Skip to main content
Medically Approved

Ozempic dosage: A detailed guide

twitter share buttonfacebook share buttonlinkedin share buttonemail article button
Form and strengthsDosageFAQHow it’s usedCouponOverdoseAsk your doctorBoxed warning
Doctors prescribe Ozempic for managing blood sugar and lowering the risk of heart disease in certain people with type 2 diabetes. You inject it under your skin once per week.
Medically reviewed by Christina Bookwalter PharmD, MS MEd, BCPS, BCACP
Updated on

This article describes Ozempic’s dosages and strengths and gives details on how to use it. You’ll also find information on cost savings and coupon options for Ozempic. If you want to know more about Ozempic, see this overview article. It covers details about the drug’s uses and side effects, ways to save on cost, and more.

Ozempic is a brand-name medication that comes as a liquid solution that you inject under your skin. It isn’t available in a generic version.

Boxed warning: Risk of thyroid cancer

Ozempic has a boxed warning for the risk of certain types of thyroid tumors and cancers. A boxed warning is the most serious warning from the Food and Drug Administration (FDA).

See the end of this article for more information about this warning.

Need a diagnosis or prescription quickly? For certain health conditions, Optum Perks offers personalized on-demand care with no appointment required. For $25, answer a few questions online and receive a diagnosis and treatment plan from a board certified healthcare professional in 15 minutes or less. Get started here.

Form and strengths of Ozempic

Ozempic comes as follows:

  • Form: a liquid solution that you inject under your skin
  • Strengths:
    • 2 milligrams per 3 milliliters (mg/mL) pen for 0.25-mg or 0.5-mg doses
    • 4 mg/3 mL pen for 1-mg doses
    • 8 mg/3 mL pen for 2-mg doses

Dosage of Ozempic

This article describes the recommended dosages for Ozempic. The drugmaker provides these dosages.

If your doctor prescribes this medication, you should follow the dosage they prescribe. Your doctor will determine the dosage that best meets your needs. Do not change your dosage of Ozempic without your doctor’s recommendation.

Usual recommended dosages of Ozempic in adults

Usually, doctors start by prescribing a low dosage of Ozempic. Then, they’ll adjust it over time until the right dosage is reached. Ultimately, your doctor will prescribe the smallest dosage of Ozempic that gives the desired outcome.

Ozempic is used to manage blood sugar and lower the risk of heart disease in certain people with type 2 diabetes. Below are its usual dosages:

  • Starting dosage: 0.25 mg once weekly
  • Maintenance dosage: 0.5–2 mg once weekly
  • Maximum dosage: 2 mg once weekly

Note: The 0.25 mg dose is only used to start treatment. It is not effective in managing your blood sugar. Your doctor will likely increase your dose after 4 weeks if you’re not experiencing side effects from Ozempic.

Dosage adjustments for Ozempic

Your doctor will prescribe a dosage of Ozempic based on several factors. These include:

  • the specific condition being treated and how severe it is
  • your age
  • other medications you’re taking
  • other health conditions you may have
  • whether you experience any side effects of the drug

Missed dose of Ozempic

If you miss a dose, take it as soon as you remember, as long as it’s within 5 days. If it’s been longer than 5 days, skip the missed dose. In both cases, continue taking your next dose on your regular once-weekly schedule.

If you have questions about taking a missed dose, talk with your doctor or pharmacist.

For tips on how to plan your doses of Ozempic and avoid missing a dose, read this article. You could also try:

  • downloading a reminder app on your phone
  • setting an alarm
  • putting a note where you’ll see it, such as on your calendar, bathroom mirror, or bedside table

Frequently asked questions

Below are answers to some commonly asked questions about Ozempic and its dosage.

Can Ozempic be used for weight loss? If so, what is the dosage?

Ozempic is not approved to be used for weight loss. But weight loss is a side effect of the drug.

Your doctor may prescribe Ozempic off-label for weight loss. With off-label use, doctors prescribe a drug for a purpose other than what it’s approved for.

Talk with your doctor to learn more about Ozempic and weight loss.

How many doses are in an Ozempic pen?

There are four doses in each Ozempic pen. So each pen should last 4 weeks (28 days).

Depending on your dose, you’ll be given an Ozempic pen with a different strength. For example, if you’re taking:

  • 0.5 mg once weekly, the strength of your pen will be 2 mg/3 mL
  • 1 mg once weekly, the strength of your pen will be 4 mg/3 mL
  • 2 mg once weekly, the strength of your pen will be 8 mg/3 mL

An exception to this is when you start taking Ozempic. You will use the 2 mg/3 mL pen for the 0.25-mg once weekly dosage. This pen may have more than four doses of the drug.

Talk with your doctor or pharmacist if you have any questions about how long your Ozempic pen should last.

Is Ozempic used long term?

Yes, doctors typically prescribe Ozempic as a long-term treatment. If you and your doctor determine that it’s safe and effective for your condition, you’ll likely use it long term.

If you have questions about how long you should use Ozempic, talk with your doctor.

How Ozempic is used

You’ll inject Ozempic under your skin once weekly at any time of day. It can be injected into your upper arm, abdomen, or thigh. Ozempic can be injected with or without meals.

Your doctor may advise that you use this medication on the same day each week. This helps keep a consistent amount of the drug in your body. And that can help the drug work more effectively.

Also, be sure to talk with your doctor or pharmacist if you’re having difficulty taking your medication. They can offer recommendations about taking it.

Ozempic coupon

Visit this page to access Optum Perks coupons and get price estimates for Ozempic when you use the coupons. These coupons can provide significant savings on your prescription costs.

Note: Optum Perks coupons cannot be used with insurance copays or benefits.

Download the free Optum Perks Discount Card to save up to 80% on some prescription medications.

Pill bottle with text 'Starts at $4'

Free prescription coupons

Seriously … free. Explore prices that beat the competition 70% of the time.

Get free card

Overdose of Ozempic

It’s important that you do not use more Ozempic than your doctor prescribes. Doing so can lead to harmful effects.

What to do if you use too much Ozempic

If you think you’ve used too much Ozempic, call your doctor or pharmacist right away. Or you could call 800-222-1222 to speak with someone at America’s Poison Centers. You can also use its online resource. If you have severe symptoms, call 911 or a local emergency number immediately. You can also go to the closest emergency room.

What to ask your doctor

This article describes the usual recommended dosages for Ozempic. If your doctor prescribes this medication, they’ll determine the dosage that’s best for you.

Do not change your dosage of Ozempic without your doctor’s recommendation. You should use Ozempic exactly as your doctor prescribes it. Let your doctor know if you have concerns or questions about your treatment plan.

Here’s a list of some possible questions you may want to ask your doctor:

  • Will you change my dosage of Ozempic if my current dosage isn’t working for my condition?
  • Would a different dosage of Ozempic change my risk of side effects from the drug?
  • How long will it take my dosage of Ozempic to start working?

Boxed warning for Ozempic

Ozempic has a boxed warning for the risk of thyroid cancer. A boxed warning is the most serious warning from the FDA.

Ozempic was shown to cause certain types of thyroid tumors and cancer in animals. However, it’s not known if Ozempic can cause thyroid tumors and cancer in humans.

Due to this risk, doctors won’t usually prescribe Ozempic if you have a personal or family history of medullary thyroid cancer, a type of thyroid cancer. Doctors also won’t prescribe it if you currently have a type of endocrine condition called multiple endocrine neoplasia syndrome type 2 

Talk with your doctor to learn more about this warning.

Disclaimer: Optum Perks has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.

Article resources