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  • What Is Trulicity?What Is Trulicity?
  • What Is Ozempic?What Is Ozempic?
  • Trulicity Vs. OzempicTrulicity Vs. Ozempic
  • How They WorkHow They Work
  • EffectivenessEffectiveness
  • DosagesDosages
  • Side EffectsSide Effects
  • Warnings & PrecautionsWarnings & Precautions
  • Drug InteractionsDrug Interactions
  • CostsCosts
  • Right for YouRight for You
  • How to GetHow to Get
  • Questions to AskQuestions to Ask
  • In My ExperienceIn My Experience
  • Additional ResourcesAdditional Resources

Trulicity Vs Ozempic: Which Should You Take?

Elyar Gasanli PharmD headshot

Author: Elyar Gasanli, PharmD

Elyar Gasanli PharmD headshot

Elyar Gasanli PharmD

Elyar Gasanli is an accomplished hospital pharmacist with expertise in veterans’ healthcare and mental health conditions. He has expertise in medication management for PTSD, anxiety, and depression.

See My Bio Editorial Policy
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Medical Reviewer: Dena Westphalen, Pharm.D Licensed medical reviewer

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Dena Westphalen PharmD

Dr. Dena Westphalen is a pharmacist with expertise in clinical research and drug information. She has interests in neurology, oncology, and global health.

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Published: March 29, 2024
  • What Is Trulicity?What Is Trulicity?
  • What Is Ozempic?What Is Ozempic?
  • Trulicity Vs. OzempicTrulicity Vs. Ozempic
  • How They WorkHow They Work
  • EffectivenessEffectiveness
  • DosagesDosages
  • Side EffectsSide Effects
  • Warnings & PrecautionsWarnings & Precautions
  • Drug InteractionsDrug Interactions
  • CostsCosts
  • Right for YouRight for You
  • How to GetHow to Get
  • Questions to AskQuestions to Ask
  • In My ExperienceIn My Experience
  • Additional ResourcesAdditional Resources
Brand name:
Trulicity
Generic name:
None
Class of drug:
GLP-1 Agonist
Boxed warning:
Yes
FDA-approved treatments:
Optimize type 2 diabetes management for adults and children (10+) with focused glucose control
Common Off-label Uses (non-FDA approved):
Weight Loss
Common alternatives:

Mounjaro, Victoza, Ozempic

View Drug Class, FDA-Approved Uses, Off-Label Uses, and more

*An off-label use of a medication is a use that is not FDA-approved. Prescribers can decide to use a medication off-label because, in their professional judgment, they believe it may offer a benefit to someone.

Brand name:
Ozempic
Generic name:
None
Class of drug:
GLP-1 Agonist
Boxed warning:
Yes
FDA-approved treatments:
Glycemic control in adults with type 2 diabetes
Common Off-label Uses (non-FDA approved):
Weight loss
Common alternatives:

Mounjaro, Saxenda, Wegovy

View Drug Class, FDA-Approved Uses, Off-Label Uses, and more

*An off-label use of a medication is a use that is not FDA-approved. Prescribers can decide to use a medication off-label because, in their professional judgment, they believe it may offer a benefit to someone.

Trulicity and Ozempic are medications used to treat type 2 diabetes, but they have some differences. Both Trulicity and Ozempic are taken once a week. Ozempic may be more effective in reducing blood sugar levels in some people. However, both medications come with potential side effects and should be taken as prescribed by a doctor.

Boxed Warning: Dulaglutide – Risk of Thyroid C-Cell Tumors

Click here to open and close the box warning container.

Dulaglutide, the active ingredient in Trulicity, has a black box warning. These are the most serious types of warnings from the Food and Drug Administration (FDA). Trulicity has a risk of thyroid c-cell tumors. Your healthcare provider will evaluate your health history and risk for thyroid tumors to decide if dulaglutide is safe for you.

Boxed Warning: Semaglutide (Ozempic) – Risk of Thyroid C-Cell Tumors

Click here to open and close the box warning container.

Semaglutide, the active ingredient in Ozempic, has a black box warning. These are the most serious types of warnings from the Food and Drug Administration (FDA). Semaglutide has a risk of thyroid c-cell tumors. Your healthcare provider will evaluate your health history and risk for thyroid tumors to decide if semaglutide is safe for you.

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What Is Trulicity?

Trulicity, containing the active ingredient dulaglutide, is an FDA-approved medication used to treat type 2 diabetes and reduce cardiac health risks for those with type 2 diabetes. The term “FDA-approved” signifies that the U.S. Food and Drug Administration has thoroughly reviewed and evaluated the drug’s safety and efficacy for a particular purpose. Trulicity is categorized as a glucagon-like peptide 1 (GLP-1) receptor agonist medication and it is only available as a brand name medication.

Trulicity is an FDA-approved medication used to:

  • Treat type 2 diabetes mellitus (T2DM) in adults as an adjunct to diet and exercise
  • Reduce the risk of major adverse cardiac events in adults with type 2 diabetes and established cardiovascular disease or multiple cardiovascular risk factors

Trulicity may also have off-label (non-FDA-approved) uses for treating:

  • Obesity or weight management in individuals without diabetes
  • Polycystic ovary syndrome (PCOS)
  • Non-alcoholic fatty liver disease (NAFLD)

An off-label use of a medication is a use that is not specifically FDA-approved for a purpose. Prescribers may decide to use a medication off-label because, in their professional judgment, they believe it may benefit someone.

Although studies suggest potential benefits of Trulicity for off-label uses such as weight management and PCOS-related insulin resistance, more comprehensive research is required to establish the safety and efficacy of Trulicity for these purposes. Individuals considering off-label use should consult their healthcare provider to discuss potential risks and benefits.

What Is Ozempic?

Ozempic, containing the active ingredient semaglutide, is FDA-approved to treat type 2 diabetes and to reduce cardiac health risks for those with type 2 diabetes. Ozempic is categorized as a glucagon-like peptide 1 (GLP-1) agonist medication and is only available as a brand name medication.

Ozempic is an FDA-approved medication used to:

  • reat type 2 diabetes mellitus (T2DM) in adults as an adjunct to diet and exercise.
  • Reduce the risk of major adverse cardiac events in adults with type 2 diabetes and established cardiovascular disease or multiple cardiovascular risk factors

Ozempic also has off-label (non-FDA-approved) uses for treating:

  • Obesity or weight management in individuals without diabetes
  • Polycystic ovary syndrome (PCOS) management

Although Ozempic is not FDA-approved for weight management or PCOS, some healthcare providers may prescribe it off-label for these purposes based on individual patient needs. More research is needed to establish the safety and efficacy of Ozempic for these conditions. Patients interested in off-label uses should discuss the potential risks and benefits with their healthcare provider.

Key Differences Between Trulicity & Ozempic

Ozempic and Trulicity are FDA-approved treatments for type 2 diabetes with other off-label uses, such as promoting weight loss. While both drugs belong to the same class of medications called GLP-1 receptor agonists, they differ in a few key ways. One of the main differences is that Ozempic is more effective than Trulicity at reducing blood sugar levels and promoting weight loss.

Additionally, Ozempic is administered once a week, while Trulicity is administered once weekly or every two weeks, depending on the dosage. Another important difference is the cost, as Trulicity tends to be more expensive than Ozempic

Here are the key differences between Trulicity versus Ozempic:1

Key ComponentsTrulicityOzempic
What is the generic name?DulaglutideSemaglutide
What is the active ingredient?DulaglutideSemaglutide
What forms does it come in?Single-use, pre-filled penSingle-use, pre-filled pen
What are the typical dosages?Weekly: 0.75 mg or 1.5 mgWeekly: 0.25 mg, 0.5 mg, 1 mg
Who is approved to take it?Adults with type 2 diabetesAdults with type 2 diabetes

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How Do Ozempic Vs. Trulicity Work?

Ozempic and Trulicity are both medications that may help with weight loss due to their effects on blood sugar levels. These medications belong to a class of drugs called GLP-1 receptor agonists. The active ingredients in these medications mimic the action of a naturally occurring hormone called GLP-1. When you eat, GLP-1 is released, signaling the pancreas to produce insulin and helping to regulate blood sugar.

Ozempic and Trulicity enhance the effects of GLP-1, leading to increased insulin production and reduced glucose production by the liver. This not only helps control blood sugar levels but also has the side effect of promoting weight loss. Additionally, these medications slow down the emptying of the stomach, making you feel full for a longer time, which further aids in weight management.2, 3

Are Trulicity & Ozempic the Same Thing?

Trulicity and Ozempic are not the same thing. They do belong to the same class of medications (GLP-1 receptor agonists) and serve a similar purpose in managing type 2 diabetes and promoting weight loss. However, These medications have different active ingredients – Trulicity contains dulaglutide, while Ozempic contains semaglutide. The choice between the two may depend on individual responses, preferences, and considerations such as dosing frequency and potential side effects.

Can You Switch Between Trulicity & Ozempic?

Switching between Trulicity and Ozempic is a decision that should be made in consultation with a healthcare professional. While both medications have similarities, they also have distinct characteristics. Individual treatment responses, side effects, and personal preferences may influence switching. .

Which Is More Effective, Trulicity or Ozempic?

Trulicity and Ozempic may be used to promote weight loss. However, the magnitude of these effects may vary between individuals. The choice between Trulicity and Ozempic may depend on factors such as the patient’s response to treatment, tolerability, dosing preferences, and other medical conditions.

Trulicity Vs. Ozempic Dosages

Comparing the dosages of Trulicity and Ozempic reveals that both medications have different strengths, allowing flexibility in tailoring the treatment to individual needs. Dosages for weight loss and off-label use for both drugs are not standardized and may vary based on individual responses.

The appropriate dosage is typically made in consultation with a healthcare professional, considering factors such as the patient’s overall health, medication response, and existing medical conditions. Adherence to the prescribed dosage is essential for optimal results, and patients should follow their healthcare provider’s guidance closely.

Trulicity Form & Dosages

Trulicity is available as single-use pre-filled pens. The dosages are determined based on the specific disorder being treated, age, health history, and other personal factors. Dosage options range from 0.75 mg to 1.5 mg once weekly for managing type 2 diabetes.2, 3 The severity of symptoms or conditions does not directly impact the dosage. As Trulicity is not specifically FDA-approved for weight loss, specific dosages are not provided.

Ozempic Form & Dosages

Ozempic, like Trulicity, is available in a single-use pre-filled pen form, offering ease of use. Dosages range from 0.25 mg, 0.5 mg, and 1 mg once weekly for managing type 2 diabetes. 2, 3 Just as with Trulicity, the right form and dosage are influenced by factors such as the patient’s age, overall health, and other considerations. As Ozempic is not FDA-approved for weight loss, specific dosages for this off-label use are not specified.

Can Ozempic & Trulicity Be Used Together?

Using Ozempic and Trulicity together is not a common practice and should only be considered under the close supervision of a healthcare professional. Both medications belong to the same class of GLP-1 receptor agonists, and combining them may increase the risk of side effects.

Healthcare providers carefully evaluate patients’ individual health needs and prescribe medications accordingly. Patients should not attempt to combine these medications without explicit guidance from their healthcare provider to ensure safety and efficacy.

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Side Effects of Trulicity Vs Ozempic

These commonly experienced side effects of Ozempic and Trulicity are often mild and temporary, though some may require medical attention.

Common side effects from taking Trulicity may include:3

  • Gastrointestinal issues (e.g., nausea, vomiting)
  • Diarrhea
  • Abdominal pain
  • Decreased appetite
  • Fatigue

Serious side effects from taking Trulicity may include:3

  • Risk of thyroid C-cell tumors (especially in patients with a history of MTC or MEN 2)
  • Pancreatitis
  • Allergic reactions
  • Severe gastrointestinal issues
  • Hypoglycemia (especially when used in combination with insulin or sulfonylureas)

Common side effects from taking Ozempic may include:2

  • Nausea
  • Vomiting
  • Diarrhea
  • Abdominal pain
  • Headache
  • Decreased appetite
  • Fatigue
  • Injection site reactions (e.g., redness, itching)
  • Upper respiratory tract infections
  • Back pain 

Serious side effects from taking Ozempic may include:2

  • Risk of Thyroid C-cell Tumors
  • Pancreatitis
  • Allergic reactions
  • Hypoglycemia
  • Gastrointestinal symptoms

*All medications, including Ozempic and Trulicity, have a risk of side effects, including serious side effects. This is not a complete list of side effects. You should talk with your healthcare professional about the benefits and risks of any medication before starting treatment.

Warnings & Precautions for Ozempic & Trulicity

If you are taking medications that contain semaglutide, such as Ozempic and Trulicity, it is important to be aware of their potential warnings and precautions. Your doctor can help you weigh the benefits and risks of taking these medications and can provide you with guidance on how to manage any potential side effects.

Risks to consider when taking Trulicity include:3

  • Allergic reactions: Allergic reactions to Trulicity may occur, presenting symptoms such as difficulty breathing, hives, or swelling. In case of such symptoms, individuals should seek immediate medical care. While allergic reactions are possible, their specific frequency is not provided in the available information.
  • Boxed warning – Risk of thyroid C-cell tumors: Trulicity carries a boxed warning due to the risk of thyroid C-cell tumors, specifically adenomas and carcinomas. In preclinical studies with rats, dulaglutide, the active ingredient in Trulicity, led to an increased incidence of these tumors. It is currently unknown whether Trulicity poses the same risk to humans, and caution is advised. Individuals with a personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2) are contraindicated from using Trulicity.
  • Caution for people with certain conditions: Individuals with specific health conditions, such as those with a history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2), are advised to exercise caution when considering Trulicity.
  • Pancreatitis risk: rulicity has been associated with an increased risk of pancreatitis. Individuals should be vigilant for symptoms such as severe abdominal pain and seek medical attention if these symptoms occur.
  • Gastric emptying delay: rulicity may delay gastric emptying, impacting the absorption of concomitantly administered oral medications. Caution should be exercised, and healthcare providers should be informed of all medications being taken.
  • Pregnancy risk: Limited data on Trulicity or Ozempic use during pregnancy are available, and the potential risk for major birth defects and miscarriage is uncertain.

Risks to consider when taking Ozempic include:2

  • Allergic reactions: Allergic reactions to Ozempic may occur. Patients should be vigilant for symptoms such as difficulty breathing, swelling, or severe itching. If any signs of an allergic reaction manifest, immediate medical attention is crucial. The frequency of allergic reactions is not explicitly stated in the provided information.
  • Thyroid C-cell tumors: Ozempic carries a boxed warning due to the potential risk of thyroid C-cell tumors based on findings in rodents. It is uncertain whether Ozempic causes such tumors, including medullary thyroid carcinoma (MTC), in humans. Patients with a personal or family history of MTC or multiple endocrine neoplasia syndrome type 2 (MEN 2) are contraindicated from using Ozempic.
  • Pancreatitis: here is a risk of pancreatitis associated with Ozempic use. Patients should be monitored for persistent severe abdominal pain, which could indicate pancreatitis.
  • Hypersensitivity reactions: Serious reactions may occur, necessitating prompt medical attention. Symptoms may include swelling, difficulty breathing, or severe itching.
  • Hypoglycemia: Ozempic may cause low blood sugar levels, especially when combined with insulin or sulfonylureas. Patients should be educated on recognizing and managing hypoglycemia.
  • Gastrointestinal issues: Severe gastrointestinal adverse reactions have been reported. Patients should promptly report persistent or severe symptoms to their healthcare providers.

Potential Drug Interactions With Ozempic & Trulicity

Drug interactions may vary, and they may involve medications that affect blood sugar levels, gastrointestinal function, or other physiological processes. Some substances may potentiate or diminish the effects of Ozempic and Trulicity, leading to unexpected outcomes. Additionally, certain medications may increase the risk of side effects or adverse reactions when used concurrently with Ozempic or Trulicity.

Disclaimer: Taking certain medications, herbs, or supplements alongside Ozempic and Trulicity can change how these medications work in your body or increase the risk of serious side effects. This article does not consider all the possible interactions. Please let your doctor, psychiatrists, and pharmacists know about all the products you currently use, such as prescription medication, nonprescription drugs, and herbal supplements. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

Trulicity Vs. Ozempic Cost

The average cost of Trulicity (dulaglutide) and Ozempic (semaglutide) without insurance may vary, and it’s important to note that insurance plans may not always cover these medications. Patients are advised to check with their insurance providers to determine coverage. There are alternative ways to save on these medications for those without insurance or facing high out-of-pocket costs.

Discounts, and savings programs, and coupons are available for Ozempic and Trulicity, which may help patients save money on their prescriptions. Patients should explore these options to make these medications more affordable.

Which Is Right for You: Ozempic or Trulicity?

Choosing between Ozempic and Trulicity depends on various factors, including individual health needs, lifestyle, and treatment preferences. Factors to consider include the frequency of injections, side effect profiles, and individual response to the drugs. Consult with a healthcare professional to determine the most suitable medication.

Online pharmacy services can be a valuable resource if an in-person doctor visit is challenging. These services can help individuals weigh the benefits and risks of each medication, providing guidance on which may be more aligned with their specific health goals.

How to Get a Prescription for Trulicity or Ozempic

Obtaining a prescription for Trulicity or Ozempic involves scheduling an appointment with a healthcare provider. Primary care physicians, endocrinologists, and other specialists involved in diabetes management are authorized to prescribe these medications.

During the consultation, the provider will assess the individual’s health history, overall condition, and diabetes management needs. They discuss potential treatment options, taking into account the benefits and risks of Trulicity or Ozempic. If the individual is a good candidate for one of these medications, they may choose to write a prescription for treatment.

To learn more about how to get Ozempic for weight loss, individuals can visit relevant online resources. Additionally, individuals can explore online pharmacy services for accessible consultations if in-person visits are challenging.

Medication to Help with Weight Loss

Get weight loss medication prescribed online by licensed doctors on Klarity. For only $99, connect instantly with weight loss experts to receive a personalized plan, including options like Semaglutide, Ozempic, Wegovy, Phentermine, and more. Free consultation is available!

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Questions to Ask Your Health Team About Ozempic & Trulicity

Before starting medications like Ozempic or Trulicity, come to your appointment prepared with any questions or concerns you may have. This proactive approach helps ensure you comprehensively understand your treatment plan and allows your healthcare team to address any uncertainties.

Questions to ask your prescriber about Ozempic and Trulicity include: 

  • Is it safe to take Ozempic or Trulicity with my other medications?
  • Will Ozempic or Trulicity be covered by my insurance?
  • Which one has the best results as a treatment for weight loss?
  • Does my medical history increase my risk of side effects for either?
  • How long can I expect side effects to last?
  • How often should I see you for checkups while taking Ozempic or Trulicity?
  • What should I do if I am unsure whether weight loss medications are right for me?
  • Are there any specific dietary considerations or lifestyle changes I should make while on these medications?
  • Can you provide more information about potential drug interactions with other medications I am currently taking?
  • Are there alternative treatment options for managing Type 2 Diabetes that I should be aware of?
  • What resources or support services are available to help me manage my condition?

In My Experience

Elyar Gasanli PharmD headshot Elyar Gasanli, PharmD

“In my experience, Trulicity or Ozempic may promote weight loss in many patients, they are not suitable for everyone. Following your doctor’s guidance and dosage instructions is crucial to avoid any adverse effects.

I have encountered several clients who have benefitted from using Trulicity or Ozempic. They shared how these medications helped them manage their weight and improve their quality of life. However, some clients also faced challenges such as nausea, vomiting, and diarrhea. These side effects may be temporary and often improve over time.”

Sources

ChoosingTherapy.com strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.

  • Novo Nordisk. (2023). Ozempic vs Other Type 2 Diabetes Treatments. Retrieved https://www.ozempic.com/why-ozempic/diabetes-medicines-comparison.html

  • DailyMed – OZEMPIC- semaglutide injection, solution. (2023). DailyMed.nlm.nih.gov. Retrieved from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm

  • DailyMed – TRULICITY- dulaglutide injection, solution. (2023). DailyMed.nlm.nih.gov. Retrieved from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm

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