Mounjaro vs Ozempic

Mounjaro and Ozempic are two popular injectable medications prescribed to support weight loss and manage diabetes. Both are glucagon-like peptide 1 (GLP-1) receptor agonists, meaning they work by reducing appetite and helping regulate blood sugar levels.

If you’re not sure which one is right for you, this guide will break down the differences between Mounjaro and Ozempic – from side effects, cost, dosages, and more. By the end, you’ll have all the information you need to start your weight loss journey doubt-free.

Brenda Ikeji

Medically reviewed by

Dr Brenda Ikeji

Last reviewed: 26 Feb 2025

Mounjaro vs Ozempic

Mounjaro and Ozempic are both injectable medications that contain a glucagon-like peptide 1 (GLP-1) receptor agonist. Mounjaro’s main active ingredient is tirzepatide, and Ozempic’s main active ingredient is semaglutide.

Ozempic is licensed in the UK to treat type 2 diabetes. Mounjaro is licensed in the UK to treat both weight loss and type 2 diabetes. Both medications are most effective when taken alongside a balanced healthy diet and exercise routine.

Overview comparison of Mounjaro vs Ozempic:

Mounjaro Ozempic
Effectiveness for weight loss 96% of trialled patients lost 22.5% of their starting weight after just 72 weeks of treatment on the highest maintenance dose (15mg). 45% of trialled patients lost 5% of their starting weight after 30 weeks on the maintenance dosage of 1mg.
Dosages available (mg) 2.5, 5, 7.5, 10 (maintenance), 12.5, 15 (maintenance) 0.25, 0.5, 1 (maintenance dose), 2 (maintenance dose)
What it’s approved for in the UK Weight loss Diabetes
Active ingredients Tirzepatide Semaglutide
Common side effects Nausea, diarrhoea, constipation, vomiting. stomach pain, low blood sugar Nausea, diarrhoea
How to take it Injectable pen that contains 4 pre-filled doses, self-administered Injectable pen that contains 4 pre-filled doses, self-administered
When to take it

Once weekly

Once weekly

What is the difference between Mounjaro and Ozempic?

Mounjaro and Ozempic both contain GLP-1 (glucagon-like peptide 1) receptor agonists, however, they each contain different active ingredients. Mounjaro contains tirzepatide, and Ozempic contains semaglutide.

Both Mounjaro and Ozempic are able to help with weight loss, according to some studies. However, only Mounjaro is licensed to be used as a treatment for weight loss in the UK, whereas Ozempic is not.

Is Mounjaro better than Ozempic?

A range of clinical studies have assessed the effectiveness of tirzepatide (Mounjaro) and semaglutide (Ozempic). Wegovy also contains the active ingredient semaglutide but is approved for weight loss in the UK. Overall, tirzepatide (Mounjaro) has been found to be more effective for weight loss than semaglutide.

Effectiveness of Mounjaro (tirzepatide):

Effectiveness of Wegovy (semaglutide, the same active ingredient as Ozempic, but licensed for weight loss at a higher maximum maintenance dose):

Start Your Journey With Mounjaro

Comparing Mounjaro and Ozempic dosages

Although the way of taking Mounjaro and Ozempic is similar, they do not follow the same dosages.

Ozempic dosages are tailored to treat diabetes, whereas Mounjaro dosages are more targeted to treating weight loss.

A comparison of the dosages of Mounjaro and Ozempic:

Week(s) Mounjaro dosage (mg of tirzepatide) Ozempic dosage (mg of semaglutide)

1-4 2.5 (starting dose) 0.25 (starting dose)
5-8 5 (maintenance) 0.5 (maintenance)
9-12 7.5 1 (maintenance)
13-16 10 (maintenance) 2 (maximum maintenance)
17-20 12.5 -
21-24 15 (maximum maintenance) -

It’s worth noting, there is a higher maximum dose of semaglutide (the active ingredient of Ozempic) when licensed for weight loss under the brand name Wegovy. In this case, the maximum maintenance dose is 2.4mg.

Mounjaro vs Ozempic side effects

The side effects of Mounjaro and Ozempic are similar, this is because they both contain medication from the same drug group (GLP-1).

How long do side effects last when taking Mounjaro or Ozempic?

How long side effects last varies from person to person. You’re most likely to experience side effects with weight loss treatments when you start the treatment, and when you increase your dose during treatment.

Mounjaro side effects which are mild typically last between a few days to a couple of weeks. More severe side effects tend to take longer to go away, you should discuss any severe side effects which become bothersome with your doctor.

Ozempic side effects are typically associated with diabetes rather than weight loss. Clinical studies have found that diabetes patients experienced side effects mainly between a few days to a few weeks. However, this can vary from person to person.

Note that Ozempic side effects are targeted towards those with type 2 diabetes because it is not licensed in the UK to treat weight loss.

Mounjaro and Ozempic side effects comparison

Common side effects Uncommon & rare side effects
Mounjaro

May affect up to 1 in 10 users:

  • Low blood sugar: headache, dizziness, irritability, palpitations, sweating
  • Nausea 
  • Diarrhoea
  • Vomiting 
  • Constipation 
  • Gas 
  • Indigestion
  • Acid reflux 
  • Bloating 

May affect up to 1 in 1,000 users:

  • Gallstones 
  • Injection site pain 
  • Inflamed pancreas (severe pain in the stomach and back that does not go away 

May affect up to 1 in 10,000 users:

  • Severe allergic reaction such as: breathing problems, swelling of lips, tongue or throat 
  • Fast heartbeat 
Ozempic

May affect up to 1 in 10 users:

  • Nausea
  • Diarrhoea
  • Low blood sugar: headaches, dizziness, nausea, hunger, vision changes, tiredness
  • Vomiting 

May affect up to 1 in 1,000 users:

  • Change in the way food or drink tastes
  • Fast pulse 
  • Injection site reactions (bruising, pain, irritation, itching, rash) 
  • Allergic reaction: rash, itching, hives 
  • Delay in emptying of stomach

May affect up to 1 in 10,000 users:

  • Severe allergic reactions: breathing problems, swelling of face, lips, tongue or throat, difficulty swallowing 
  • Fast heartbeat 

There is more information about the potential side effects of Mounjaro and Ozempic in the patient information leaflets which you can find with the medications.

What should I do if I get side effects?

Common side effects of Mounjaro and Ozempic should improve once your body gets used to the medication.

To manage common side effects at home, we recommend:

  • Staying hydrated: Keeping hydrated and sipping cold drinks regularly should ease symptoms of sickness or nausea and dehydration.
  • Avoiding alcohol: Alcohol will make you more dehydrated and increase side effects.
  • Making changes to your diet and exercise routine: Ozempic and Mounjaro are most effective and safe when you follow a well-balanced diet and exercise plan. Speak with your doctor for personalised advice on fitness and nutrition.
  • Avoiding fatty or greasy foods: Fatty and/or greasy foods can increase symptoms of sickness or nausea due to their richness. We recommend eating small, frequent, bland meals including rice, toast and crackers.
  • Avoiding citrus, spicy and acidic foods: Sometimes when taking Ozempic or Mounjaro, you may have increased symptoms of acid reflux and heartburn. Avoiding citrus, spicy or acidic foods can minimise these symptoms.

If you begin to experience persistent or bothersome symptoms that do not go away and begin to affect your daily life, speak with your doctor. They may advise you to change your dose or that you stop taking the medication.

Mounjaro vs Ozempic cost

Ozempic is not licensed to be sold as a weight loss treatment in the UK and is not available on the NHS for this purpose. So it is likely you would have to pay full price for the medication. If it’s prescribed for managing diabetes, it can cost just the standard prescription fee if you normally have to pay for your prescription, or it can be free.

Wegovy contains the same active ingredient as Ozempic, although, unlike Ozempic, it’s available and approved to purchase via prescription for weight loss in the UK. It also comes in higher doses for weight loss.

The cost for Mounjaro vs Wegovy (the weight loss alternative to Ozempic) are:

Mounjaro (price per pen at each dose: 1 pen = 1 month of treatment) Wegovy (price per pen at each dose: 1 pen = 1 month of treatment)

2.5mg – £139.00

0.25mg – £139.00

5mg – £139.00

0.5mg – £169.00

7.5mg – £169.00

1mg – £169.00

10mg – £189.00

1.7mg – £224.00

12.5mg – £204.00

2.4mg maintenance dose – £269.00

15mg maintenance dose – £204.00

-

Can I switch from Ozempic to Mounjaro?

Yes, you can switch from Ozempic to Mounjaro to help you achieve better weight loss results. However, since these medications have different active ingredients and dosage schedules, you can’t just take Mounjaro instead of Ozempic. In order to safely switch from Ozempic to Mounjaro, you need to:

  1. Stop taking Ozempic after your last dose is finished (unless you are switching due to side effects).
  2. Wait at least 5 weeks before starting Mounjaro. Your body needs time to get Ozempic out of your system. It needs to leave your system before you start new medication.
  3. Start taking Mounjaro and following its dosage schedule. Even if you were taking the highest dosage of Ozempic, you will need to begin with the starting dose of Mounjaro.

Switching from one medication to another is a choice that should be discussed with your doctor. Ozempic is not currently approved for weight loss in the UK so there is no information currently available on its effectiveness as a weight loss injection. If you happen to be currently using Ozempic for weight loss, you may want to switch to trying Mounjaro, a safe and approved treatment that targets weight loss. We can support you through the process if you want to move from Ozempic to Mounjaro.”

Brenda Ikeji
Dr Brenda Ikeji Medical Editor

Do not switch medications without first consulting a doctor. Your doctor will give you specific instructions on how to switch safely, and guide you through the process.

Is it safe to switch?

Yes, if you are taking Ozempic for type 2 diabetes, it is safe to switch to Mounjaro as long as you follow the instructions of your doctor.

Your doctor should ensure you follow certain guidelines that make sure your previous medication is out of your system before you begin taking a new one.

What should I expect when I switch from Ozempic to Mounjaro?

Regardless of the dosage you were taking on Ozempic, Mounjaro should be started on the lowest dose before it is then gradually increased (titrated) to a dosage which works for you and your weight loss journey. You may find that you experience side effects when starting Mounjaro as your body adjusts to the new medication. If you experience ongoing, severe and bothersome side effects, you should discuss them with your doctor.

Here is a general overview of the comparison between dosages of Ozempic and Mounjaro:

Week(s) Mounjaro (mg) Ozempic (mg)
1-4 2.5 0.25
5-8 5 (maintenance) 0.5
9-12 7.5 1 (maintenance)
13-16 10 (maintenance) 2 (maximum maintenance for additional blood sugar control)
17-20 12.5 -
20-24 15 (maintenance dose) -

Who can help me switch?

If you’re currently taking Ozempic for diabetes, your GP or NHS diabetes specialist is the only one who can swap you over to Mounjaro. This will be based on your weight and how well Ozempic is controlling your diabetes symptoms.

If you’ve been taking Ozempic off-label as a weight loss treatment, you can switch with the help of a weight loss management service, including ZAVA. Either way, if you have diabetes, the prescribing doctor will need to know what diabetes medication you take and you’ll need to speak to your GP, as the doses of some of your other medications may need to be changed.

Which weight loss treatment should I pick?

If you’re currently using Ozempic off-label as a weight loss medication (not a diabetes treatment) but are considering starting your weight loss journey with an approved weight loss treatment in the UK, Mounjaro may be an effective option.

If you’re comfortable using Ozempic and are apprehensive about adjusting to a different active ingredient, Wegovy uses the same active ingredient as Ozempic but in higher doses which specifically target weight loss.

Here is an overview comparison of Mounjaro vs Ozempic vs Wegovy on how it works, how to take it and its effectiveness:

Medication Active Ingredient Effectiveness How it Works How to Take
Mounjaro Tirzepatide (GIP & GLP-1) 96% lost 22.5% weight (72 wks, 15mg) Reduces hunger, slows digestion Weekly injection
Ozempic Semaglutide (GLP-1) 45% lost 5% weight (30 wks, 1mg) Regulates blood sugar Weekly injection
Wegovy Semaglutide (GLP-1) 47.9% lost 15% weight (68 wks, 2.4mg) Slows digestion, regulates appetite Weekly injection

Please note: Diabetes patients taking Ozempic for blood sugar management must discuss with their GP about changing treatments. You cannot switch to Mounjaro for weight loss if you’re taking Ozempic for diabetes (even if it’s also helping with weight loss) without the help and advice of the doctor in charge of your diabetes management. You also cannot take both at the same time, as they contain a similar active ingredient and this puts you at risk of serious side effects.

If you are uncertain about self-injecting weight loss medication, there are oral tablet form alternatives such as:

When deciding on a weight loss treatment that is safe, approved and right for you, it can take some time to find the right choice. The differences between all treatments may seem quite small at first in terms of how they work, side effects, and how to take them. However, based on studies of overall effectiveness, Mounjaro is the most effective.

A doctor should be able to help you find a treatment that aligns best with your personal health needs, particularly if you have previously been taking Ozempic for the treatment of diabetes. If you have any queries or concerns about your weight loss journey, our doctors are here to help answer your questions.

Medically reviewed by

brenda-ikeji.png Dr Brenda Ikeji

Brenda studied medicine at St Georges University of London and has most recently worked in John Radcliffe Oxford University Hospitals, covering acute and general medicine.

Last reviewed: 26 Feb 2025

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