Novo Nordisk, a healthcare company with a century-long history of innovation, has recently addressed concerns regarding the off-label use of semaglutide, particularly its products Wegovy, Ozempic, and Rybelsus, for cosmetic weight loss purposes. Semaglutide is a molecule developed by Novo Nordisk and is the primary ingredient in these FDA-approved medications intended for serious chronic conditions such as diabetes and obesity.

Concerns Over Off-Label Use

The company has observed a broad discussion in mainstream and social media about semaglutide, noting reports of its use for purely cosmetic or aesthetic weight loss. There are also concerns about unauthorized versions of semaglutide being sold, promotions of Ozempic and Wegovy for unapproved uses, and insufficient clinical evaluations by some telehealth providers.

FDA-Approved Indications

Novo Nordisk emphasizes that Wegovy is approved for chronic weight management in adults and certain children with obesity or excess weight with weight-related medical problems, while Ozempic and Rybelsus are approved for adults with type 2 diabetes. Importantly, Ozempic and Rybelsus are not approved for chronic weight management, and none of these medicines should be used for cosmetic weight loss.

Actions Against Unauthorized Sales and Misinformation

The company is actively monitoring and acting against compounding pharmacies, weight loss clinics, and medical spas that claim to sell or offer compounded semaglutide products. Novo Nordisk is the only company in the U.S. with FDA-approved semaglutide products, and there are no FDA-approved generic versions available. Compounded products may not provide the same safety, quality, and effectiveness as FDA-approved drugs and could pose health risks. Novo Nordisk is working to ensure public awareness of the differences between their approved products and other substances being labeled as "semaglutide".

Telehealth and Semaglutide

Novo Nordisk has also noted the trend of weight-management telehealth providers and reports that some may not be providing sufficient clinical evaluations before prescribing semaglutide medicines. The company clarifies that it does not supply semaglutide to telehealth providers and that these medicines should only be prescribed after a thorough consultation and under the supervision of a healthcare provider.

Supporting Proper Use of Semaglutide

Novo Nordisk is taking steps to ensure accurate and scientifically sound information is available to the public and healthcare professionals to support the responsible use of their medicines. This includes focusing promotional and educational materials on FDA-approved indications, providing extensive training to field representatives, and educating the public through direct communications and websites. The company also takes legal action when necessary to address unauthorized use of their brand names and trademarks.

Conclusion

Novo Nordisk is committed to patient safety and the proper use of its medications. While recognizing the expertise of healthcare providers, the company urges that semaglutide medicines be prescribed consistent with their FDA-approved indications. They continue to address the marketplace and societal dynamics to raise awareness and support patient safety, focusing on delivering positive clinical outcomes for those living with chronic diseases.

Frequently Asked Questions

What are the specific health risks associated with the unauthorized or off-label use of semaglutide for cosmetic weight loss?
The unauthorized or off-label use of semaglutide for cosmetic weight loss can pose several health risks. Compounded products that claim to contain semaglutide may not have the same safety, quality, and effectiveness as FDA-approved drugs, potentially exposing patients to health risks. The FDA has received adverse event reports after patients used compounded semaglutide, which could include products that do not contain the same active ingredient as FDA-approved semaglutide. Additionally, the use of semaglutide for cosmetic purposes has not been evaluated for safety, and there are concerns about insufficient clinical evaluations by some telehealth providers. Clinical studies have reported adverse events related to semaglutide, including gastrointestinal disorders, an increase in pulse rate, and diabetic retinopathy.

How does Novo Nordisk plan to enforce actions against unauthorized sales and misinformation more effectively in the future?
Novo Nordisk plans to enforce actions against unauthorized sales and misinformation by actively monitoring and acting against compounding pharmacies, weight loss clinics, and medical spas that falsely advertise or sell compounded semaglutide products. The company has commenced filing legal actions in the US to address false advertising, trademark infringement, and unlawful sales of non-FDA-approved compounded products claiming to contain semaglutide. Novo Nordisk has also launched semaglutide.com as a resource hub to provide information about the responsible use of their FDA-approved semaglutide products and to educate the public on how to spot counterfeit products. The company is working with stakeholders to ensure accurate and scientifically sound information is available to support the responsible use of their medicines.

Are there any ongoing studies or future plans to explore the potential cosmetic uses of semaglutide under safe and approved conditions?
There are no search results explicitly mentioning ongoing studies or future plans to explore the cosmetic uses of semaglutide under safe and approved conditions. However, Novo Nordisk is involved in clinical trials to investigate the efficacy of semaglutide in various conditions, such as obesity-related heart failure (STEP-HFpEF trial). While these studies focus on medical conditions rather than cosmetic weight loss, they contribute to the overall understanding of semaglutide's effects on weight, which could indirectly inform future considerations for its use in weight management.

Novo Nordisk Semaglutide Responsible Use Letter