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Switching from Tirzepatide to Semaglutide

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Updated:  
November 19, 2024
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Medically reviewed by 
Alex Evans, Pharmacist and Medical Writer

Safely Switching from Tirzepatide to Semaglutide

Key Takeaways

Tirzepatide and semaglutide can both be doctor-prescribed to induce weight loss. If you’re unsatisfied with your results on tirzepatide, you may consider switching to semaglutide. For a safe switch, you’ll need to consult with your healthcare provider whether online or in person. Ahara offers online consultations with registered dietitians for your convenience. After making the switch, you’ll need to ensure that you follow dosing instructions, monitor side effects, and remain consistent with additional healthy lifestyle habits.

Tirzepatide and semaglutide are two popular weight-loss drugs that work similarly in the body. To determine which works best, some people try one and then the other. If you choose this route, keep in mind that everyone reacts differently to medications, and you may notice changes in side effects when switching from tirzepatide to semaglutide. 

This article will break down everything you need to know about switching from tirzepatide to semaglutide. 

Understanding Semaglutide and Tirzepatide: A Comparison

Semaglutide is an injectable weight-loss medication sold under the brand names Ozempic and Wegovy or as a non-branded version—also known as compounded semaglutide. It is a GLP-1 receptor agonist and works by acting on the GLP-1 receptors in your body.

Semaglutide has several different effects in the body. It helps to lower blood sugar levels, suppress appetite, and slow down digestion. These effects are all helpful for type 2 diabetes.

By suppressing your appetite, semaglutide allows you to crave food less and ultimately eat less. In addition to this, it also slows the actual process of digestion. Once you eat food, it will move more slowly through your digestive tract, also helping you to eat less and feel full for longer. 

Tirzepatide is very similar to semaglutide but they are not the same. In addition to being a GLP-1 receptor agonist like semaglutide, tirzepatide also acts on the glucose-dependent insulinotropic polypeptide or GIP receptor. This means that tirzepatide is a GIP receptor agonist and a GLP-1 receptor agonist. But as far as effects in the body, tirzepatide is very similar to semaglutide. It helps to reduce appetite, lower blood sugar levels, and slow down digestion.

Both tirzepatide and semaglutide are given as an injectable medication, but the dosing is different since they are different drugs. When taking either of these medications, you can expect to self-administer weekly injections (as directed by your healthcare providers). Some studies have found that tirzepatide may be slightly more effective than semaglutide but both have shown proven effects on weight loss in multiple scientific studies. 

Tirzepatide and semaglutide are both FDA-approved for weight loss. You may see tirzepatide sold under the brand names Mounjaro or Zepbound. You may see semaglutide sold under the brand names Ozempic or Wegovy—however, there are non-branded versions as well—known as compounded semaglutide.

Ahara offers an online platform for getting prescribed compounded semaglutide as well as purchasing it. Through our website, you can meet virtually with a healthcare provider, purchase prescription medication, and receive ongoing nutritional support from a registered dietitian. 

Is it Safe to Transition from Tirzepatide to Semaglutide?

If you are interested in switching from tirzepatide to semaglutide, you’ll want to first talk with your doctor about this change. Because these medications are very similar, it’s usually OK to switch from one to the other. But you should always follow your doctor's recommendations when changing medications.

Remember, your dosage of semaglutide will be different than with tirzepatide. That's because they are different medications. Your doctor will work with you to determine the best dosing plan for you when transitioning from one medication to another. 

Step-by-step Guide on Safely Switching from Tirzepatide to Semaglutide

No two weight loss journeys will look the same. There may be several reasons why you want to switch from tirzepatide to semaglutide. Whether you’re not seeing the results you want or are interested in seeing if side effects will vary, find below a step-by-step guide on safely switching from tirzepatide to semaglutide. 

  1. Talk with your doctor

Before changing any type of prescription medication, you should always consult your doctor. Prescription medications require the approval of a doctor for a reason. Stopping abruptly or adding a medication can be dangerous if you do not follow your provider's recommendations. 

Schedule a visit with your doctor to discuss making the switch from tirzepatide to semaglutide. This will give you the opportunity to express any concerns you have and talk with your doctor about why you want to make the switch. Your doctor can then help direct you by giving advice on the safest way to switch and anything you need to keep in mind during the process. 

  1. Follow dosing instructions carefully

When you are transitioning from one medication to another, it is important to be aware of the dosing instructions. For example, you may have to stop taking the first medication for a certain amount of time before starting the next medication. 

Both tirzepatide and semaglutide are typically administered once per week. Talk with your doctor about when you should stop the first medication and how soon after you should begin the use of the next medication. They may start you on a lower dose than what you were on before and then slowly increase it as you adjust to the new medication. 

  1. Pay attention to side effects or adverse reactions

Because tirzepatide and semaglutide are similar, it is unlikely that you will experience any major differences in side effects when you switch from one to the other. But it is possible, so it’s important to pay attention to how you feel when you switch medications.

That way you can take note of any negative side effects and bring them up to your provider. If you find that you feel worse on the new medication, you may have to switch back or change your dosage. 

  1. Stay on top of healthy lifestyle habits

With both tirzepatide and semaglutide, it is important to maintain healthy lifestyle habits in order to get the best results possible. When you change medications, try your best to continue leading a healthy lifestyle through diet, exercise, and stress management. 

When you get your weight loss medications through Ahara, you will also gain access to ongoing nutrition support from a registered dietitian. This will help you stay on top of your goals so you can feel your best. 

Semaglutide vs. Tirzepatide: Efficacy in Health Management

Although semaglutide and tirzepatide are very similar, they are not the same type of medication. Side effects of the two medications are generally very similar and include nausea, vomiting, diarrhea or constipation, abdominal pain, and headache.

Because tirzepatide works on two different hormone receptors rather than just one, it makes sense that it could be a more effective medication when compared with semaglutide. One study found that a higher percentage of patients experienced significant weight loss when taking tirzepatide when compared with semaglutide. 

However, it’s too soon to know for sure if tirzepatide is more effective. And semaglutide can still be a very effective weight loss option. Everyone will tolerate medications differently so if you feel that switching from tirzepatide to semaglutide is the best option for you, discuss this potential change with your provider. 

Key Considerations When Switching from Tirzepatide to Semaglutide

If you think that switching from tirzepatide to semaglutide is the best option for you, schedule a visit with your provider to discuss this option. When you use Ahara for your weight loss medications you’ll not only receive compounded semaglutide but also benefit from convenient online provider visits to discuss your results and any side effects you’re experiencing. You will also gain access to nutritional counseling from registered dietitians to help ensure that you stay on top of your weight loss goals. 

Sources

Rodriguez PJ, Goodwin Cartwright BM, Gratzl S, et al. Semaglutide vs Tirzepatide for Weight Loss in Adults With Overweight or Obesity. JAMA Intern Med. 2024;184(9):1056-1064. doi:10.1001/jamainternmed.2024.2525

Frías JP, Davies MJ, Rosenstock J, et al. Tirzepatide versus Semaglutide Once Weekly in Patients with Type 2 Diabetes. N Engl J Med. 2021;385(6):503-515. doi:10.1056/NEJMoa2107519

Wegovy [package insert]. Plainsboro, NJ: Novo Nordisk, Updated March 1, 2024.

Ozempic [package insert]. Plainsboro, NJ: Novo Nordisk, Updated September 22, 2023.

Mounjaro [package insert]. Indianapolis, IN: Eli Lilly and Co: Updated May 16, 2024.

Zepbound [package insert]. Indianapolis, IN: Eli Lilly and Co: Updated May 23, 2024.

Collins L, Costello RA. Glucagon-Like Peptide-1 Receptor Agonists. [Updated 2024 Feb 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551568/

Min T, Bain SC. The Role of Tirzepatide, Dual GIP and GLP-1 Receptor Agonist, in the Management of Type 2 Diabetes: The SURPASS Clinical Trials. Diabetes Ther. 2021;12(1):143-157. doi:10.1007/s13300-020-00981-0

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