Semaglutide vs Phentermine

SemaglutidePhentermine
GLP-1 receptor agonist

Drug Class

Sympathomimetic amine (Stimulant)
- Type 2 diabetes (Ozempic, Rybelsus) - Weight management (Wegovy)

Primary Indications

- Short-term weight loss (in combination with diet and exercise)
Mimics GLP-1 hormone, increasing insulin secretion, reducing appetite, and slowing gastric emptying.

Mechanism of Action

Stimulates the release of norepinephrine, suppressing appetite and increasing energy expenditure.
Injection (Ozempic, Wegovy), Oral tablet (Rybelsus)

Dosage Forms

Oral tablets and capsules
- Type 2 diabetes: 0.25–2 mg once weekly (Ozempic) - Weight loss: 2.4 mg once weekly (Wegovy)

Common Dosages

- 15–37.5 mg once daily, usually in the morning
1–3 days for appetite suppression, weeks for blood sugar control

Onset of Action

Within hours
~7 days (long half-life)

Duration of Action

~24 hours
~7 days (for injection)

Half-Life

20 hours
- Nausea - Vomiting - Diarrhea - Constipation - Decreased appetite

Common Side Effects

- Dry mouth - Increased heart rate - Insomnia - Nervousness - Constipation
- Pancreatitis - Thyroid tumors (in animals) - Severe gastrointestinal issues

Serious Side Effects

- Hypertension - Heart palpitations - Psychological dependence - Risk of stroke or heart attack
Category C (Not recommended)

Pregnancy Category

Category X (Contraindicated in pregnancy)
No

Controlled Substance

Schedule IV
Low

Addiction Potential

High (stimulant-like properties)
- Insulin and sulfonylureas (hypoglycemia risk) - Delayed absorption of oral drugs

Drug Interactions

- MAO inhibitors (risk of hypertensive crisis) - Other stimulants (increased heart risk)
- Blood sugar levels - Weight loss progress - Gastrointestinal symptoms

Monitoring Parameters

- Blood pressure - Heart rate - Mood changes (risk of dependency)
- Increased appetite - Blood sugar fluctuations

Withdrawal Symptoms

- Fatigue - Depression - Increased hunger
- Can cause severe nausea, start with a low dose. - Not for Type 1 diabetes.

Special Considerations

- Short-term use only (few weeks recommended). - Not suitable for individuals with heart disease or high blood pressure.

Coupon code

CMP30

Coupon code

Coupon code

CMP30