Guest

Rybelsus vs. Ozempic: Which Medication is Right for You?

circle logo

Written by

Science & Humans

Medically approved by

Medically approved by

Maria Jacob

Last updated

Rybelsus vs. Ozempic: Which Medication is Right for You?

Read in 30s...

Rybelsus and Ozempic are medications for type 2 diabetes, both containing the same active ingredient that helps control blood sugar by mimicking a natural hormone. While Rybelsus is a daily pill, Ozempic is a weekly injection. Both drugs effectively lower long-term blood sugar levels (A1C) and aid in weight loss, though Ozempic might be slightly more effective in some studies. Common side effects include nausea, diarrhea, and vomiting, with Rybelsus sometimes causing constipation and Ozempic potentially causing injection site reactions. Costs are similar, and insurance coverage and assistance programs can potentially lower out-of-pocket expenses. When choosing between them, consider your personal preference (pill vs injection), medical history, and consult your doctor for personalized advice.

You can buy Ozempic in Canada with an online prescription from Science & Humans, through our weight loss program in Canada

A common battle millions of people around the globe are fighting is against weight gain. In this arena, two formidable warriors are rising in prominence - Rybelsus and Ozempic. Both medications are armed with the potent active ingredient semaglutide and help to bring down blood sugar levels which encourages weight loss.

However, they are different in some aspects. While both medications share the same primary purpose, their method of administration, dosing, and specific benefits can vary significantly. This article will delve into the unique characteristics of Rybelsus and Ozempic, aiding you in understanding which option may be more suitable for your health needs and lifestyle.

What is Rybelsus?

Rybelsus is an oral medication that contains semaglutide. It belongs to a class of drugs known as GLP-1 receptor agonists. These drugs mimic the action of the glucagon-like peptide-1 (GLP-1) hormone, which plays a key role in regulating blood sugar levels. GLP-1 stimulates the release of insulin, inhibits the release of glucagon (a hormone that raises blood sugar levels), and slows down gastric emptying, which helps control appetite.

Also Read: How Liraglutide and Semaglutide Work for Weight Loss

Mechanism of Action

Rybelsus works by binding to the GLP-1 receptors in the body, thereby enhancing the body's natural insulin response to meals. This action helps lower blood sugar levels after eating and reduces overall blood sugar levels over time. Rybelsus also helps you feel full, since it is also able to slow down gastric emptying. This can aid in weight loss.

FDA Approval and Usage

The U.S. Food and Drug Administration (FDA) approved Rybelsus for the treatment of type 2 diabetes in adults. It is not recommended for type 1 diabetes or diabetic ketoacidosis. Patients take Rybelsus orally once a day, making it a convenient option for those who prefer not to use injections.

What is Ozempic?

Ozempic is an injectable medication, also containing semaglutide. Like Rybelsus, it is a GLP-1 receptor agonist and works by mimicking the GLP-1 hormone. This helps regulate blood sugar levels and promote weight loss.

Mechanism of Action

Ozempic's mechanism of action is similar to that of Rybelsus. By binding to GLP-1 receptors, Ozempic enhances insulin secretion in response to meals, inhibits glucagon release, and slows gastric emptying. This multi-faceted approach contributes to weight loss by managing blood sugar levels and reducing appetite.

FDA Approval and Usage

The FDA approved Ozempic for the treatment of type 2 diabetes in adults. Unlike Rybelsus, Ozempic is administered once weekly via injection. This can be advantageous for those who prefer fewer doses and do not mind injections.

Ozempic vs. Rybelsus: Administration and Dosage Comparison

How to Take Rybelsus

Rybelsus is available in tablet form and should be taken once daily. Here are some key points to keep in mind for proper administration:

  • Timing: Take Rybelsus in the morning on an empty stomach. This helps maximize its absorption and effectiveness.

  • Before Meals: Wait at least 30 minutes before eating or drinking anything other than water after taking Rybelsus. This waiting period is crucial to ensure the medication works properly.

  • Consistency: Try to take Rybelsus at the same time each day to maintain steady blood levels of the medication.

How to Take Ozempic

Ozempic is administered as a subcutaneous injection once a week. Here are some guidelines for its use:

  • Injection Sites: Common injection sites include the abdomen, thigh, or upper arm. Rotate injection sites to avoid irritation.

  • Flexibility: You can administer Ozempic at any time of the day, with or without meals. This flexibility makes it easier to fit into your routine.

  • Missed Dose: If you miss a dose, take it as soon as you remember, provided the next dose is not due for at least five days. Otherwise, skip the missed dose and resume your regular schedule.

Rybelsus vs. Ozempic: Effectiveness Comparison

Blood Sugar Control

Effective blood sugar management is a critical aspect of diabetes treatment. Both Rybelsus and Ozempic have been shown to significantly reduce A1C levels, a key marker of long-term blood sugar control.

Comparison of A1C Reduction

Clinical trials have demonstrated that both medications effectively lower A1C levels, but there are some differences:

  • Rybelsus: Studies show that Rybelsus can reduce A1C levels by up to 1.4% when used in combination with other diabetes medications.

  • Ozempic: Ozempic has been shown to reduce A1C levels by up to 1.8%, making it slightly more effective than Rybelsus in some cases.

Study Results and Clinical Data

Numerous studies have compared the effectiveness of Rybelsus and Ozempic.

In the OASIS 1 trial, Novo Nordisk announced that the 50 mg dose of oral semaglutide (Rybelsus®) achieved a 15.1% weight loss in adults with obesity or overweight after 68 weeks. If all participants adhered to the treatment, the weight loss increased to 17.4%. In comparison, the placebo group saw only a 2.4% reduction in weight.

In another trial, results have shown that the 25 mg and 50 mg doses significantly reduced HbA1c levels and body weight compared to the 14 mg dose. No new safety concerns were identified. The study concluded that higher doses of Rybelsus offer superior diabetes control.

The SUSTAIN 7 trial, which compared Ozempic to another GLP-1 receptor agonist, found that Ozempic led to greater A1C reductions and more significant weight loss .

Essentially, both Rybelsus and Ozempic have been shown to aid in weight loss, but the degree of weight loss may vary.

Weight Loss with Rybelsus

Ozempic, an injectable form of semaglutide, has also demonstrated significant weight loss outcomes in clinical trials. The SUSTAIN clinical trial program extensively studied Ozempic's effects.

In the SUSTAIN 7 trial, for example, patients using Ozempic 1 mg weekly achieved an average weight loss of up to 5.5 kg (12.1 lbs) over a 40-week period. This trial compared Ozempic to another GLP-1 receptor agonist, showing Ozempic's superior effectiveness in reducing body weight.

Moreover, the STEP 1 trial, which examined the use of Ozempic for weight management specifically in patients with obesity, reported even more remarkable results. Patients treated with 2.4 mg of Ozempic weekly experienced an average weight loss of around 15% of their body weight over 68 weeks.

This significant reduction underscores Ozempic's efficacy not only in controlling blood sugar but also in promoting substantial weight loss.

Ozempic vs. Rybelsus: Side Effects Comparison

Common Side Effects

Like all medications, Rybelsus and Ozempic come with potential side effects. Understanding these can help you manage them effectively.

Shared Side Effects

Both medications share some common side effects, including:

  • Rybelsus:This is the most frequently reported side effect. It usually decreases over time as your body adjusts to the medication.

  • Diarrhea: Some patients experience diarrhea, which can vary in severity.

    Occasional vomiting may occur, particularly when starting the medication or increasing the dose.
  • Vomiting:Occasional vomiting may occur, particularly when starting the medication or increasing the dose.

Specific Side Effects for Each Medication

  • Rybelsus: Some patients may experience constipation or abdominal pain in addition to the common side effects.

  • Ozempic: Injection site reactions, such as redness or swelling, can occur. Patients may also experience a slight increase in heart rate .

Serious Warnings

Both Rybelsus and Ozempic come with serious warnings that patients should be aware of.

Boxed Warnings

The FDA has issued boxed warnings for both medications regarding the risk of thyroid C-cell tumors. These warnings are based on animal studies, and it is unclear if this risk applies to humans. Patients with a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) should not use these medications .

Considerations for Patients with Specific Medical Histories

Patients with a history of pancreatitis should exercise caution when using GLP-1 receptor agonists, as these medications have been associated with an increased risk of this condition. Discuss your medical history with your healthcare provider to determine if Rybelsus or Ozempic is right for you.

Cost and Accessibility Comparison of Rybelsus and Ozempic

Cost Comparison

The cost of diabetes medications can be a significant factor in treatment decisions. Here, we compare the average costs of Rybelsus and Ozempic and explore options for reducing out-of-pocket expenses.

Average Costs

  • Rybelsus:The average retail price for a 30-day supply of Rybelsus (7 mg or 14 mg tablets) ranges from $800 to $900 without insurance.

  • Ozempic: The average retail price for a 4-week supply of Ozempic (0.5 mg or 1 mg pen) ranges from $800 to $1,000 without insurance.

Insurance Coverage and Patient Assistance Programs

Many insurance plans cover both Rybelsus and Ozempic, which can significantly reduce out-of-pocket costs. Additionally, patient assistance programs offered by the manufacturers can provide financial support for eligible patients. These programs often include co-pay cards, savings programs, and assistance for uninsured patients .

Prescription Accessibility

Obtaining a prescription for Rybelsus or Ozempic requires consultation with a healthcare provider. Here's what you need to know:

How to Get a Prescription

  • Consultation:Schedule an appointment with your healthcare provider to discuss your diabetes management plan. They will review your medical history and current medications to determine if Rybelsus or Ozempic is suitable for you.

  • Prescription: If your provider prescribes Rybelsus or Ozempic, they will provide detailed instructions on how to take the medication and monitor your progress.

  • Follow-Up: Regular follow-up appointments are essential to track your response to the medication and make any necessary adjustments.

Importance of Consulting a Healthcare Provider

Diabetes management is highly individualized. Consulting a healthcare provider ensures that your treatment plan is tailored to your specific needs and health conditions. They can help you weigh the benefits and risks of each medication and make informed decisions.

Personalization of Treatment

Choosing between Rybelsus and Ozempic involves considering several factors, including your lifestyle, health conditions, and preferences.

Factors to Consider

Lifestyle Preferences

Your daily routine and preferences play a significant role in deciding between Rybelsus and Ozempic.

  • Oral Tablet (Rybelsus):If you prefer taking a pill over injections, Rybelsus might be more suitable. However, it requires strict adherence to taking it on an empty stomach and waiting before meals.

  • Injection (Ozempic): If you prefer the convenience of a once-weekly dose and don't mind injections, Ozempic might be a better fit. It offers flexibility with meal timings and requires fewer doses.

Individual Health Conditions and Medical History

Your overall health and medical history can influence your choice.

  • Thyroid Conditions:If you have a history of thyroid tumors or related conditions, your healthcare provider might recommend an alternative to GLP-1 receptor agonists.

  • Pancreatitis: A history of pancreatitis requires careful consideration and discussion with your provider before starting Rybelsus or Ozempic.

Consulting Your Doctor

Every individual's response to medication can vary. Personalized medical advice from your healthcare provider ensures that your treatment plan aligns with your unique needs and health goals.

If you're looking for personalized support to achieve your weight loss goals, consider joining the Science&Humans weight loss program. This program offers tailored guidance and support to help you succeed in your journey to better health.

When consulting your doctor, consider asking the following questions to make an informed decision:

  • How do Rybelsus and Ozempic differ in terms of effectiveness for my specific health condition?

  • What are the potential side effects, and how can I manage them?

  • How will these medications interact with my current medications and health conditions?

  • What lifestyle changes should I consider while taking these medications?

  • How frequently should I have follow-up appointments to monitor my progress?

Conclusion

Selecting the right medication for type 2 diabetes management is a critical decision that involves considering various factors, including effectiveness, side effects, cost, and personal preferences. Rybelsus and Ozempic both offer significant benefits in blood sugar control and weight loss, but they differ in their administration and overall impact.

By understanding these differences and consulting with your healthcare provider, you can make an informed decision that aligns with your health needs and lifestyle. Remember, effective diabetes management requires a comprehensive approach that includes medication, diet, exercise, and regular medical check-ups.

Always discuss your options with a healthcare professional to determine the best treatment plan for you. They can provide personalized advice and support to help you achieve optimal health and well-being.

You can also read the following comparisons between weight loss medications:

Contrave vs Ozempic

WeGovy vs Ozempic

Mounjaro vs Ozempic

Saxenda vs Ozempic

Contrave vs Saxenda

Frequently Asked Questions about Ozempic and Rybelsus

Is Rybelsus the same as Ozempic?

While both Rybelsus and Ozempic contain the active ingredient semaglutide and belong to the same class of medications (GLP-1 receptor agonists), they differ in form and administration. Rybelsus is an oral tablet taken daily, whereas Ozempic is an injectable taken weekly .

Is Rybelsus Cheaper than Ozempic in Canada?

The cost of Rybelsus and Ozempic can vary based on location, insurance coverage, and other factors. In general, Rybelsus tends to be slightly more affordable than Ozempic. However, it's essential to check with local pharmacies and insurance providers for specific pricing and coverage details in Canada .

Can you switch from Rybelsus 14 mg to Ozempic?

Switching between Rybelsus and Ozempic should be done under the guidance of a healthcare provider. They can help you transition safely and monitor your response to the new medication. Factors such as dosage adjustments, potential side effects, and overall treatment goals should be considered during the switch.

Is Rybelsus better than Ozempic for Weight Loss?

Clinical studies have shown that Ozempic generally leads to more significant weight loss compared to Rybelsus. However, individual results can vary, and other factors such as personal preferences, lifestyle, and overall health should be considered when choosing a medication.

Has Rybelsus Been Approved for Weight Loss in Canada?

As of now, Rybelsus is primarily approved for the treatment of type 2 diabetes. It is not specifically approved for weight loss. However, weight loss can be a beneficial side effect for many patients. For updates on approvals, consult local health authorities or your healthcare provider.

References:

  • Aroda, V. R., Aberle, J., Lars Bardtrum, Christiansen, E., Knop, F. K., Sanaz Gabery, Pedersen, S. D., & Buse, J. B. (2023). Efficacy and safety of once-daily oral semaglutide 25 mg and 50 mg compared with 14 mg in adults with type 2 diabetes (PIONEER PLUS): a multicentre, randomised, phase 3b trial. Lancet, 402(10403), 693–704. https://doi.org/10.1016/s0140-6736(23)01127-3

  • Billingsley, A. (2023, July 4). Rybelsus for Weight Loss: 5 Things to Know about Oral Ozempic. GoodRx; GoodRx. https://www.goodrx.com/conditions/weight-loss/rybelsus-weight-loss

  • Rybelsus for Weight Loss: Does It Work? (n.d.). Ro. Retrieved July 20, 2024, from https://ro.co/weight-loss/rybelsus-weight-loss/

  • V.R. Aroda, Ahmann, A., B. Cariou, Chow, F., Davies, M. J., E. Jódar, Mehta, R., Woo, V., & I. Lingvay. (2019). Comparative efficacy, safety, and cardiovascular outcomes with once-weekly subcutaneous semaglutide in the treatment of type 2 diabetes: Insights from the SUSTAIN 1–7 trials. Diabetes & Metabolism, 45(5), 409–418. https://doi.org/10.1016/j.diabet.2018.12.001

  • John P.H. Wilding, Batterham, R. L., Calanna, S., Davies, M., Gaal, van, Ildiko Lingvay, McGowan, B. M., Rosenstock, J., Marie T.D. Tran, Wadden, T. A., Wharton, S., Koutaro Yokote, Niels Zeuthen, & Kushner, R. F. (2021). Once-Weekly Semaglutide in Adults with Overweight or Obesity. New England Journal of Medicine/the New England Journal of Medicine, 384(11), 989–1002. https://doi.org/10.1056/nejmoa2032183

Table of Content

    © 2022 Science & Humans. All Rights Reserved.