

4. Afternoon Snack

5. Dinner

6. Optional

Also Read: Zepbound vs Wegovy: Side Effects, Effectiveness and More!

Lifestyle & Mindset Tips While on Wegovy

Along with following a good diet, simple lifestyle and mindset habits are recommended when taking Wegovy. 

When to See a Doctor?

Even when following a proper diet and lifestyle plan with Wegovy, it is important to contact a doctor immediately in case of: 

Conclusion

Wegovy may work best when it is paired with a mindful, balanced diet based on every individual’s body needs. There is no single wegovy food list that fits everyone, so individuals are encouraged to listen to their bodies and adjust their diet based on how they feel. Starting with smaller, consistent changes rather than drastic shifts may bring long-term results. It is always advisable to consult a doctor or dietitian before making major dietary changes while using Wegovy. 

Frequently Asked Questions (FAQs)

Can I eat sweets occasionally on Wegovy?

It is advised to minimise or totally avoid sweets, ultra-processed foods, and sugar-sweetened beverages. They can be taken only on very rare occasions, but during Wegovy treatment, the focus should be on fruits, vegetables, whole grains, lean proteins, dairy, nuts, and seeds. 

Is fasting recommended? 

Fasting is not specifically recommended while on Wegovy. Some people may try intermittent fasting to speed up weight loss, but it can increase the risk of hypoglycaemia (low sugar levels). It is better to focus on balanced meals at regular intervals, with more protein, fibre, and nutrient-dense foods22

How to eat enough on Wegovy?

It is recommended to eat small portions often, ensuring inclusion of protein and fibre. Meals should be eaten slowly, and gentle cooking methods like steaming, baking, or boiling are preferred. Spicy and fried foods should be limited, water should be consumed between meals, and fruits can be chosen as snacks17,22

Can I eat rice on Wegovy?

Yes, rice can be part of the diet while on Wegovy. Whole grains like brown rice or whole grain rice are encouraged, and these should ideally be paired with vegetables or protein22

What happens if you overeat on Wegovy?

If large meals are consumed on Wegovy, this may lead to nausea or vomiting. Eating smaller meals more often at regular intervals is therefore recommended5,22

Does Wegovy cause hair loss?

Some people on Wegovy may notice hair loss from rapid weight loss and nutrient deficiency, but with a balanced, nutrient-rich diet this effect can often be managed23

References

  1. Arora S, Grandhi B, Vakhariya S. Pioneering change in India: Rogers’ model and the strategic adoption of GLP-1 receptor agonists for diabetes and obesity management. IOSR J Pharm Biol Sci. 2024 Nov-Dec;19(6):71-9. Available from: https://www.iosrjournals.org/iosr-jpbs/papers/Vol19-issue6/Ser-2/L1906027179.pdf 
  2. Singh G. Wegovy (semaglutide): a new weight loss drug for chronic weight management. PMC. 2021. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8717485/  
  3. U.S. Food and Drug Administration. WEGOVY (semaglutide) injection, for subcutaneous use. 2024. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2024/215256s011lbl.pdf 
  4. IJCRT. WEGOVY (semaglutide) and cardiac health. IJCRT. 2024 Oct 10;12(10):1-6. Available from: https://www.ijcrt.org/papers/IJCRT2410100.pdf 
  5. Mozaffarian D. Nutritional priorities to support GLP-1 therapy for obesity: a joint advisory from lifestyle and nutrition societies. ScienceDirect. 2025. Available from: https://www.sciencedirect.com/science/article/pii/S2667368125000257 
  6. Melis P. The effect of semaglutide on intestinal iron absorption in patients with type 2 diabetes mellitus—A pilot study. PMC. 2025. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12046454/ 
  7. Shu Y. Gastrointestinal adverse events associated with semaglutide: a pharmacovigilance study based on FDA adverse event reporting system. PMC. 2022. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9631444/ 
  8. Gorgojo-Martínez JJ. Clinical recommendations to manage gastrointestinal adverse events in patients treated with GLP-1 receptor agonists: a multidisciplinary expert consensus. PMC. 2022. Available from: https://pubmed.ncbi.nlm.nih.gov/36614945/ 
  9. Bergmann NC. Semaglutide for the treatment of overweight and obesity: a review. PMC. 2022. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10092086/ 
  10. Fornes A, Huff J, Pritchard RI, Godfrey M. Once-Weekly Semaglutide for Weight Management: A Clinical Review. Journal of Pharmacy Technology. 2022 May 13;38(4):875512252210926. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9272494/  
  11. Almandoz JP, Wadden TA, Tewksbury C, Apovian CM, Fitch A, Ard JD, et al. Nutritional Considerations with Antiobesity Medications. Obesity. 2024 Jun 10;32(9). Available from: https://onlinelibrary.wiley.com/doi/10.1002/oby.24067  
  12. Del Prete M, Gavazzi L, Disoteo OE, Vignati F, Di Sacco G, Muratori F. Real-world effectiveness of Semaglutide treatment on weight loss maintenance after weight loss in patients with obesity or overweight and diabetes. Eating and Weight Disorders – Studies on Anorexia, Bulimia and Obesity. 2025 Jan 9;30(1). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11717789/  
  13. Kamemoto K, Tataka Y, Hiratsu A, Nagayama C, Hamada Y, Kurata K, et al. Effect of vegetable consumption with chewing on postprandial glucose metabolism in healthy young men: a randomised controlled study. Scientific Reports. 2024 Mar 30;14(1). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10981726/  
  14. Agatha A. Study on dietary patterns and metabolic outcomes. Science Journal SDSUV. 2024 Jan. Available from: https://sdsuv.co.in/science_journal/wp-content/uploads/2024/01/07-2023-Agatha-1.pdf  
  15. Foster-Powell K, Holt SH, Brand-Miller JC. International table of glycemic index and glycemic load values: 2002. Am J Clin Nutr. 2002;76(1):5–56. Available from: https://ajcn.nutrition.org/article/S0002-9165(23)05840-9/pdf  
  16. CDC. Healthy Eating Tips [Internet]. Nutrition. CDC; 2024. Available from: https://www.cdc.gov/nutrition/features/healthy-eating-tips.html 
  17. Gentinetta S, Sottotetti F, Matteo Manuelli, Cena H. Dietary Recommendations for the Management of Gastrointestinal Symptoms in Patients Treated with GLP-1 Receptor Agonist. Diabetes Metabolic Syndrome and Obesity [Internet]. 2024 Dec 1;Volume 17:4817–24. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11668918/ 
  18. Australia H. Low FODMAP diets [Internet].. 2019. Available from: https://www.healthdirect.gov.au/low-fodmap-diets 
  19. Food Group Servings Serving Size Examples [Internet]. Available from: https://www.healthvermont.gov/sites/default/files/documents/pdf/HPDP-Diabetes_dash%20eating%20plan.pdf 
  20. Wadden TA, Chao AM, Moore MB, Tronieri JS, Iwamoto SJ, Amaro A, et al. The Role of Lifestyle Modification with Second-Generation Anti-obesity Medications: Comparisons, Questions, and Clinical Opportunities. Current Obesity Reports. 2023 Dec 2;12(4). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10748770/  
  21. Despain D, Hoffman B. Optimizing Nutrition, Diet, and Lifestyle Communication in GLP-1 Medication Therapy for Weight Management: A Qualitative Research Study with Registered Dietitians. Obesity Pillars. 2024 Oct;12:100143. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11533596/ 
  22. Dariush Mozaffarian, Agarwal M, Aggarwal M, Alexander L, Apovian CM, Shagun Bindlish, et al. Nutritional priorities to support GLP‐1 therapy for obesity: A joint Advisory from the American College of Lifestyle Medicine, the American Society for Nutrition, the Obesity Medicine Association, and The Obesity Society. Obesity. 2025 May 30; Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC12304835/ 
  23. Diala Haykal. Alopecia and Semaglutide: Connecting the Dots for Patient Safety. Journal of Cosmetic Dermatology. 2025 Mar 1;24(3). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11909624/  

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

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Cervical Cancer: What is it, Symptoms, Causes & Treatment

Introduction

Cervical cancer remains a major public health challenge, ranking as the fourth most common cancer among women worldwide1. In India, it is the second most common cancer in women. By 2025, the burden of this cancer in India projected to reach 1.5 million Disability-Adjusted Life Years (DALYs), a measure that combines years of life lost due to premature death and years lived with illness or disability2.  

This highlights the urgent need for action. Therefore, understanding what is cervical cancer, along with adopting preventive measures, ensuring early detection, and providing effective treatment, is essential for reducing its impact on women’s health. 

Understanding the Cervix

The cervix is the narrow, lower portion of the uterus (womb) that connects it to the vagina (birth canal). It allows fluids (like menstrual blood and mucus) to flow from the uterus into the vagina, and it also widens during childbirth to allow the baby to pass through3

The cervix has two main parts3

The junction/zone where these two parts of the cervix meet is called the squamocolumnar junction (or transformation zone). This is where the thin, flat squamous cells are found, and where most abnormal cell changes and cervical cancers originate. 

What is Cervical Cancer?

Cervical cancer starts in the cells of the cervix. It usually develops slowly over time. Before cancer forms, the cells in the cervix may undergo changes (dysplasia) and abnormal cells appear in the cervical tissue3

If these abnormal cells are not detected and treated, these abnormal changes may turn into cancer and grow deeper into the cervix or spread to nearby areas3

HPV and Cervical Cancer

Human papillomavirus (HPV) is the primary cause of cervical cancer. It is a common sexually transmitted infection that can affect the skin, genital area, and throat. Certain high-risk types of HPV strains (such as HPV 16 and HPV 18) are responsible for about 70% of all cervical cancer cases worldwide4,5

These viruses can infect the cells of the cervix and cause changes in their DNA. Over time, if the infection does not clear on its own or is left undetected, these changes can lead to dysplasia, which may eventually turn into cancer4.  

However, it is important to note that HPV infections are extremely common, often transient, and only persistent infections with high-risk subtypes can lead to cancers. Presence of cofactors like smoking and poor immunity increase the progression risk. 

Also Read: Human Papillomavirus (HPV): What Is It, Causes, Symptoms, and Prevention 

Cervical Cancer Symptoms

In the early cervical cancer stages, cancer often develops without any noticeable symptoms. This makes it difficult to detect early. Symptoms typically appear only after the cancer has started to spread. Possible early-stage cervical cancer symptoms may include6

When cervical cancer becomes advanced (spreading beyond the cervix), symptoms can include those listed above, along with6

Note: It is important to remember that these symptoms can be caused by conditions other than cervical cancer. However, the only way to know for sure is to consult a doctor.  

As per my experience, one of the important signs of cervical cancer to be wary of is bleeding after sexual intercourse within 24 hours. If you notice this,consult your doctor immediately.

Dr. Kathak Shah, MBBS, DDV, Fellowship in Lasers & Aesthetics, Fellowship in Dermatosurgery

Cervical Cancer Causes

As discussed earlier, the main cause of cervical cancer is persistent infection with high-risk types of HPV1

Almost all sexually active individuals may get HPV at some point (often without symptoms), and in most cases, the immune system clears the virus naturally. However, if the infection with a high-risk HPV type does not go away or is left unaddressed (for around 10 to 15 years), it can cause abnormal cell changes in the cervix that may eventually develop into cervical cancer1

Cervical Cancer Risk Factors

Risk factors that increase the chance of developing cervical cancer include4

Types of Cervical Cancer

Cervical cancers are classified based on the type of cell where the cancer begins. The main types include: 

Note: Very rarely, cervical cancer can even start in other cell types within the cervix3

Cervical Cancer Stages

Cervical cancer staging describes how far the cancer has grown or spread. Stages include8

Note: The staging now incorporates imaging and pathology findings also. 

Diagnosis of Cervical Cancer

If symptoms suggest cervical cancer, further tests are done to confirm the diagnosis. The process often starts with a colposcopy, where the cervix is examined using a magnifying device after applying acetic acid and Lugol’s iodine solution to highlight abnormal areas. If suspicious areas are seen, a biopsy is performed to collect tissue for examination under a microscope. These tests are a crucial part of visual screening in resource-limited areas. 

Types of biopsy procedures include9

If cervical cancer is confirmed, you will be referred to a gynaecologic oncologist (a specialist in staging and treating cancers of the female reproductive system). They will order tests to determine the stage of the cancer, whether it is confined to the cervix or has spread to other parts of the body. 

Note: Excisional biopsy (biopsy where the entire suspicious tissue is removed) can be both diagnostic or therapeutic in very early stages. 

Other tests may include9

Cervical Cancer Treatment

Cervical cancer treatment depends on the stage of the disease, overall health, and personal preferences. Most patients receive a combination of therapies to remove or destroy cancer cells and prevent recurrence. Common treatments include10

Note: A treatment plan is tailored to each patient and may also consider fertility preservation, pregnancy, and follow-up care. It is therefore essential to discuss all available options with your doctor. 

Side Effects of Cancer Treatment

Cervical cancer treatment (such as radiation therapy, chemotherapy, targeted therapy, or surgery) can cause a range of side effects. These may vary depending on the type, stage of cancer, and individual response to treatment. 

 Common side effects include11

Other than these, with radiation treatment, premature ovarian failure and early menopause may occur in premenopausal women. Also, after radical hysterectomy, possible bladder dysfunction can happen due to autonomic nerve damage. 

Complications of Cervical Cancer

In advanced stages, cervical cancer and its treatments may lead to several serious complications, similar to those seen in other cancers. These may include4

Besides the above-mentioned, there are concerns which impact quality-of-life such as sexual dysfunction, psychological effect and body image issues and unfortunately these are often under-addressed. 

Can Cervical Cancer be Cured Completely?

Cervical cancer can often be cured if it is detected and treated in its early stages1.  

Recognising cervical cancer causes and obtaining an early diagnosis through regular screening, such as Pap smears and HPV testing, could greatly improve the chances of cure4. Additionally, when caught early, treatments like surgery, radiation therapy, or a combination of radiation and chemotherapy can be highly effective. However, the likelihood of a cure may decrease if the cancer is diagnosed at an advanced stage, as it may have spread to other parts of the body. 

Therefore, regular screening, HPV vaccination, and prompt treatment of precancerous changes are advised for improving long-term survival rates. 

Living With Cervical Cancer

Living with cervical cancer can be physically and emotionally challenging, but with the right support, care, and mindset, many women are able to maintain a good quality of life during and after treatment. Coping strategies may include: 

Always keep in mind that managing side effects is an important part of treatment, and your doctor can provide medications, therapies, and lifestyle guidance to help you cope effectively. 

Also Read: Cervical Cancer Vaccine: Benefits, Age Limit & Side Effects

Cervical Cancer Prevention Strategies

Prevention tips focus on reducing cervical cancer risk factors, protecting against HPV infection, and ensuring early detection through regular screening. Some proactive steps include: 

When to See a Doctor?

You should seek medical attention promptly if you notice any signs or symptoms that could indicate cervical cancer. These may include6

Note: Even if your symptoms seem mild, early evaluation can help detect problems sooner and improve treatment outcomes. Additionally, regular gynaecological check-ups and screenings are equally important, even if you have no cervical cancer symptoms. 

Also Read: Blood Cancer: Symptoms, Causes, Types, Stages & Treatment Options

Conclusion

Cervical cancer can often be prevented and is highly treatable if found early.  

Regular screening, HPV vaccination, and adopting healthy lifestyle habits can greatly reduce the risk of developing the disease. Additionally, early detection enables timely treatment, which improves the chances of a complete cure and helps maintain a good quality of life. Therefore, by staying aware of cervical cancer symptoms, attending routine checkups, and following cervical cancer prevention measures, individuals can take proactive steps to protect themselves. 

Frequently Asked Questions (FAQs)

Can men get cervical cancer?

Cervical cancer occurs only in individuals with a cervix. However, men can carry and transmit the human papillomavirus (HPV), which is the primary cause of cervical cancer. Moreover, in men high risk HPV can cause cancers such as penile, anal or oropharyngeal cancer. This is why HPV vaccination is recommended for both males and females1,4

Can cervical cancer go unnoticed until it reaches the later stages?

Cervical cancer in its initial stages may not always cause any noticeable symptoms. That is why regular Pap smears or HPV testing are essential for early detection4,6

Can diet or lifestyle changes cure cervical cancer?

While a healthy lifestyle can boost overall immunity and reduce cancer risk, it cannot cure cervical cancer15. Medical treatment is necessary for managing the disease. 

Does obesity increase the risk of cervical cancer?

Obesity does not directly cause cervical cancer, but it can make screening more challenging4,16. Excess body weight may make pelvic examinations and Pap smears technically harder, which may lead to missed or delayed detection of precancerous changes. This delay could therefore increase the risk of cervical cancer being diagnosed at a later stage16

References

  1. World Health Organization. Cervical cancer [Internet]. WHO; [cited 2025 Aug 09]. Available from: https://www.who.int/news-room/fact-sheets/detail/cervical-cancer 
  2. Ramamoorthy T, Kulothungan V, Sathishkumar K, et al. Burden of cervical cancer in India: estimates of years of life lost, years lived with disability and disability adjusted life years at national and subnational levels using the National Cancer Registry Programme data. Reprod Health. 2024;21:111. Available from: https://rdcu.be/ezV6c 
  3. National Cancer Institute. What is cervical cancer? [Internet]. Cancer.gov; [cited 2025 Aug 09]. Available from: https://www.cancer.gov/types/cervical 
  4. Fowler JR, Maani EV, Dunton CJ, et al. Cervical Cancer. StatPearls [Internet]. StatPearls Publishing; [cited 2025 Aug 09]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK431093/ 
  5. Ahmed HG, Bensumaidea SH, Alshammari FD, Alenazi FSH, ALmutlaq BA, Alturkstani MZ, Aladani IA. Prevalence of Human Papillomavirus subtypes 16 and 18 among Yemeni Patients with Cervical Cancer. Asian Pac J Cancer Prev. 2017 Jun 25;18(6):1543-1548. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6373819/ 
  6. National Cancer Institute. Cervical Cancer Symptoms [Internet]. Cancer.gov; [cited 2025 Aug 09]. Available from: https://www.cancer.gov/types/cervical/symptoms 
  7. Cue L, Martingano DJ, Mahdy H. Clear cell carcinoma of the cervix. StatPearls [Internet]. StatPearls; [Publishing cited 2025 Aug 09]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK546591/ 
  8. National Cancer Institute. Cervical Cancer Stages [Internet]. Cancer.gov; [cited 2025 Aug 09]. Available from: https://www.cancer.gov/types/cervical/stages 
  9. National Cancer Institute. Cervical Cancer Diagnosis [Internet]. Cancer.gov; [cited 2025 Aug 09]. Available from: https://www.cancer.gov/types/cervical/diagnosis 
  10. National Cancer Institute. Cervical Cancer Treatment [Internet]. Cancer.gov; [cited 2025 Aug 09]. Available from: https://www.cancer.gov/types/cervical/treatment 
  11. Palagudi M, Para S, Golla N, Meduri KC, Duvvuri SP, Vityala Y, Sajja DC, Damineni U. Adverse Effects of Cancer Treatment in Patients With Cervical Cancer. Cureus. 2024 Feb 13;16(2):e54106. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10938271/ 
  12. World Health Organization. Self Care for Health [Internet]. WHO; [cited 2025 Aug 09]. Available from: https://iris.who.int/bitstream/handle/10665/205887/B5084.pdf 
  13. National Cancer Institute. Cervical Cancer Causes, Risk Factors, and Prevention [Internet]. Cancer.gov; [cited 2025 Aug 09]. Available from: https://www.cancer.gov/types/cervical/causes-risk-prevention 
  14. World Health Organisation. HPV and cervical cancer: What you need to know. [Internet]. WHO; [cited 2025 Aug 09]. Available from: https://cdn.who.int/media/docs/librariesprovider2/euro-health-topics/vaccines-and-immunization/hpv-factsheet-2023.pdf?sfvrsn=fa98e9f8_2&download=true#:~:text=WHO%20therefore%20recommends%20screening%20for%20vaccinated%20and,screening%20test%2C%20until%2049%20years%20of%20age.  
  15. Hajiesmaeil M, Mirzaei Dahka S, Khorrami R, Rastgoo S, Bourbour F, Davoodi SH, Shafiee F, Gholamalizadeh M, Torki SA, Akbari ME, Doaei S. Intake of food groups and cervical cancer in women at risk for cervical cancer: A nested case-control study. Caspian J Intern Med. 2022 Summer;13(3):599-606. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9348217/ 
  16. Maruthur NM, Bolen SD, Brancati FL, Clark JM. The association of obesity and cervical cancer screening: a systematic review and meta-analysis. Obesity (Silver Spring). 2009 Feb;17(2):375-81. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3008358/ 

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

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Wegovy (Semaglutide): How It Works, Who It’s For & What to Expect 

Introduction

Obesity is becoming a common health issue around the world. Experts say that by 2035, more than half of the global population may be overweight or obese. Having a high body weight was linked to around 4 million deaths worldwide in 20151

To help manage this problem, doctors now use a group of medicines called GLP-1 receptor agonists. This group of medicines aids in lowering blood sugar levels by increasing insulin and reducing glucagon hormones. This may help to make you feel full sooner, eat less, and lose weight1,2. Some other GLP-1 medicines available today include semaglutide (sold as Wegovy, Ozempic, and Rybelsus), tirzepatide (Mounjaro – a medicine that acts on both GIP and GLP1 receptors, sometimes called a “twincretin”), and liraglutide2,3

Although initially approved for treating type 2 diabetes, now certain medicines under this group like Wegovy injection are used for aiding weight loss in those who are overweight or obese along with other health problems4,5

So, let’s discuss about Wegovy (semaglutide) in this blog. We’ll explain how Wegovy works, who it is for, Wegovy’s side effects and how it should be taken. 

How Do You Pronounce Wegovy?

Wegovy is pronounced as Wē-GŌ-Vee (wee-GOH-vee). The name is broken into three parts to help pronounce it easily. By pronouncing it correctly, you can communicate clearly with your doctor or pharmacist about this medication4

What is Wegovy?

Wegovy is a prescription medicine that comes as an injection. It contains semaglutide as the main ingredient. It is used to help with long-term weight management in people who are overweight or have obesity4,6

The U.S. Food and Drug Administration (FDA), which approves medicines for safety and use, approved Wegovy in 2021 for use in adults with obesity (body mass index, BMI, of 30 kg/m² or higher) or overweight (BMI of 27 kg/m² or higher) plus at least one weight related health problem such as high blood pressure, high cholesterol, or type 2 diabetes7,8. It should be used along with a healthy diet and physical activity. In 2022, it was also approved for teens aged 12 years and older with obesity.
The FDA approved Wegovy in March 2024 to be used as a drug for reducing the risk of heart problems like heart attack, stroke, or death in adults who have heart disease along with obesity or overweight5,10

Wegovy and Ozempic both contain semaglutide as the main ingredient, but they are approved for different reasons. They have different dose strengths and come in different types of injection pens. Ozempic was approved in 2017 to help control blood sugar in people with type 2 diabetes, and is supplied in multidose pens, while Wegovy is for weight loss and available as single use pens4,11

Both medicines are given as a weekly injection, but the dose of Ozempic ranges from 0.5 mg to 2 mg, while Wegovy dosing is higher, 2.4 mg for weight loss9. Let’s now look in detail at how does Wegovy work. 

Wegovy has been approved in 2022 for children who are obese above the age of 12 years. But this has to be done with a lot of caution, as sometimes in some cases, children go through bullying and peer pressure for being overweight and thus end up insisting on this drug. As per my experience, its extremely important to counsel these children first to try regular diet and lifestyle changes along with exercise, before beginning Wegovy. Parents along with the child need to be counselled regularly during the course.

Dr Malavika Athavale, Consulting Clinical and IBS Nutritionist

How Does Wegovy Work

Wegovy works by copying a natural hormone in the body called GLP-1, which helps to control blood sugar and appetite. The semaglutide in Wegovy is 94% similar to natural GLP1 but is slightly modified so it stays in the body longer. These changes stop it from being broken down quickly by an enzyme called DPP4 and help it attach to a protein in the blood called albumin. Thus, it only needs to be taken once a week. 

It activates the same receptors in the body, which are present in the gut, pancreas, and brain. This action helps the pancreas to release insulin when the blood sugar goes high. It also reduces the release of glucagon (a hormone that raises blood sugar). Wegovy also slows down how fast food leaves the stomach, helping you feel full longer. It acts on the brain, especially in an area called the hypothalamus which controls hunger and fullness, to reduce hunger and food cravings, making one feel full sooner. These combined actions help maintain blood sugar levels and also show promising results in reducing body weight in obese patients, with or without diabetes6,12

Who Can Use Wegovy?

Wegovy can help people who meet certain health conditions and age requirements. It may be prescribed to : 

But it should not be used by people with some medical risks especially those who have: 

Wegovy Dosage and How to Use It

Wegovy has to be taken as a weekly once injection. The dose is slowly increased over time to help reduce Wegovy side effects. This is how  doctors usually increase the dose step by step4:

Week Dosing 
Weeks 1–4 Wegovy 0.25 mg Flextouch 
Weeks 5–8 Wegovy 0.5 mg Flextouch
Weeks 9–12 Wegovy 1.0 mg Flextouch
Weeks 13–16 Wegovy 1.7 mg Flextouch
Week 17+ Wegovy 2.4 mg Flextouch (or continue 1.7 mg if advised by your doctor) 

This Wegovy dosage chart may also be modified by your doctor based on individual health condition. This injection can be taken on any day of the week, at any time, with or without food. It is usually given as an injection under the skin of the stomach, upper arm, or thigh, not in a muscle or vein. The injection site should be rotated to avoid the same spot every time. Never take the above doses without your doctor’s prescription or advice.

What to Expect with Wegovy

Wegovy doesn’t cause you to reduce weight suddenly. Once you start on Wegovy, you may notice slowly your weight reducing over time. Most people start seeing weight loss by week 4, but it becomes more noticeable by week 8 or later, especially after reaching the full dose (1.7 mg or 2.4 mg). How much weight you lose can depend on your starting weight, how regularly you take it, and your diet and activity level13.  

Studies show that people may lose upto 15% body weight, approximately between 6 to 12 kgs over 68 weeks when using Wegovy, when taken along with following healthy eating habits and physical activity13. Long-terms trials are limited, but an emerging study suggests that weight loss with Wegovy can be sustained for about 4 years meaning that the effect may last if you keep using Wegovy14

Those without diabetes may experience greater weight loss and better results, especially when the full dose is taken regularly as advised by doctor. Also remember, Wegovy alone may not give the best result. You should continue with proper diet with low calories and engage in physical activity. So don’t think it’s a quick fix too, it will take some time to show result and works more effective when a healthy lifestyle is followed14,15

In my opninion, the convenience of once-weekly dosing with Wegovy improves adherence significantly. And it is highly effective, however, following a structured lifestyle approach is very important alongwith and that commitment must be lifelong, with or without the medication. Even when using the medication, as gastric emptying adapts with time, patients may unconsciously increase portion sizes, leading to plateaus. Prioritising adequate protein intake (approximately 1–1.2 g/kg/day) often helps sustain progress without unnecessary dose escalation.

Dr. Mikhil Kothari, MBBS | PG Dip. Clinical Endocrinology & Diabetes (RCP, UK)

Wegovy Side Effects

Wegovy may cause some side effects. Most are mild, but sometimes serious problems can happen, so it’s important to watch how you feel. 

Wegovy has a boxed warning. It’s not for people who have or had a rare thyroid cancer called medullary thyroid cancer (MTC) or a condition called MEN2. Always take Wegovy as advised by your doctor and follow their instructions carefully4

Wegovy Cost and Accessibility

Wegovy has been approved by CDSCO (Central Drugs Standard Control Organisation) in 2025 for use in obesity management and is now available through select pharmacies. 

The price varies with strength and the approximate price in India is as follows:
• 0.25 mg to 1 mg – ₹17,345 per month (₹4,336.25 per weekly dose)
• 1.7 mg – ₹24,280 per month
• 2.4 mg – ₹26,015 per month 

In comparison, Wegovy costs around $1,349 (approx. ₹1,12,365) per month in the US.
In Germany, the price is approximately $328 (approx. ₹27,300) per month, and in the Netherlands, about $296 (approx. ₹24,640) per month16

Other weightloss medicines are also available in India. Mounjaro (tirzepatide injection) is approved for diabetes and weight control in adults with obesity (BMI 30+) or overweight (BMI 27+) with related health problems like high BP, cholesterol, diabetes, sleep apnoea, or heart disease17

Rybelsus (oral semaglutide) has the same ingredient as Wegovy but in tablet form. In India, it is approved only for type 2 diabetes, not weight loss. It helps control blood sugar and can reduce the risk of heart attack or stroke in people with diabetes and heart or kidney disease18

Other weight‑loss medicines like Zepbound (tirzepatide) and Ozempic (injectable semaglutide),  are available in other countries. 

Warnings and Precautions

Before your doctor starts you on Wegovy, it is important to inform the doctor if you have any of this: 

Also, you must provide the doctor with the list of all medicines and supplements you are taking. As Wegovy can slow how fast the stomach empties, it may interact with some medicines, especially those taking diabetic medicines like insulin or sulfonylurea4

In patients on diabetes medications, adjustments of certain ongoing medicines are essential to prevent hypoglycaemia as glucose levels begin to improve. A very commonly prescribed class of drugs, DPP-IV inhibitors, drugs ending with the name ‘-gliptin’, need to be stopped when starting any GLP1-RA drugs like Wegovy.

Dr. Mikhil Kothari, MBBS | PG Dip. Clinical Endocrinology & Diabetes (RCP, UK)

Also Read: Wegovy Diet Plan: Complete Food Guide, Side Effect Management & Meal Ideas 

Wegovy for Heart Health

Wegovy may not only help with weight loss but it could also protect your heart. 

It can reduce the risk of heart disease, especially in people with obesity, by lowering body weight and waist size. Losing excess fat can ease strain on the heart and reduce the risk of blocked blood vessels. Research also suggests it may have direct effects on the heart, that help keep the heart and blood vessels healthy. 

A large study1 called SELECT followed over 17,000 adults who were obese or overweight and had existing heart disease. Those who took Wegovy 2.4 mg once a week had a 20 percent lower risk of heart attack, stroke, or heart-related death. This benefit was observed even in people without diabetes. However, this trial studied secondary cardiovascular prevention, i.e. in people who already had heart disease. There is no current evidence for primary prevention, that is, direct risk reduction in people without existing heart disease. Nonetheless, its positive effects on insulin sensitivity and obesity are proven, which indirectly benefit the heart. 

Also Read: Wegovy vs Ozempic: Differences, Uses, Dosage, Side Effects and More!  

When to See a Doctor?

You must see your doctor right away if you notice the following on taking Wegovy injection. 

You must follow up regularly as recommended by your doctor to monitor the health condition while on Wegovy treatment4

Also Read: Wegovy Diet Plan: Complete Food Guide, Side Effect Management & Meal Ideas

Conclusion

Wegovy may be helpful to support those struggling with overweight and obesity issues. It is approved for long-term weight management in people with obesity or those who are overweight with other health problems. It’s not a quick fix, but when it’s combined with proper diet and physical activity, it may give good results over time. It may also improve insulin sensitivity and lower weight-related health risks. It should be taken only under medical advice, with dose increased slowly and regular checks for stomach-related side effects, as well as to rule out certain health problems like thyroid cancers. Regular follow-up is also needed so it may work well and support your fight against obesity and related risks. 

Also Read: Is Mounjaro Approved for Weight Loss? Here’s What Our Endocrinologist Says

Frequently Asked Questions (FAQs)

Is Wegovy safe for PCOS?


Wegovy is used for PCOS under medical supervision. Few Wegovy side effects like nausea or vomiting may occur. It may help manage weight and support better insulin resistance and menstrual cycle regularity19

 What are the worst side effects of Wegovy?


The worst side effects of Wegovy may be swelling of the pancreas, severe allergic reactions, and gallbladder problems. Sometimes kidney problems can occur, and those taking certain diabetes medicines can get very low blood sugar. Although these are not common, they may affect some people4

Is Wegovy available in India?


Yes. Wegovy became available in India in June 2025 and is now purchasable at select pharmacies. 

Can I stop Wegovy after weight loss?


No, you should not stop Wegovy by yourself. If you stop, you may regain much of the weight you lost and improvements in blood sugar, cholesterol, and blood pressure may reduce. If you want to stop or have any concerns, your doctor will advise you on what to do20

References

  1. A. Michael Lincoff, Kirstine Brown‐Frandsen, Colhoun HM, Deanfield J, Emerson SS, Sille Esbjerg, et al. Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes. The New England Journal of Medicine [Internet]. 2023 Nov 11;389(24). Available from: https://www.nejm.org/doi/10.1056/NEJMoa2307563 
  2. Olukorode JO, Orimoloye DA, Nwachukwu NO, Onwuzo CN, Oloyede PO, Temiloluwa Fayemi, et al. Recent Advances and Therapeutic Benefits of Glucagon-Like Peptide-1 (GLP-1) Agonists in the Management of Type 2 Diabetes and Associated Metabolic Disorders. Cureus [Internet]. 2024 Oct 21;16(10). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11579408/ 
  3. GLP-1 medicines for weight loss and diabetes: what you need to know [Internet]. GOV.UK. 2025. Available from: https://www.gov.uk/government/publications/glp-1-medicines-for-weight-loss-and-diabetes-what-you-need-to-know/glp-1-medicines-for-weight-loss-and-diabetes-what-you-need-to-know 
  4. HIGHLIGHTS OF PRESCRIBING INFORMATION [Internet]. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2024/215256s011lbl.pdf 
  5. Research C for DE and. New Drug Therapy Approvals 2022. FDA [Internet]. 2023; Available from: https://www.fda.gov/drugs/novel-drug-approvals-fda/new-drug-therapy-approvals-2022 
  6. Singh G, Krauthamer M, Bjalme-Evans M. Wegovy (semaglutide): a new weight loss drug for chronic weight management. Journal of Investigative Medicine [Internet]. 2023 May 25;70(1):jim-2021-001952. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8717485/ 
  7. Bergmann NC, Davies MJ, Lingvay I, Knop FK. Semaglutide for the treatment of overweight and obesity: A review. Diabetes, Obesity and Metabolism [Internet]. 2022 Oct 18;25(1). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10092086/ 
  8. Patoulias D, Popovic DS, Stoian AP, Janez A, Sahebkar A, Rizzo M. Effect of semaglutide versus other glucagon-like peptide-1 receptor agonists on cardio-metabolic risk factors in patients with type 2 diabetes: A systematic review and meta-analysis of head-to-head, phase 3, randomized controlled trials. Journal of Diabetes and Its Complications [Internet]. 2023 Jun 7;37(8):108529. Available from: https://pubmed.ncbi.nlm.nih.gov/37301063/  
  9. Ryan N, Savulescu J. The Ethics of Ozempic and Wegovy. Journal of Medical Ethics [Internet]. 2025 Jan 23;jme-2024-110374. Available from: https://jme.bmj.com/content/medethics/early/2025/01/23/jme-2024-110374.full.pdf 
  10. FDA. FDA Approves First Treatment to Reduce Risk of Serious Heart Problems Specifically in Adults with Obesity or Overweight [Internet]. FDA. 2024. Available from: https://www.fda.gov/news-events/press-announcements/fda-approves-first-treatment-reduce-risk-serious-heart-problems-specifically-adults-obesity-or#:~:text=Today%2C%20the%20U.S.%20Food%20and%20Drug%20Administration%20approved,with%20cardiovascular%20disease%20and%20either%20obesity%20or%20overweight 
  11. OZEMPIC HIGHLIGHTS OF PRESCRIBING INFORMATION [Internet]. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2025/209637s025lbl.pdf  
  12. Kommu S, Whitfield P. Semaglutide [Internet]. PubMed. Treasure Island (FL): StatPearls Publishing; 2024. Available from: https://www.ncbi.nlm.nih.gov/books/NBK603723/  
  13. Wilding JPH, Batterham RL, Calanna S. Once-Weekly Semaglutide in Adults with Overweight or Obesity. The New England Journal of Medicine [Internet]. 2021 Feb 10;384(11):989–1002. Available from: https://www.nejm.org/doi/full/10.1056/NEJMoa2032183   
  14. Ryan DH, Lingvay I, Deanfield J, Kahn SE, Barros E, Burguera B, et al. Long-term weight loss effects of semaglutide in obesity without diabetes in the SELECT trial. Nature Medicine [Internet]. 2024 May 13;30(30):1–9. Available from: https://www.nature.com/articles/s41591-024-02996-7 
  15. Ghusn W, De la Rosa A, Sacoto D, Cifuentes L, Campos A, Feris F, et al. Weight Loss Outcomes Associated With Semaglutide Treatment for Patients With Overweight or Obesity. JAMA Network Open [Internet]. 2022 Sep 19;5(9):e2231982. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9486455/ 
  16. Plank J. A Heavy Price: the Economic and Social Costs of GLP-1 Weight Loss Drugs [Internet]. Equilibrium. 2025. Available from: https://equilibriumecon.wisc.edu/2025/01/09/a-heavy-price-the-economic-and-social-costs-of-glp-1-weight-loss-drugs/ 
  17. Central Drugs Standard Control Organisation (CDSCO). Recommendations of the Subject Expert Committee (Endocrinology & Metabolism) meeting held on 13 August 2024 [Internet]. New Delhi: CDSCO; 2024 Aug 13 [cited 2025 Jun 17]. Available from: https://cdsco.gov.in/opencms/resources/UploadCDSCOWeb/2018/UploadCommitteeFiles/Recommendations%20Endocrinology%20%26%20Metabolism%2013.08.2024.pdf 
  18. Central Drugs Standard Control Organisation (CDSCO). Recommendations of the Subject Expert Committee (Endocrinology & Metabolism) meeting held on 24 July 2024 [Internet]. New Delhi: CDSCO; 2024 Jul 24 [cited 2025 Jun 17]. Available from: https://cdsco.gov.in/opencms/resources/UploadCDSCOWeb/2018/UploadCommitteeFiles/Recommendation%20Endocrinology%20&%20Metabolism%20dated%2024.07.2024.pdf 
  19. Carmina E, Longo RA. Semaglutide Treatment of Excessive Body Weight in Obese PCOS Patients Unresponsive to Lifestyle Programs. Journal of Clinical Medicine [Internet]. 2023 Jan 1;12(18):5921. Available from: https://www.mdpi.com/2077-0383/12/18/5921#:~:text=In%20conclusion%2C%20treatment%20with%20semaglutide  
  20. Wilding JPH. Weight regain and cardiometabolic effects after withdrawal of semaglutide: The STEP 1 trial extension. Diabetes, Obesity and Metabolism [Internet]. 2022 May 19;24(8):1553–64. Available from: https://pubmed.ncbi.nlm.nih.gov/35441470/  

 Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

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Bakuchi: Uses, Benefits, Dosage & Side Effects

Introduction

Bakuchi (Psoralea corylifolia) is a plant known for its medicinal value and grown in different parts of the world with tropical and sub-tropical climatic conditions. While Bakuchi or Babchi is its trade name, the plant is called by various names in India. These are: 

The plant is used in traditional medicine to prepare medicines for various illnesses. It can be consumed or applied superficially for managing skin conditions. Its roots, leaves, stems and seeds are useful to prepare medications for skin diseases, and has been used commonly in ayurveda for management of leprosy (that is why it is called ‘Kushtanashini’ or leprosy destroyer). Not just ayurveda, Bakuchi is also an important component used in Korean and Chinese medicine1

In this blog, we will discuss in detail about the proposed therapeutic properties and benefits of Bakuchi. We will also explore how it is used and the potential side effects it may have. 

Uses of Bakuchi in Traditional Medicine

Some effects of  Bakuchi that make it a suitable candidate to prepare ayurvedic medications include:  

There are several applications of Bakuchi in ayurveda, and initial research has also shown its health beneficial properties. Yet further large-scale human trials are needed to corroborate these findings.  

I recently read an article that says, due to its Keshya quality, Bakuchi churna may help with hair growth and reduce dandruff when administered topically in Ayurveda. From my perspective, the use of Bakuchi churna should be done for awesome, long tresses. The quality and lustre of hair may also get enhanced. Grey hairs might also reduce with its regular use14.

Dr. Siddharth Gupta, B.A.M.S, M.D (Ayu)

Top 5 Benefits of Bakuchi

Although Bakuchi has been used for several purposes, here are its five important benefits: 

1. Benefits of Bakuchi for Skin Diseases

2. Anti-cancer Activity of Bakuchi 

3. Benefits of Bakuchi for Dental & Bone Disorders

4. Benefits of Bakuchi for Reproductive & Urinary Problems

5. Benefits of Bakuchi for Gastrointestinal Disorders

While there are several health benefits of Bakuchi, consuming in moderation is key. Discuss with your doctor before including this in your routine, especially of you have any medical conditions. 

In this 5G era, we constantly struggle to walk parallel to the fast-growing world. But with this, stress and anxiety has become a common complaint. From my experience, Bakuchi may do wonders for our minds and overall health! I recently read an article which suggests that Bakuchi may have antidepressant qualities. Bakuchi is believed to lower the plasma levels of the neurotransmitters adrenaline and norepinephrine, eventually decreasing stress levels15.

Dr. Rajeev Singh, BAMS

How to Use Bakuchi?

The Bakuchi plant is used to manage different kinds of diseases. For some conditions like skin infections or chronic skin diseases, it can be mixed along with agents like karanji oil or buttermilk and applied. For others, it can be consumed systemically.  

From my observations, occurence of diabetes may be avoided with the use of Bakuchi. According to the studies15, the ethanol seed extract of Bakuchi exhibits both anti-diabetic and antioxidant effects. They are believed to boost plasma insulin and liver glycogen levels while decreasing plasma cholesterol and blood sugar levels.

Dr. Smita Barode, B.A.M.S, M.S.

Side Effects of Bakuchi

Bakuchi should not be used undiluted and in high doses; otherwise, it may cause the following side effects13:  

Some of the other side effects are:  

Children, pregnant women and nursing mothers should not consume Bakuchi without a doctor’s supervision.   

Also Read: Ashwagandha: Uses, Benefits & Side Effects

Conclusion

Bakuchi is a powerful herb that has several potential health benefits and supports overall wellness. However, it’s best to use it with proper guidance to avoid any side effects. Consult an ayurvedic practitioner for the right form and dose. With careful use, Bakuchi can be a great natural remedy. 

Frequently Asked Questions (FAQs)

What are the precautions to be followed while using Bakuchi churna?  

Ayurvedic practitioners may tell you to avoid using pickles, fish and curd while using Bakuchi churna to manage vitiligo. However, the precautions may vary based on your condition. You ayurvedic physician can guide you best on this.  

Is Bakuchi useful in male infertility therapy?  

Yes, the fruit of Bakuchi has aphrodisiac properties and is used to prevent premature ejaculation and impotence in traditional medicine. However, it’s best to discuss these issues with a doctor before resorting to home remedies like Bakuchi.  

What is bakuchiol?   

Bakuchiol is a chemical compound found in the seeds and leaves of the Bakuchi plant. It has the properties of retinol so can act as the functional equivalent of retinol, and be used in skincare products. 

Is bakuchiol good for skin?  

Yes, bakuchiol is good for skin as it is like retinol in its function and can restore the elasticity and firmness of the skin. In addition to this, it can also manage wrinkles, pigmentation and decrease the photodamage of the skin. 

References

  1. Mahajan N, Koul B, Gupta P, Shah BA, Singh J. Psoralea corylifolia L.: Panacea to several maladies. South African Journal of Botany. 2022 Sep 1;149:963-93. https://www.sciencedirect.com/science/article/pii/S0254629922000266#bib0015  
  2. Mj A, Singh TR, Patgiri BJ. Antimicrobial activity of different dosage forms of Bakuchi (Psoralea corylifolia Linn.) taila, an Ayurvedic formulation. Int J Ayurvedic Med. 2015;6(3):232-6. https://www.researchgate.net/publication/283355494_ 
  3. Shamsi S, Shamsi S. Psoralea corylifolia Babchi: A popular herb of Unani, Ayurvedic and Chinese system of medicine for Vitiligo. International Journal of Herbal Medicine. 2019;7(4):51-5. https://www.researchgate.net/publication/351838777_ 
  4. Alam F, Khan GN, Asad MHHB. Psoralea corylifolia L: Ethnobotanical, biological, and chemical aspects: A review. Phytother Res. 2018;32(4):597-615 https://pubmed.ncbi.nlm.nih.gov/29243333/  
  5. Chauhan NS, Sharma V, Dixit VK, Thakur M. A review on plants used for improvement of sexual performance and virility. BioMed research international. 2014;2014(1):868062. https://pmc.ncbi.nlm.nih.gov/articles/PMC4151601/ 
  6. Habeeba S. Shaikh, Siddiqua S. Shaikh. Babchi (Psoralea corylifolia): From a Variety of Traditional Medicinal Application to its Novel Roles in Various Diseases: A Review. Asian Journal of Pharmacy and Technology. 2021; 11(3):238-4. https://ajptonline.com/HTMLPaper.aspx?Journal=Asian%20Journal%20of%20Pharmacy%20and%20Technology;PID=2021-11-3-9 
  7. Kim SC, Gu DR, Yang H, Lee A, Ha H. Polysaccharides from Psoralea corylifolia seeds suppress osteoclastogenesis and alleviate osteoporosis. International Journal of Biological Macromolecules. 2025 May 20:144423. https://www.sciencedirect.com/science/article/pii/S014181302504975X 
  8. Hong Y, Choi SI, Hong E, Kim GH. Psoralea corylifolia L. extract ameliorates nonalcoholic fatty liver disease in free-fatty-acid-incubated HEPG2 cells and in high-fat diet-fed mice. J Food Sci. 2020;85(7):2216-2226. https://pubmed.ncbi.nlm.nih.gov/32579753/  
  9. Manju S. Anticancer Potential of Psoralea Corylifolia L. Ethanol Extract: Cytotoxicity, Apoptosis Mechanisms, and Gene Expression Analysis In Mcf7 Breast Cancer Cells Via qPCR. International Journal for Multidisciplinary Research. 2024;6(6):1-8 https://www.ijfmr.com/papers/2024/6/30208.pdf  
  10. Raza A, Muhammad F, Bashir S, Aslam B, Anwar MI, Naseer MU. In-vitro and in-vivo anthelmintic potential of different medicinal plants against Ascaridia galli infection in poultry birds. World’s Poultry Science Journal. 2016;72(1):115-124. https://ajptonline.com/HTMLPaper.aspx?Journal=Asian%20Journal%20of%20Pharmacy%20and%20Technology;PID=2021-11-3-9 
  11. Ranjan S, Kushwaha NS, Trivedi S, Tiwari N, Khan S. The Effect of Psoralea corylifolia (Babchi) on Neuronal Apoptosis Induced by Palmitate in PC12 Cells and its Role in Alzheimer’s Disease: A Review. Pharmacognosy Magazine. 2024;21(1):7-26. https://journals.sagepub.com/doi/10.1177/09731296241243132 
  12. Yang A, Kong L, You Z, et al. A review of Psoralea corylifolia L.: a valuable plant with profound biological significance. Front Pharmacol. 2025;15:1521040. https://pubmed.ncbi.nlm.nih.gov/39902075/ 
  13. Makwana, Sarika; Mehere, Nikhil; Bedarkar, Prashant; Biswajyoti, Patgiri. Critical note on pretreatment (Shodhana) of Bakuchi (Psoralea corylifolia L.). Journal of Drug Research in Ayurvedic Sciences 7(1):p 3-10, Jan–Mar 2022 https://journals.lww.com/jdra/fulltext/2022/07010/critical_note_on_pretreatment__shodhana__of.2.aspx  
  14. Bahatkar GK, Jadhao M, Kamdi PS, Parwe S. An Ayurvedic and modern review on valued medicinal plant—Bakuchi (Psoralea corylifolia Linn.). Drugs and Cell Therapies in Hematology. 2021 Oct;10(1):3730–3737. Available from: https://www.researchgate.net/publication/355651386_An_Ayurvedic_and_Modern_Review_on_Valued_Medicinal_Plant_-Bakuchi_Psoralea_corylifolia_Linn
  15. Belge DA, Jeurkar MM. Morphological, pharmacological and toxicological profile of Psoralea corylifolia L.: a review. Int J Res Anal Rev. 2023 Apr;10(2):146–153. Available from: https://www.researchgate.net/profile/Divya-Belge/publication/370060001_MORPHOLOGICAL_PHARMACOLOGICAL_AND_TOXICOLOGICAL_PROFILE_OF_PSORALEA_CORYLIFOLIA_L_A_REVIEW/links/643fc51ee881690c4be54f5c/MORPHOLOGICAL-PHARMACOLOGICAL-AND-TOXICOLOGICAL-PROFILE-OF-PSORALEA-CORYLIFOLIA-L-A-REVIEW.pdf

Disclaimer:  The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof. 

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Typhoid Test: What is It, When To Be Taken & Side Effects

Introduction

The typhoid infection has been increasing in India over the past few years, affecting around 10 million people in 20211. The infection is caused by the Salmonella typhi bacteria that enters and spreads throughout your body when you consume contaminated food or water1,2. Some symptoms of typhoid, like fever, tiredness, and stomach pain, can resemble other diseases like malaria. Therefore, doing a typhoid test may help confirm the infection3,4

In this blog, we will explain what typhoid is, which test is done for typhoid, and when to take it. 

What is Typhoid Fever?

Typhoid fever is a serious infection that spreads throughout the body after the bacteria enter the body through contaminated food or water. After the bacteria pass through the intestinal walls, they reach the blood within 24 hours. The infection then spreads to other organs like the liver, spleen, bone marrow, gall bladder, and, sometimes, into the brain. Within 7 to 14 days of exposure, symptoms like high fever, body pain, abdominal pain, and weakness start to show. If not tested and treated early, typhoid can become more severe with complications like bleeding in the stomach, perforation of the intestines, and brain-related issues like delirium, confusion, and memory loss2,5

Why Typhoid Testing is Important?

The typhoid test is important to confirm that you have a typhoid infection. It helps to differentiate typhoid from other illnesses like dengue and malaria, which may have similar symptoms6

Testing in the early stage may help you take the right antibiotic and medicines, so the disease doesn’t become more severe and cause complications6,7,8. It also may help your doctor choose the most effective antibiotic, as some bacteria in India do not respond well to certain antibiotics like fluoroquinolones2.  

Testing may help find who is having typhoid, and necessary precautions can be taken to not spread it to others. In places where typhoid is prevalent, it may help to find out how many people are affected and whether it is becoming an outbreak, so that action can be taken to prevent its spread9.  

When Should You Get Tested for Typhoid?

Your doctor may advise you to get a typhoid test if you have2,10

In such cases, a doctor may look into your symptoms, medical history and accordingly recommend an appropriate blood test for typhoid.  

In my experience, I have noticed that unlike other fevers where pulse usually rises by 10 with every 1 degree increase in temperature, in typhoid fever, the heart beat may remain normal or slow down to less than 60 beats per minute. This relative bradycardia is classical sign seen in typhoid.

Dr. Kathak Shah, MBBS, DDV, Fellowship in Lasers & Aesthetics, Fellowship in Dermatosurgery

Who is at Higher Risk?

The risks of typhoid depend on an individual’s age, environment, and location and is higher in the following individuals2,3,13:  

If these individuals experience symptoms of typhoid fever, it is best to consult a doctor who may advise a blood test for typhoid. 

A with a fever lasting more than two weeks with decrease in white blood cell counts should raise the suspicion of typhoid fever. If you notice any rose coloured spots present over your chest and abdomen resembling mosquitoes/insects bites along with persistent fever, these could be signs of typhoid.

Dr. Kathak Shah, MBBS, DDV, Fellowship in Lasers & Aesthetics, Fellowship in Dermatosurgery

Types of Typhoid Tests

There is no single test that can confirm a typhoid infection. A blood culture test is considered the gold standard test for typhoid; however, different typhoid tests may help identify typhoid infection and provide more accurate results when done early. Let us see how to test for typhoid using different tests: 

1. Culture Tests

This is considered the standard test for typhoid. In this test, a sample of your blood or bone marrow is checked to find the presence of bacteria causing typhoid. It may give more reliable results compared to other tests when done in the first week of illness. It has a sensitivity of 50-80%, which means it can correctly detect the infection 5 to 8 times out of 10. Stool and urine samples can also be helpful, but they may be less reliable early on. 

2. Antibody Tests

The widal blood test for typhoid checks for antibodies which your body produces against the bacteria. It may be used commonly in areas where the disease is spreading fast. However, the results may be affected if there was any past infection or other Salmonella diseases2,6. It usually shows positive results only after 7 to 10 days of infection, and also may miss real cases or show false positives due to low sensitivity and low specificity2,15

3. Molecular Tests

The Polymerase Chain Reaction (PCR) test may help identify the genetic material (DNA) of the typhoid bacteria and show which antibiotic may work and which may not (including fluoroquinolone antibiotics). It may be more reliable compared to other tests, but it is costly and not commonly used for routine typhoid testing2,16

Along with these, the doctor may advise other tests to rule out conditions like malaria and brain fever. A blood count is taken to check for a low white cell count or anaemia, and liver function tests may also be done. Together, these tests may help the doctor get a clearer picture of your disease condition and decide on how to manage it2,6.  

Treatment and Management

Treatment of typhoid primarily involves appropriate antibiotics, based on the resistance pattern of typhoid in that region. 

Once typhoid is suspected, medication should be started as soon as possible to help prevent complications. Doing a blood culture test before starting antibiotics may help confirm the infection and guide the right choice of antibiotic for it16. However, antibiotics may also be started early based on the individual’s condition and the doctor’s judgement before test results are available, especially in areas with limited medical facilities2

For mild cases

Oral antibiotic medicines may be given along with fever medicines like paracetamol to manage typhoid. Oral replacement fluids may help for symptoms like vomiting or diarrhoea2,17,18

For severe cases

Hospital admission may be needed. Medicines like antibiotics and fluids may need to be given through the vein. 

The following antibiotics may help manage typhoid: 

Usually, the fever may reduce in 3 to 5 days after taking medicines. If not, antibiotics may need to be changed based on blood test results2,17

It is important to consult a doctor to get the right plan for managing the disease based on your symptoms and clinical condition. 

Complications

Complications may develop in some patients after 2 to 3 weeks of typhoid infection. These may vary based on age, gender, existing health conditions, and the region, as follows. 

Even after treatment, some people may carry the bacteria for weeks or months without feeling sick, but they can still spread the disease. In such cases, proper precautions should be taken to reduce the risk of spreading it to others2,3

How to Prevent Typhoid?

As typhoid is mainly spread by contaminated food and water, following these practices may help reduce the risk of getting typhoid:  

Vaccination against typhoid may give you added protection, especially when you are going to areas where it is more common22,23

Typhoid Vaccination

Typhoid vaccination may be advised for those who travel to typhoid-affected areas, laboratory workers handling typhoid bacteria, and those who are in close contact with a typhoid case. Two vaccines that may help in such cases are: 

Inactivated (Vi polysaccharide) vaccine

This may help to develop antibodies that may fight against typhoid. It is given as an injection taken as per the doctor’s advice at least 2 weeks before travel (as protection usually starts within 7–14 days), and repeat doses every 2 years5,26

Immunity is usually achieved within 7–14 days with the Vi polysaccharide vaccine, but it’s ideal to take it at least 2 weeks before exposure. 

Vi conjugate vaccine (TCV): This is a vaccine with Vi polysaccharide but joined to a special protein, which is why it is called a conjugate vaccine. It is WHO-prequalified and preferred in many countries where typhoid is common, even in India. It may give protection for up to 5 years, may work well in children under 2 years, and needs only one dose5,27,28

Live attenuated (Ty21a) vaccine

It may help stimulate the immune system to act against typhoid bacteria. It can be given to people aged 6 years and older. One capsule is taken every other day (on day 1, 3, 5, and 7), for a total of 4 capsules. It should be taken at least 1 week before travel, and a booster dose may be given once in 5 years. This vaccine may not be suitable for people with weak immune systems or those taking antibiotics. 

Vaccine is not a substitute for safe hygiene practices, as it may not be 100% effective5,25

What to Do While You’re Recovering from Typhoid

For quicker recovery from typhoid and to prevent spread of the disease, follow these things: 

Once you have fully recovered, you also need to monitor closely for typhoid symptoms for at least 3 months, as there is a risk of relapse or developing complications of typhoid during this period29.

Also Read: Pneumococcal Vaccine: Types, Side Effects, and Who Needs It

When to See a Doctor

You need to see a doctor and may be advised to undergo a blood test for typhoid if you: 

Also Read: Mean Platelet Volume (MPV) Blood Test: Understanding Its Importance and Results

Conclusion

Typhoid fever can become life-threatening if not identified early with a typhoid test, and treatment is delayed. If you have persistent fever, body pain, and tiredness, especially after recent travel or close contact with a typhoid patient, you need to consult a doctor and get tested. To reduce your chances of getting typhoid, always follow safe hygiene practices for food and water during your travel and even where you stay.

Also Read: Typhoid Vaccine: What is It, Types, When to Be Taken & Side Effects

Frequently Asked Questions (FAQs)

How long will it take for me to recover from typhoid? 

You may feel better in 2 to 4 weeks once medicines are started. If treatment is started early, the chances of better recovery are higher, while complications may delay recovery31

Can I spread typhoid even after I have recovered? 

Yes, a few people may carry the bacteria for a long time, sometimes even for life, and can still spread it to others. 

If I have typhoid, should I isolate myself from others? 

Not everyone who has typhoid needs to be isolated. The bacteria usually spread through the faeces. Only children or those who cannot control diarrhoea may need isolation. Others should follow good hygiene after using the toilet and can return to normal activities once recovered30

Which typhoid vaccine is safe during pregnancy? 

The injectable Vi polysaccharide vaccine may be given to pregnant women as it does not contain live bacteria. The oral Ty21a vaccine is not recommended during pregnancy32

References

  1. Mehta K, Joshi M, Omar MA. Typhoid fever in India: A growing concern requiring immediate preventive efforts. Health science reports [Internet]. 2024 Feb 1;7(2). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10867790/ 
  1. Bhandari J, Thada PK, DeVos E. Typhoid Fever [Internet]. PubMed. Treasure Island (FL): StatPearls Publishing; 2022. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557513/  
  1. World Health Organization. Typhoid [Internet]. Who.int. World Health Organization: WHO; 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/typhoid 
  1. Wijedoru L, Mallett S, Parry CM. Rapid diagnostic tests for typhoid and paratyphoid (enteric) fever. Cochrane Database of Systematic Reviews. 2017 May 26; 
  1. Typhoid fever [Internet]. The Australian Immunisation Handbook. 2021. Available from: https://immunisationhandbook.health.gov.au/contents/vaccine-preventable-diseases/typhoid-fever 
  1. Neupane DP, Dulal HP, Song J. Enteric Fever Diagnosis: Current Challenges and Future Directions. Pathogens [Internet]. 2021 Apr 1;10(4):410. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8065732/ 
  1. Amita Diwaker, Tiwari A, Jain S, Kumari Astha Rupali, Ram J, Singh S, et al. Enteric fever and the diagnostic tools: defining the accuracy. Frontiers in Bacteriology. 2024 Jan 29;3. Available from: https://www.frontiersin.org/journals/bacteriology/articles/10.3389/fbrio.2024.1332180/ 
  1. Bhandari J, Thada PK, DeVos E. Typhoid Fever [Internet]. PubMed. Treasure Island (FL): StatPearls Publishing; 2022. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557513/#article-30719.s7 
  1. Hancuh M. Typhoid Fever Surveillance, Incidence Estimates, and Progress Toward Typhoid Conjugate Vaccine Introduction — Worldwide, 2018–2022. MMWR Morbidity and Mortality Weekly Report [Internet]. 2023;72(7). Available from: https://www.cdc.gov/mmwr/volumes/72/wr/mm7207a2.htm 
  1. CPG for Typhoid Fever in Adults 2017 – [Internet]. 2020. Available from: https://www.psmid.org/diagnosis-treatment-and-prevention-of-typhoid-fever-in-adults-2017/  
  1. Veronese P, Pappalardo M, Maffini V, Rubini M, Giacometti A, Ruozi MB, et al. Severe Typhoid Fever Complicated by Superior Mesenteric and Splenic Vein Thrombosis. Infectious Disease Reports [Internet]. 2023 Aug 1 [cited 2023 Dec 16];15(4):377–85. Available from: https://www.mdpi.com/2036-7449/15/4/38  
  1. Typhoid Fever – Infectious Diseases [Internet]. Merck Manuals Professional Edition. Available from: https://www.merckmanuals.com/professional/infectious-diseases/gram-negative-bacilli/typhoid-fever 
  1. CDC. About Typhoid Fever and Paratyphoid Fever [Internet]. Typhoid Fever and Paratyphoid Fever. 2024 [cited 2025 Jul 13]. Available from: http://cdc.gov/typhoid-fever/about/index.html 
  1. Ochiai RL. a study of typhoid fever in five Asian countries: disease burden and implications for controls. Bulletin of the World Health Organization. 2008 Apr 1;86(4):260–8. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC2647431/  
  1. Bakr WM, El Attar LA, Ashour MS, El Toukhy AM. The dilemma of widal test – which brand to use? a study of four different widal brands: a cross sectional comparative study. Annals of Clinical Microbiology and Antimicrobials. 2011;10(1):7. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3050682  
  1. Khokhar F, Pickard D, Dyson Z, Iqbal J, Pragasam A, John JJ, et al. Multiplex PCR assay to detect high risk lineages of Salmonella Typhi and Paratyphi A. Hosuru Subramanya S, editor. PLOS ONE [Internet]. 2022 Jul 22;17(7):e0267805. Available from: https://doi.org/10.1371%2Fjournal.pone.0267805  
  1. Kalra S, Naithani N, Mehta S, Swamy A. Current Trends in the Management of Typhoid Fever. Medical Journal Armed Forces India [Internet]. 2003 Apr;59(2):130–5. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4923770/ 
  1. Bhutta ZA. Current concepts in the diagnosis and treatment of typhoid fever. BMJ. 2006 Jul 6;333(7558):78–82. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC1489205/  
  1. Kuehn R, Stoesser N, Eyre D, Darton TC, Basnyat B, Parry CM. Treatment of enteric fever (typhoid and paratyphoid fever) with cephalosporins. Cochrane Database of Systematic Reviews. 2022 Nov 24;2022(11). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9686137/#CD010452-sec-0158  
  1. sQureshi S, Naveed AB, Yousafzai MT, Ahmad K, Ansari S, Lohana H, et al. Response of extensively drug resistant Salmonella Typhi to treatment with meropenem and azithromycin, in Pakistan. Ricaldi JN, editor. PLOS Neglected Tropical Diseases. 2020 Oct 15;14(10):e0008682. Available from: https://www.researchgate.net/publication/344887021_Response_of_extensively_drug_resistant_Salmonella_Typhi_to_treatment_with_meropenem_and_azithromycin_in_Pakistan  
  1. Sulaiman K, Sarwari AR. Culture-confirmed typhoid fever and pregnancy. International journal of infectious diseases: IJID: official publication of the International Society for Infectious Diseases [Internet]. 2007 Jul 1 [cited 2021 Oct 20];11(4):337–41. Available from: https://pubmed.ncbi.nlm.nih.gov/17321180/  
  1. Typhoid and paratyphoid [Internet]. Healthdirect.gov.au. Healthdirect Australia; 2023 [cited 2025 Jul 13]. Available from: https://www.healthdirect.gov.au/typhoid-and-paratyphoid#diagnosed 
  1. CDC. Preventing Typhoid Fever and Paratyphoid Fever [Internet]. Typhoid Fever and Paratyphoid Fever. 2024. Available from: https://www.cdc.gov/typhoid-fever/prevention/index.html 
  1. FODDAI ACG, GRANT IR, DEAN M. Efficacy of Instant Hand Sanitizers against Foodborne Pathogens Compared with Hand Washing with Soap and Water in Food Preparation Settings: A Systematic Review. Journal of Food Protection. 2016 Jun;79(6):1040–54. Available from: https://www.sciencedirect.com/science/article/pii/S0362028X22080887  
  1. VACCINE INFORMATION STATEMENT Typhoid Vaccine: What You Need to Know [Internet]. Available from: https://www.cdc.gov/vaccines/hcp/current-vis/downloads/typhoid.pdf 
  1. Zhu H, Chelysheva I, Cross DL, Blackwell L, Jin C, Gibani MM, et al. Molecular correlates of vaccine-induced protection against typhoid fever. Journal of Clinical Investigation. 2023 Aug 15;133(16). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10425215/  
  1. Syed KA, Saluja T, Cho H, Hsiao A, Shaikh H, Wartel TA, et al. Review on the Recent Advances on Typhoid Vaccine Development and Challenges Ahead. Clinical Infectious Diseases. 2020 Jul 29;71(Supplement_2):S141–50. Available from: https://academic.oup.com/cid/article/71/Supplement_2/S141/5877822 
  1. Weekly epidemiological record Relevé épidémiologique hebdomadaire [Internet]. 2018 [cited 2025 Jul 16]. Available from: https://iris.who.int/bitstream/handle/10665/272272/WER9313.pdf?ua=1
  2. Medical Microbiology & Infectious Diseases Society of Pakistan. Typhoid Management Guidelines – 2022 [Internet]. Karachi: MMIDSP; 22 Jun 2022 [cited 2025 Jul 13]. Available from: https://www.mmidsp.com/wp-content/uploads/2023/03/Typhoid-Management-Guideline-2022-Jun-22.pdf  
  3. Typhoid Fever | Official Website of Department of Health & Family Welfare, Government of Puducherry, India. [Internet]. Py.gov.in. 2020. Available from: https://health.py.gov.in/typhoid-fever- 
  4. Typhoid fever: MedlinePlus Medical Encyclopedia [Internet]. Medlineplus.gov. 2015. Available from: https://medlineplus.gov/ency/article/001332.htm 
  5. Touchan F, Hall JD, Lee RV. Typhoid fever during pregnancy: case report and review. Obstetric Medicine. 2009 Nov 30;2(4):161–3. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4989662/ 

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

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Neem Juice: Uses, Benefits, Side Effects, and More! 

Introduction

Neem juice, derived from the crushed leaves of the neem tree (Azadirachta indica), has traditionally been incorporated into various cultural practices. The neem tree is native to regions including India, Bangladesh, Nepal, and Pakistan, and is recognised in systems such as Ayurveda, Unani, and traditional Chinese medicine1.    

Neem leaves contain a variety of naturally occurring compounds known as phytochemicals. These are currently the subject of scientific research for their potential roles in supporting various biological functions. 

Please note that while neem juice is traditionally consumed for general wellness, it is not intended to diagnose, treat, cure, or prevent any disease. You should consult a healthcare professional before introducing any new product into your daily routine, especially if you have underlying health conditions or are taking medication.

Nutritional Benefits of Neem Juice

Some nutrients found in neem leaf are minerals like calcium and phosphorous. Neem juice also contains phytochemicals such as2:

Properties of Neem Juice

Owing to the history of phytochemicals it contains, neem juice may show the following properties for human health1

Potential Uses of Neem Juice for Overall Health

The many valuable properties of neem juice may be beneficial for health conditions. However, most of these uses have been observed in laboratory-scale trials using neem leaf extract. More research is necessary to confirm its effects in humans. Therefore, it is strongly recommended that you consult a qualified medical professional before using neem juice for any health-related concerns, particularly for serious or ongoing medical conditions.  

1. Potential Uses of Neem Juice for Wound Healing  

Neem leaf extract could help promote wound healing as observed during several animal studies using rats. Neem juice may show properties similar to its extract. Therefore, you may use neem juice to help accelerate wound healing2. However, if you have a wound, you still need to take complete wound care to prevent the wound from getting infected. Avoid using neem juice without consulting with a doctor first.    

2. Potential Uses of Neem Juice for Diabetes  

Neem extract has been evaluated for its antidiabetic activity in laboratory studies. Neem extract may show positive effects on blood glucose and help improve insulin signaling, increase glucose uptake, and restore impaired glucose metabolism. Neem leaf extract also showed activity against diabetes mellitus3. Avoid using neem juice or any other herbal remedy without consulting your healthcare provider first.   

3. Potential Uses of Neem Juice for Liver  

Neem leaf extract has shown potential as a liver-supportive agent in animal studies4. It appeared to help restore liver enzyme levels and reduce signs of liver toxicity, although further research, including human clinical trials, is necessary to confirm these effects. It is essential to consult your healthcare provider if you are experiencing any liver-related issues. Attempting to treat liver conditions with herbs or home remedies without medical supervision may lead to complications or worsen the condition.  

4. Potential Uses of Neem Juice Against Infections  

Neem leaf extract has shown antibacterial activity against several foodborne bacteria in laboratory studies5, along with antifungal effects and potential action against the growth of coxsackievirus. Neem juice may share some of these properties; however, all findings to date have been observed in lab-based research. If you are experiencing a bacterial, viral, or fungal infection, it is essential to seek medical advice and receive appropriate treatment, as larger clinical studies are required to confirm neem’s efficacy in humans.   

5. Potential Uses of Neem Juice Against Inflammation   

Neem leaves are known to contain antioxidant and anti-inflammatory properties. Free radicals in the body are thought to contribute to the development of chronic conditions over time, and antioxidants may help neutralise these effects. The antioxidant potential of neem leaves may support the body’s natural defences against oxidative stress, while their anti-inflammatory properties may assist in managing general inflammation and swelling6.   

Though some studies show the benefits of neem juice in various conditions, these are insufficient to establish the true extent of the benefits of neem juice on human health. Always consult a doctor for appropriate management of medical conditions.    

As neem has hepatoprotective, gastroprotective, and antispasmodic properties, neem juice may be beneficial for maintaining digestive health. It may help promote regular bowel movements, support liver function, and assist in relieving occasional constipation; however, further clinical research is needed to confirm these effects.

Dr. Rajeev Singh, BAMS

How to Use Neem Juice

To prepare fresh neem juice, rinse the leaves thoroughly with clean water. Grind them into a paste and add water to achieve a juice-like consistency. Neem juice is traditionally consumed for its potential health benefits.

You must consult a qualified doctor before taking neem juice or any herbal supplements. Likewise, do not discontinue or replace an ongoing treatment of modern medicine with an ayurvedic/herbal preparation without consulting a qualified doctor.    

Neem leaves are proven to have antifungal properties. Because of this, the juice extracted from its leaves might be beneficial for reducing dandruff from the scalp and maintaining healthy hair and clean scalp.

Dr. Siddharth Gupta, B.A.M.S, M.D (Ayu)

Side Effects of Neem Juice

While neem has been used traditionally for centuries, modern research into its safety remains insufficient. Responsible, restricted use is recommended until supported by more clinical trials7

Also Read: Cucumber (Kheera) Juice: Uses, Benefits, Side Effects and More!

Precautions to Take with Neem Juice

Here are some precautions you need to take while using neem juice.  

Precautions for Pregnant and Breastfeeding Women  

There is a lack of sufficient information to support the use of neem juice during pregnancy or breastfeeding. Therefore, it is advised to avoid taking neem without consulting with your doctor or healthcare provider.   

Precautions for the Elderly and Children  

There is a lack of information supporting the use of neem juice in the elderly and children. It is better avoid its use unless prescribed by a doctor or healthcare provider.   

Interactions with Other Drugs

Avoid using neem juice for its properties without consulting your doctor. Always consult your doctor about any herbs or juices you need to avoid when taking any medication. 

Also Read: Simple Home Remedies for Tongue Ulcers

Conclusion

Neem juice, derived from neem leaves, is rich in bioactive compounds and traditionally used in various cultures for its antibacterial, antifungal, anti-inflammatory, and potential antidiabetic and liver-supportive properties. While early research, particularly in laboratory and animal studies, shows beneficial properties, there is insufficient clinical evidence to fully establish its effectiveness for human health. Neem juice should be consumed with caution, especially by pregnant women, children, and the elderly. Always consult a qualified healthcare provider before using neem juice as a supplement or remedy.

Also Read: Lauki Juice: Uses, Benefits, Side Effects and More!

Frequently Asked Questions (FAQs)

What are the benefits of neem juice?  

Neem juice may show properties against diseases like diabetes, liver problems and microbial infections. Neem juice may also show wound healing and anti-inflammatory and antioxidant properties. However, before using neem juice for these effects, you are advised to consult with your healthcare provider. Avoid using herbal supplements without consulting with your doctor.     

What are neem juice side effects? 

Current global evidence on neem extracts is limited, with toxicity and side effects still not well understood. It is advisable to use them with caution until further clinical studies establish their safety and efficacy.   

What are some neem juice benefits for skin? 

Neem juice may have anti-inflammatory and antioxidant properties, and it is sometimes believed to help with skin concerns such as inflammation and swelling associated with acne. Avoid using any herbal supplement on the skin without a dermatologist’s consultation.   

Can I use neem juice for diabetes? 

There are some laboratory studies that report the positive effects of neem juice on diabetes. However, these findings are limited, and further research is necessary to establish its efficacy and safety to support the use of neem juice for people with diabetes. You should not use herbal supplements for serious health conditions like diabetes without consulting your doctor.   

References

1. Alzohairy MA. Therapeutics Role of Azadirachta indica (Neem) and Their Active Constituents in Diseases Prevention and Treatment. Evid Based Complement Alternat Med. 2016;2016:7382506. doi: 10.1155/2016/7382506. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4791507/ 

2. Nasrine A, Narayana S, Gulzar Ahmed M, Sultana R, Noushida N, Raunak Salian T, Almuqbil M, Almadani ME, Alshehri A, Alghamdi A, Alshehri S, Mohammed Basheeruddin Asdaq S. Neem (Azadirachta Indica) and silk fibroin associated hydrogel: Boon for wound healing treatment regimen. Saudi Pharm J. 2023 Oct;31(10):101749. doi: 10.1016/j.jsps.2023.101749. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10470283/  

3. Satyanarayana K, Sravanthi K, Shaker IA, Ponnulakshmi R. Molecular approach to identify antidiabetic potential of Azadirachta indica. J Ayurveda Integr Med. 2015 Jul-Sep;6(3):165-74. doi: 10.4103/0975-9476.157950. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4630690/  

4. Nikolova G, Ananiev J, Ivanov V, Petkova-Parlapanska K, Georgieva E, Karamalakova Y. The Azadirachta indica (Neem) Seed Oil Reduced Chronic Redox-Homeostasis Imbalance in a Mice Experimental Model on Ochratoxine A-Induced Hepatotoxicity. Antioxidants (Basel). 2022 Aug 28;11(9):1678. doi: 10.3390/antiox11091678. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9495949/  

5. Badam L, Joshi SP, Bedekar SS. ‘In vitro’ antiviral activity of neem (Azadirachta indica. A. Juss) leaf extract against group B coxsackieviruses. J Commun Dis. 1999 Jun;31(2):79-90. Available from: https://pubmed.ncbi.nlm.nih.gov/10810594/  

6. He JB, Fang MJ, Ma XY, Li WJ, Lin DS. Angiogenic and anti-inflammatory properties of azadirachtin A improve random skin flap survival in rats. Exp Biol Med (Maywood). 2020 Dec;245(18):1672-1682. doi: 10.1177/1535370220951896. Epub 2020 Aug 31. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC7802382/  

7. Islas JF, Acosta E, G-Buentello Z, Delgado-Gallegos JL, Moreno-Treviño MG, Escalante B, et al. An overview of Neem (Azadirachta indica) and its potential impact on health. Journal of Functional Foods [Internet]. 2020 Nov [cited 2025 May 30];74(104171):104171. Available from: https://www.sciencedirect.com/science/article/pii/S1756464620303959 

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

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Typhoid Vaccine: What is It, Types, When to Be Taken & Side Effects

Introduction

Typhoid fever is a serious (and potentially life-threatening) illness caused by the bacterium Salmonella Typhi that spreads primarily through contaminated food and water. Once inside the body, the bacteria rapidly multiply in the intestinal lymphoid tissue known as Peyer’s patches, and eventually enter the bloodstream, leading to infection (bacteraemia)1,2.  

With increasing urbanisation, poor sanitation, and the growing threat of antibiotic-resistant strains, the global risk of typhoid is rising, especially in communities lacking clean water and proper hygiene1,2

Given the public health threat posed by typhoid fever, vaccination plays a crucial role in prevention. This article explores the typhoid vaccine, what it is, the types available, when it should be administered, and its possible side effects, helping you make informed decisions about protection against this preventable disease. 

What is the Typhoid Vaccine?

The typhoid vaccine is a preventive vaccine that provides immunity against the Salmonella Typhi bacterium, which is responsible for causing typhoid fever2,3.  

The vaccine consists of either weakened live bacteria or inactive (killed) bacteria (alone or attached to a carrier protein). When the body is exposed to the bacteria or its antigens, it helps in developing long-lasting protection by stimulating the immune system to recognise and fight the bacteria if exposed in the future. While the vaccine does not treat active infection, it plays a critical role in preventing illness and reducing its spread3

It is important to note that while the vaccine lowers the chances of getting sick, it doesn’t fully stop the bacteria from spreading (especially in people who carry it for a long time). So, while it helps reduce transmission, it doesn’t completely prevent it. 

Types of Typhoid Vaccines

There are three main types of typhoid vaccines: 

1. Typhoid Conjugate Vaccines

2. Injectable Typhoid Vaccine (Inactivated, Vi Polysaccharide Vaccine)

3. Oral Typhoid Vaccine (Live Attenuated, Ty21a Vaccine)

Why is the Typhoid Vaccine Important?

As of 2019, an estimated 9 million people contract typhoid each year, and approximately 110,000 die from the infection1. The disease disproportionately affects low- and middle-income countries, where access to clean water, proper sanitation, and healthcare may be limited2

Vaccination plays a key role in reducing the risk of infection and preventing its transmission, which is especially crucial in areas with frequent outbreaks, improper sanitation, and rising antibiotic resistance. Moreover, by stimulating the body’s immune system to recognise and fight Salmonella Typhi, the vaccine lowers the chances of severe illness, complications, and death. It also helps protect vulnerable populations, making it an essential tool in the global fight against typhoid fever3

Typhoid vaccine can help prevent typhoid infection, which is very common in a country like India. Outside food, contaminated and uncovered food, are all sources of typhoid, and eating street food is a common cause of infection. Thus, if one eats outside regularly, they should definitely take the typhoid vaccine.

Dr. Nayana Shetty ,MBBS, MD

Who Should Get the Typhoid Vaccine?

The typhoid fever vaccine is recommended for individuals who are at a higher risk of exposure. These groups include: 

Who Should Not Get the Vaccine?

While the typhoid fever vaccine is generally safe and effective, it may not be suitable for everyone. Individuals who should avoid or delay vaccination include: 

How is the Vaccine Given

The administration and preparation for all the typhoid fever vaccine types differ in certain aspects: 

1. Typhoid Conjugate Vaccine

Currently typhoid vaccine is not part of NIS. The typhoid conjugate vaccine is available in India in the private sector and is being recommended to be included in India’s Universal immunization programme (UIP) in view of disease burden14.

Dr. Nayana Shetty ,MBBS, MD

2. Injectable Typhoid Vaccine

3. Oral Typhoid Vaccine

When and How Often to Get the Typhoid Shot

The typhoid vaccine schedule and frequency depend on the type of vaccine administered3,5,6

1. Typhoid Conjugate Vaccine

2. Injectable Typhoid Vaccine

3. Oral Typhoid Vaccine

Effectiveness and Safety of the Typhoid Vaccine

Typhoid vaccines are generally effective and safe in preventing typhoid fever. They offer moderate protection, with an efficacy ranging from 50% to 85%, depending on the type of vaccine used7.  

While they are not 100% protective, they significantly reduce the risk of infection, especially when combined with good hygiene and safe food and water practices. 

Vaccine protection may decline over time, particularly for the Vi polysaccharide and Ty21a vaccines, which may require booster doses for continued protection.  

Possible Side Effects of Typhoid Vaccines

Most side effects of typhoid fever vaccines are mild and temporary. Common side effects include5

Note: Allergic reactions like rash, itching, and swelling may rarely occur in all types of vaccines.

Also Read: HPV Vaccine: What is It, When to Be Taken, Importance & Side Effects 

When to See a Doctor

It’s important to seek medical advice at certain points related to typhoid vaccination and potential infection: 

Note: Antibiotic-resistant typhoid is a growing concern, especially in South Asia, so prompt diagnosis and blood culture testing are crucial to ensure the right treatment13.

Also Read: All You Need To Know About Typhoid!

Conclusion

Typhoid vaccination is a simple yet powerful tool in preventing a potentially serious and life-threatening illness. It offers protection against Salmonella Typhi, the bacterium responsible for typhoid fever, which continues to affect millions of people globally each year. 

Vaccines are especially important for travellers to high-risk regions, individuals living in or near outbreak areas, and those working in environments where exposure is more likely. While no vaccine provides complete immunity, typhoid vaccines significantly reduce the risk of infection and severe complications. 

By getting vaccinated, you not only protect yourself but also help limit the spread of disease within communities, making typhoid prevention a shared responsibility and a vital part of public health. 

Also Read: Home Remedies For Typhoid!

Frequently Asked Questions (FAQs)

What typhoid conjugate vaccines are available in India?

India currently offers two WHO-prequalified typhoid conjugate vaccines3
-Typbar-TCV® by Bharat Biotech 
-TyphiBev™ by Biological E Ltd 

Can pregnant or breastfeeding women receive the typhoid vaccine?

Safety data is limited, but Vi polysaccharide vaccines and typhoid conjugate vaccines are considered to pose minimal risk and can be given if needed. However, the live oral Ty21a vaccine is not recommended during pregnancy due to potential risks3.

Besides vaccination, what other measures help prevent typhoid fever? 

In addition to vaccination, safe food and water practices are crucial, such as eating thoroughly cooked food, peeling fruits before eating, and drinking only boiled, disinfected, or sealed bottled water. Handwashing before meals is also essential. In prevention of typhoid, WASH (Water, Sanitation, and Hygiene) interventions remain equally important to vaccination, especially in high-risk areas3.  

Can the typhoid vaccine be given with other vaccines?

Yes, the typhoid vaccine can be safely administered alongside other routine vaccines3.

Should I inform my doctor about any medications before getting the typhoid vaccine? 

Yes, it’s important to tell your vaccine provider if you are currently taking or have recently taken antibiotics or anti-malarial medications5

What if I get typhoid symptoms even after vaccination?

While the vaccine greatly reduces the risk, no vaccine offers 100% protection. If you develop symptoms of typhoid fever after vaccination, it’s important to seek medical care immediately.  

References

  1. World Health Organization. Typhoid [Internet]. WHO; 2019 [cited 2025 Jun 17]. Available from: https://www.who.int/news-room/fact-sheets/detail/typhoid 
  2. Bhandari J, Thada PK, Hashmi MF, et al. Typhoid Fever [Internet]. StatPearls Publishing; 2025 Jan; [updated 2024 Apr 19; cited 2025 Jun 17]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557513/ 
  3. Van Camp RO, Shorman M. Typhoid Vaccine [Internet]. StatPearls Publishing; 2025 Jan; [updated 2024 Jul 1; cited 2025 Jun 17]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470571/ 
  4. Tanrıöver MD, Akar S, Türkçapar N, Karadağ Ö, Ertenli İ, Kiraz S. Vaccination recommendations for adult patients with rheumatic diseases. Eur J Rheumatol. 2016 Mar;3(1):29-35. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC5042271/ 
  5. Centers for Disease Control and Prevention. Typhoid Vaccine: What You Need to Know [Internet]. CDC; 2019 Oct 30 [cited 2025 Jun 17]. Available from: https://www.cdc.gov/vaccines/hcp/current-vis/typhoid.html 
  6. Gloeck NR, Leong T, Iwu-Jaja CJ, Katoto PDM, Kredo T, Wiysonge CS. Typhoid conjugate vaccines for preventing typhoid fever (enteric fever). Cochrane Database Syst Rev. 2023 Jun 14;2023(6):CD015746. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10266125/ 
  7. Pickering LK, Orenstein WO. Active Immunization. In: Long SS, editor. Principles and Practice of Pediatric Infectious Disease [Internet]. 3rd ed. Philadelphia: W.B. Saunders; 2008. p. 48–71. Available from: https://www.sciencedirect.com/science/article/pii/B9780702034688500134 
  8. Patel PD, Patel P, Liang Y, Meiring JE, Misiri T, Mwakiseghile F, Tracy JK, Masesa C, Msuku H, Banda D, Mbewe M, Henrion M, Adetunji F, Simiyu K, Rotrosen E, Birkhold M, Nampota N, Nyirenda OM, Kotloff K, Gmeiner M, Dube Q, Kawalazira G, Laurens MB, Heyderman RS, Gordon MA, Neuzil KM; TyVAC Malawi Team. Safety and Efficacy of a Typhoid Conjugate Vaccine in Malawian Children. N Engl J Med. 2021 Sep 16;385(12):1104-1115. Available from: https://pubmed.ncbi.nlm.nih.gov/34525285/ 
  9. Klugman KP, Koornhof HJ, Robbins JB, Le Cam NN. Immunogenicity, efficacy and serological correlate of protection of Salmonella typhi Vi capsular polysaccharide vaccine three years after immunization. Vaccine. 1996 Apr;14(5):435-8. Available from: https://pubmed.ncbi.nlm.nih.gov/8735556/ 
  10. Klugman KP, Gilbertson IT, Koornhof HJ, Robbins JB, Schneerson R, Schulz D, Cadoz M, Armand J. Protective activity of Vi capsular polysaccharide vaccine against typhoid fever. Lancet. 1987 Nov 21;2(8569):1165-9. Available from: https://pubmed.ncbi.nlm.nih.gov/2890805/ 
  11. Simanjuntak CH, Paleologo FP, Punjabi NH, Darmowigoto R, Soeprawoto, Totosudirjo H, Haryanto P, Suprijanto E, Witham ND, Hoffman SL. Oral immunisation against typhoid fever in Indonesia with Ty21a vaccine. Lancet. 1991 Oct 26;338(8774):1055-9. Available from: https://pubmed.ncbi.nlm.nih.gov/1681365/ 
  12. Levine MM, Ferreccio C, Black RE, Germanier R. Large-scale field trial of Ty21a live oral typhoid vaccine in enteric-coated capsule formulation. Lancet. 1987 May 9;1(8541):1049-52. Available from: https://pubmed.ncbi.nlm.nih.gov/2883393/ 
  13. Parry CM, Ribeiro I, Walia K, Rupali P, Baker S, Basnyat B. Multidrug resistant enteric fever in South Asia: unmet medical needs and opportunities. BMJ. 2019 Jan 22;364:k5322. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6340381/ 
  14. Mogasale VV, Sinha A, John J, Farooqui HH, Ray A, Chantler T, Mogasale V, Dhoubhadel BG, Edmunds WJ, Clark A, Abbas K. Typhoid conjugate vaccine implementation in India: A review of supportive evidence. Vaccine X. 2024;17:100568. doi:10.1016/j.jvacx.2024.100568. Available from: https://www.sciencedirect.com/science/article/pii/S2590136224001414#:~:text=Abstract,Results

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

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Mounjaro vs Zepbound: Differences, Uses, Side Effects & More

Introduction

Mounjaro and Zepbound are two injectable medications that have gained attention for their roles in managing chronic health conditions. While both contain the same active ingredient, tirzepatide, they are FDA-approved for different uses: Mounjaro is approved for the treatment of type 2 diabetes (T2DM), whereas Zepbound is approved for chronic weight management in adults with obesity or overweight (with at least one weight-related condition)1,2

People often compare Mounjaro and Zepbound because they share the same mechanism of action but are marketed for different health conditions. Through this article, we aim to understand the differences between Zepbound vs Mounjaro better, their effectiveness, dosing, side effects, and suitability for different health goals. 

Zepbound vs Mounjaro

zepbound vs mounjaro

While Zepbound and Mounjaro share the same active ingredient, their approved uses and practical applications differ. Below is a side-by-side look at how they compare across key metrics3,5

Category Zepbound Mounjaro 
Brand Name Zepbound Mounjaro 
Generic Name (active ingredient) Tirzepatide Tirzepatide 
Manufacturer Eli Lilly and Company Eli Lilly and Company 
CDSCO Approval Year Not approved yet in India 2024 
FDA Approval Year 2023 2022 
FDA-Approved Use Chronic weight management Type 2 diabetes management 
Indications Obesity (BMI ≥30) or overweight (BMI ≥27) with at least one weight-related condition (e.g., hypertension) Type 2 diabetes, along with diet and exercise 
Mechanism of Action Dual GIP and GLP-1 receptor agonist Dual GIP and GLP-1 receptor agonist 
Dosing Once-weekly injection. From 2.5 mg to 15 mg Once-weekly injection. Doses from 2.5 mg to 15 mg 
Starting DoseMounjaro 2.5mg Kwikpen (2.5 mg / 0.5 ml)2.5mg

There is a growing trend to prescribe Mounjaro (off label) in pre-diabetic individuals as can be seen from consumer confessions10.

Dr. Nayana Shetty ,MBBS, MD

How Do Zepbound and Mounjaro Work?

Both Zepbound and Mounjaro contain tirzepatide, a unique medication that works through dual incretin receptor agonism, targeting both GLP-1 (glucagon-like peptide-1) and GIP (glucose-dependent insulinotropic polypeptide) receptors6. This dual action sets tirzepatide apart from older treatment options that target GLP-1 alone. 

GLP-1 Mechanism: GLP-1 is a hormone released in the gut after eating. Tirzepatide enhances GLP-1 activity, which6,7

GIP Mechanism: GIP is another gut hormone that helps regulate insulin and fat metabolism. Tirzepatide mimics GIP to6,7

The combination of GLP-1 and GIP receptor activity makes Tirzepatide highly effective in both formulations by: 

FDA-Approved Uses and Dosing

Mounjaro was approved by the FDA in May 2022 for the treatment of T2DM in adults, to be used alongside diet and exercise3

Zepbound, approved in November 2023, is indicated for chronic weight management in adults with obesity or those who are overweight and have at least one weight-related health condition (such as hypertension)4

Regarding Mounjaro vs Zepbound dosing, both follow a once-weekly injection schedule (starting at 2.5 mg), with gradual dose increases based on individual response and tolerance3,4

Doctors must strike a careful balance when considering off-label prescribing of Mounjaro for prediabetics, as it is not yet approved for this use. With proper support in lifestyle modifications (especially diet and exercise) many patients could successfully reverse prediabetes without pharmacological intervention. Continual monitoring of these individuals is of paramount importance.

Dr. Nayana Shetty ,MBBS, MD

Which Conditions Do They Help Manage?

Both medications have different treatment goals despite having the same active ingredient: 

Note: In the comparison of Zepbound vs Mounjaro for weight loss, both contain tirzepatide, but Zepbound is approved specifically for weight management. 

While the approved indications differ, both drugs offer metabolic benefits that help address modern health challenges like obesity and diabetes.

Also Read: Liraglutide: Uses, Dosage, Side Effects & Complete Patient Guide

Side Effects: Zepbound vs Mounjaro Safety Comparison

Looking at Zepbound vs Mounjaro side effects, both share a similar safety profile. Most side effects are related to the gastrointestinal system and tend to be mild to moderate, especially during the early weeks of treatment. However, like all medications, serious side effects are possible and should be monitored. 

Here’s a side-by-side comparison of the common and serious side effects reported for both Zepbound and Mounjaro3,4

Side Effect Type Zepbound Mounjaro 
Common Side Effects  
Nausea Yes Yes 
Vomiting Yes Yes 
Diarrhoea Yes Yes 
Constipation Yes Yes 
Decreased appetite Yes Yes 
Indigestion Sometimes Sometimes 
Fatigue Occasionally Occasionally 
Serious Side Effects (rare but possible) 
Pancreatitis (inflammation of the pancreas) Possible Possible 
Gallbladder problems Possible (e.g., gallstones) Possible (e.g., gallstones) 
Kidney issues  Possible Possible 
Severe allergic reactions  Rare Rare 

Important Safety Note: Both medications carry a boxed warning about the potential risk of thyroid C-cell tumours, although this has only been observed in animal studies. Neither Zepbound nor Mounjaro is recommended for individuals with a personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2)3,4

Also Read: Wegovy Diet Plan: Complete Food Guide, Side Effect Management & Meal Ideas 

Cost and Availability: India and Global

Mounjaro is available in India via prescription, with costing typically starting from three thousand five hundred rupees for one dose. Zepbound has not been officially launched in India yet.  

Globally, both drugs are available (primarily in the U.S. and other developed countries), with prices differing based on dosage and insurance coverage. 

Note: Always consult a doctor before starting either medication. The availability, suitability, and cost of a drug can vary based on your health condition, location, and access to insurance or patient assistance programs. 

Are Zepbound and Mounjaro Interchangeable?

Zepbound and Mounjaro contain the same active ingredient, tirzepatide, and work through the same dual hormone mechanism (GLP-1 and GIP receptor agonism). However, they are not officially interchangeable, as they are FDA-approved for different medical conditions: 

Therefore, switching should not be done without medical guidance. A doctor will assess your condition, treatment goals, and possible side effects to determine the most appropriate option. Self-switching is not advised due to regulatory and therapeutic considerations. 

Also Read: Wegovy (Semaglutide): How It Works, Who It’s For & What to Expect 

Conclusion

The primary Mounjaro vs Zepbound difference lies in their approved use: Mounjaro has been approved for T2DM, while Zepbound has been approved for chronic weight management. Their dosing, side effects, and mechanisms are similar, but their FDA approvals, insurance coverage, and clinical use cases differ. 

Ultimately, the right choice of medicine depends on individual health needs, including whether the focus is on blood sugar control, weight management, or both. Factors like medical history, current medications, cost, and availability also play a role in choosing the medicine. Therefore, always consult your doctor to determine which option is the safest and most effective for your specific condition. They can guide you through the risks, benefits, and practical considerations before starting treatment. 

Frequently Asked Questions (FAQs)

Can I use Zepbound and Mounjaro together?

No, they should not be used together since both contain tirzepatide and would duplicate treatment and may cause potential side effects. 

Is tirzepatide the same in both drugs? 

Yes, both contain the same active ingredient, tirzepatide, in identical forms3,4.

Can you substitute Zepbound for Mounjaro?

Not directly, substitution requires medical guidance and depends on the condition being treated. 

Does Zepbound cause kidney problems?

It may increase the risk of kidney issues, especially in cases of dehydration. Therefore, close monitoring is recommended3

Who shouldn’t take Zepbound?

People with a history of medullary thyroid cancer, MEN 2 syndrome,  family history of MEN2 syndrome or serious allergic reactions to tirzepatide should avoid Zepbound4.

References

  1. U.S. Food and Drug Administration. Drug Trials Snapshots: MOUNJARO. U.S. Department of Health and Human Services. [cited 2025 Jun 16]. Available from: https://www.fda.gov/drugs/drug-approvals-and-databases/drug-trials-snapshots-mounjaro 
  2. U.S. Food and Drug Administration. FDA approves new medication for chronic weight management. FDA. 2023; [cited 2025 Jun 16]. Available from: https://www.fda.gov/news-events/press-announcements/fda-approves-new-medication-chronic-weight-management 
  3. U.S. Food and Drug Administration. Mounjaro (tirzepatide) injection, for subcutaneous use: Highlights of prescribing information. FDA. 2022; [cited 2025 Jun 09]. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2022/215866s000lbl.pdf 
  4. U.S. Food and Drug Administration. ZEPBOUND™ (tirzepatide) Injection, for subcutaneous use: Highlights of prescribing information. FDA. 2023; [cited 2025 Jun 09]. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2023/217806s000lbl.pdf 
  5. Central Drugs Standard Control Organisation (CDSCO). Recommendations of the Subject Expert Committee (Endocrinology & Metabolism) meeting held on 13 August 2024 [Internet]. New Delhi: CDSCO; 2024 Aug 13 [cited 2025 Jun 17]. Available from: https://cdsco.gov.in/opencms/resources/UploadCDSCOWeb/2018/UploadCommitteeFiles/Recommendations%20Endocrinology%20%26%20Metabolism%2013.08.2024.pdf 
  6. Seino Y, Fukushima M, Yabe D. GIP and GLP-1, the two incretin hormones: Similarities and differences. J Diabetes Investig. 2010 Apr 22;1(1-2):8-23. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4020673/ 
  7. Farzam K, Patel P. Tirzepatide [Internet]. StatPearls Publishing. 2025; [cited 2025 Jun 09]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK585056/ 
  8. Dahl D, Onishi Y, Norwood P, Huh R, Bray R, Patel H, Rodríguez Á. Effect of Subcutaneous Tirzepatide vs Placebo Added to Titrated Insulin Glargine on Glycemic Control in Patients With Type 2 Diabetes: The SURPASS-5 Randomized Clinical Trial. JAMA. 2022 Feb 8;327(6):534-545. Available from: https://pubmed.ncbi.nlm.nih.gov/35133415/ 
  9. Garvey WT, Frias JP, Jastreboff AM, le Roux CW, Sattar N, Aizenberg D, Mao H, Zhang S, Ahmad NN, Bunck MC, Benabbad I, Zhang XM; SURMOUNT-2 investigators. Tirzepatide once weekly for the treatment of obesity in people with type 2 diabetes (SURMOUNT-2): a double-blind, randomised, multicentre, placebo-controlled, phase 3 trial. Lancet. 2023 Aug 19;402(10402):613-626. Available from: https://pubmed.ncbi.nlm.nih.gov/37385275/ 
  10. Pereira K. Ozempic to Mounjaro: The secret behind celebrities’ jaw‑dropping weight‑loss transformations revealed! The Times of India [Internet]. 2025 Jul 11 [cited 2026 Mar 9]. Available from: https://timesofindia.indiatimes.com/entertainment/english/hollywood/news/ozempic-to-mounjaro-the-secret-behind-celebrities-jaw-dropping-weight-loss-transformations-revealed/articleshow/122382000.cms

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

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Mounjaro vs Ozempic: Our Endocrinologist Explains the Difference

Introduction

In India, an estimated 77 million adults are currently living with type 2 diabetes (T2DM)1. In many cases, lifestyle interventions such as diet modification and regular physical activity are sufficient in the early stages of T2DM. However, as the condition progresses, additional treatments may be needed to improve insulin sensitivity or enhance insulin secretion by the pancreas2

In recent years, medications like Mounjaro and Ozempic have gained widespread attention for their effectiveness in managing type 2 diabetes (T2DM)3,4. Both tirzepatide and semaglutide (active ingredients of Mounjaro and Ozempic) are prescription medications approved by the Central Drugs Standard Control Organisation (CDSCO) and are prescribed under medical supervision5,6. While they share similarities in purpose, their mechanisms of action and dosing differ. 

In this article, we aim to provide a neutral, fact-based comparison of Mounjaro and Ozempic to help you better understand each option and support informed conversations with your doctor. 

What Are Mounjaro and Ozempic?

Mounjaro (tirzepatide) and Ozempic (semaglutide) are both injectable medications designed to help manage T2DM in adults, alongside diet and exercise. Below are some brief details of these drug molecules- 

Tirzepatide 

Semaglutide 

Glucagon‐like peptide‐1 (GLP‐1) and gastric inhibitory polypeptide (GIP) are hormones that help regulate blood sugar after meals. 

Ozempic works by mimicking GLP-1 only, while Mounjaro targets both GLP-1 and GIP7,8. This dual action makes Mounjaro potentially more effective for blood sugar control compared to Ozempic. 

How Do They Work?

mounjaro vs ozempic

Both Mounjaro and Ozempic are medications (once weekly injections) that work by enhancing the body’s natural hormone responses. Both should be used in conjunction with lifestyle and dietary changes for optimal results3,7,8

Feature Mounjaro (tirzepatide) Ozempic (semaglutide) 
Drug Class GIP & GLP-1 receptor agonist GLP-1 receptor agonist 
Stimulates Insulin Yes (Enhanced due to dual hormone action) Yes (Via GLP-1 pathway) 
Suppresses Glucagon Yes Yes 
Lowers Blood Glucose Highly effective Effective 
Weight Loss Effect SubstantialSignificant
Starting dose (decided by doctor)Mounjaro 2.5mg Kwikpen (2.5 mg / 0.5 ml)

Effectiveness in Type 2 Diabetes Management

Both Mounjaro and Ozempic have demonstrated strong results in lowering HbA1c, a key marker of long-term blood sugar control. However, their effectiveness can vary depending on individual patient factors such as baseline HbA1c, weight, other health conditions, and treatment adherence. 

In a study comparing tirzepatide and semaglutide, tirzepatide reduced HbA1c by 2.01% to 2.30%, depending on the dose, while semaglutide reduced it by 1.86% in 40 weeks13. Thus, Mounjaro (tirzepatide) has the potential for greater reduction in HbA1c levels over time when comnpared to semaglutide.

Important Note: While both drugs are effective, patient response can vary. Factors like side effects, tolerability, cost, and individual goals (e.g., weight loss vs. glycaemic control) often play a role in determining the best choice. 

In my experience, medicines like Mounjaro reduce the appetite. Here the role of nutrition plan comes into play. With the limited appetite of the patient- dietitian has to design a nutrient dense meal plan inorder to reduce the chances of nutrtional deficiencies or muscle loss. Many a times we also prescribe nutritional supplements as and when needed. This supports a healthy weight loss.

Dr. Malavika Athavale, Consulting Clinical and IBS Nutritionist

Weight Management Support

While Mounjaro and Ozempic are primarily approved for managing T2DM, many patients may also experience weight loss as an added benefit of treatment. This reduction in weight is largely due to the medications’ effects on appetite regulation, insulin sensitivity, and slower gastric emptying3,8. In a study comparing tirzepatide and semaglutide, at 12 months, treatment with tirzepatide lead to 6.9% higher weight loss as compared to treatment with semaglutide14

However, it’s important to note: 

Weight management can be a valuable secondary outcome for people with T2DM, as it often improves insulin sensitivity, lowers cardiovascular risk, and enhances overall metabolic health4,10. As always, these benefits are most effective when paired with a healthy diet, regular physical activity, and ongoing medical guidance. 

Side Effects: Mounjaro vs Ozempic

Both Mounjaro and Ozempic are generally well-tolerated, but like all medications, they can cause side effects, especially during the initial weeks of treatment as the body adjusts7,8

The table below shows common similar side effects of Ozempic as well as Mounjaro7,8

Side Effect  Mounjaro and Ozempic 
Nausea Common  
Vomiting Common  
Diarrhea Common  
Constipation Common  
Decreased appetite Common  
Fatigue Rare 
Injection site reactions Rare 
Hypoglycemia (low blood sugar) Possible  

Other rare but serious side effects of both these medications include: 

Also, semaglutide has been linked to a higher risk of worsening diabetic retinopathy15. However, further studies are needed to confirm this association. 

Important: Both medications include a boxed warning and should be avoided in patients with a personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia type 2 (MEN 2). 

Also Read: Liraglutide: Uses, Dosage, Side Effects & Complete Patient Guide

Cost and Availability: India and Global

Mounjaro and Ozempic are widely available in many countries, where they can be purchased with a prescription from major pharmacies. The cost of initiation dose of Mounjaro starts from about three thousand five hundred rupees per injection in India.  

While Mounjaro may be a more affordable alternative, the actual medication cost for both can vary based on location, dosage, and healthcare/insurance coverage.

Also Read: Wegovy Diet Plan: Complete Food Guide, Side Effect Management & Meal Ideas 

Who Might Benefit More from Mounjaro or Ozempic?

The choice between Mounjaro and Ozempic often depends on individual needs and treatment goals.  

For patients already using a GLP-1 receptor agonist but needing stronger blood sugar and weight control, tirzepatide may offer added benefits because of its dual-action mechanism. Also, due to its dose-dependent action, those with high baseline HbA1c levels might respond better to Mounjaro13.  

Ultimately, an Endocrinologist’s assessment is essential to determine which medication is more suitable, based on medical history and individual treatment goals.

Note: Both Ozempic and Mounjaro are effective for diabetes management, but Ozempic vs Mounjaro for diabetes often comes down to other factors like patient response, tolerability, cost, and other health conditions. 

Can You Switch from Ozempic to Mounjaro?

Some patients may consider switching from Ozempic to Mounjaro if they are not seeing the desired results in blood sugar control or weight management16. However, switching between medications depends on several factors, like current response, side effects, dosage, and overall health. Remember, for a safe and effective transition plan, always consult your doctor. Self-switching or overlapping treatments can lead to risks and are not recommended. 

Also Read: Wegovy (Semaglutide): How It Works, Who It’s For & What to Expect 

Conclusion

Mounjaro and Ozempic are both effective options for managing T2DM, but they differ in how they work and their potential impact on blood sugar and weight. Mounjaro is a dual GIP/GLP-1 receptor agonist while Ozempic only targets the GLP-1 receptor, thereby providing better blood sugar control. Additionally, when comparing Mounjaro vs Ozempic for weight loss, clinical trials suggest that Mounjaro may lead to greater weight reduction. Ultimately, the best choice depends on individual factors such as tolerability and cost, treatment goals, and medical history. Always consult your doctor or diabetes specialist to determine which medication is right for you. 

Frequently Asked Questions (FAQs)

Which drug lowers A1C more? 

Clinical studies suggest that Mounjaro may lower A1C more effectively than Ozempic, especially at higher doses7. However, individual results may vary. Therefore, the choice between Mounjaro vs Ozempic in type 2 diabetes should depend on medical advice as well as individual treatment goals. 

Are Mounjaro and Ozempic the same type of medicine? 

No, not exactly. Both are injectable medications used to manage T2DM, but they belong to different classes2,5
-Ozempic is a brand name for the drug semaglutide, which is a GLP-1 receptor agonist that activates one hormone pathway. 
-Mounjaro is a brand name for the drug tirzepatide, which is a dual GIP and GLP-1 receptor agonist, meaning it activates two hormone pathways instead of one. 

Do both have similar side effects? 

Yes, both drugs share certain common side effects, including nausea, vomiting, diarrhoea, constipation, and appetite loss. Serious but rare side effects (such as pancreatitis or thyroid tumours) are also similar and require medical attention if symptoms appear3,4

Is Mounjaro more expensive than Ozempic in India? 

The cost of Ozempic vs Mounjaro can vary widely depending on region, availability, dosage, and pharmacy. 

References

  1. World Health Organization. Diabetes in India: In India, there are estimated 77 million people above the age of 18 years suffering from diabetes (type 2) and nearly 25 million are prediabetics [Internet]. WHO Regional Office for South-East Asia; [cited 2025 Jun 17]. Available from: https://www.who.int/india/diabetes 
  2. Sapra A, Bhandari P. Diabetes [Internet]. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2025 Jan; [updated 2023 Jun 21; cited 2025 Jun 17]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551501/ 
  3. Gettman L. New Drug: Tirzepatide (Mounjaro™). Sr Care Pharm. 2023 Feb 1;38(2):50-62. Available from: https://pubmed.ncbi.nlm.nih.gov/36751934/ 
  4. Kommu S, Whitfield P. Semaglutide [Internet]. StatPearls Publishing; 2025 Jan; [cited 2025 Jun 09]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK603723/ 
  5. Central Drugs Standard Control Organisation (CDSCO). Recommendations of the Subject Expert Committee (Endocrinology & Metabolism) meeting held on 13 August 2024 [Internet]. New Delhi: CDSCO; 2024 Aug 13 [cited 2025 Jun 17]. Available from: https://cdsco.gov.in/opencms/resources/UploadCDSCOWeb/2018/UploadCommitteeFiles/Recommendations%20Endocrinology%20%26%20Metabolism%2013.08.2024.pdf 
  6. Central Drugs Standard Control Organisation (CDSCO). Recommendations of the Subject Expert Committee (Endocrinology & Metabolism) meeting held on 24 July 2024 [Internet]. New Delhi: CDSCO; 2024 Jul 24 [cited 2025 Jun 17]. Available from: https://cdsco.gov.in/opencms/resources/UploadCDSCOWeb/2018/UploadCommitteeFiles/Recommendation%20Endocrinology%20&%20Metabolism%20dated%2024.07.2024.pdf 
  7. U.S. Food and Drug Administration. Mounjaro (tirzepatide) injection, for subcutaneous use: Highlights of prescribing information. FDA. 2022; [cited 2025 Jun 09]. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2022/215866s000lbl.pdf 
  8. U.S. Food and Drug Administration. OZEMPIC (semaglutide) injection, for subcutaneous use: Highlights of prescribing information. FDA. 2017; [cited 2025 Jun 09]. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2023/209637s020s021lbl.pdf 
  9. Seino Y, Fukushima M, Yabe D. GIP and GLP-1, the two incretin hormones: Similarities and differences. J Diabetes Investig. 2010 Apr 22;1(1-2):8-23. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4020673/ 
  10. Farzam K, Patel P. Tirzepatide [Internet]. StatPearls Publishing. 2025; [cited 2025 Jun 09]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK585056/ 
  11. Rosenstock J, Wysham C, Frías JP, Kaneko S, Lee CJ, Fernández Landó L, Mao H, Cui X, Karanikas CA, Thieu VT. Efficacy and safety of a novel dual GIP and GLP-1 receptor agonist tirzepatide in patients with type 2 diabetes (SURPASS-1): a double-blind, randomised, phase 3 trial. Lancet. 2021 Jul 10;398(10295):143-155. doi: 10.1016/S0140-6736(21)01324-6. Epub 2021 Jun 27. Erratum in: Lancet. 2021 Jul 17;398(10296):212. Available from: https://pubmed.ncbi.nlm.nih.gov/34186022/ 
  12. Sorli C, Harashima SI, Tsoukas GM, Unger J, Karsbøl JD, Hansen T, Bain SC. Efficacy and safety of once-weekly semaglutide monotherapy versus placebo in patients with type 2 diabetes (SUSTAIN 1): a double-blind, randomised, placebo-controlled, parallel-group, multinational, multicentre phase 3a trial. Lancet Diabetes Endocrinol. 2017 Apr;5(4):251-260. Available from: https://pubmed.ncbi.nlm.nih.gov/28110911/ 
  13. Frías JP, Davies MJ, Rosenstock J, Pérez Manghi FC, Fernández Landó L, Bergman BK, Liu B, Cui X, Brown K; SURPASS-2 Investigators. Tirzepatide versus semaglutide once weekly in patients with type 2 diabetes. N Engl J Med. 2021 Jun 25;385(6):503-515. Available from: https://www.nejm.org/doi/full/10.1056/NEJMoa2107519 
  14. Rodriguez PJ, Goodwin Cartwright BM, Gratzl S, Brar R, Baker C, Gluckman TJ, Stucky NL. Semaglutide vs Tirzepatide for Weight Loss in Adults With Overweight or Obesity. JAMA Intern Med. 2024 Sep 1;184(9):1056-1064. Available from: https://pmc.ncbi.nlm.nih.gov/articles/pmid/38976257/ 
  15. Sharma A, Parachuri N, Kumar N, Saboo B, Tripathi HN, Kuppermann BD, Bandello F. Semaglutide and the risk of diabetic retinopathy-current perspective. Eye (Lond). 2022 Jan;36(1):10-11. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8727607/ 
  16. Almandoz JP, Lingvay I, Morales J, Campos C. Switching Between Glucagon-Like Peptide-1 Receptor Agonists: Rationale and Practical Guidance. Clin Diabetes. 2020 Oct;38(4):390-402. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC7566932/ 

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

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