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HomeMedicationsSaxenda

GLP-1 receptor agonist (daily injection)

Saxenda

Generic name: liraglutide · Novo Nordisk

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Saxenda (liraglutide) — GLP-1 receptor agonist (daily injection) medication for chronic weight management
Photo: Unsplash

List price

$1349.00

/month, cash, no insurance

SCALE Obesity and Prediabetes (phase 3)

−8.0%

mean body-weight reduction vs −2.6% placebo over 56 weeks

Form

Weekly injection

subcutaneous

FDA approved

2014

for chronic weight management

Saxenda is a GLP-1 receptor agonist (daily injection) used for Chronic weight management (adults + adolescents 12+).

Quick answer

What is Saxenda (liraglutide) used for?

Saxenda from Novo Nordisk is a GLP-1 receptor agonist (daily injection) FDA-approved for Chronic weight management (adults + adolescents 12+). In the pivotal SCALE Obesity and Prediabetes (phase 3) trial, patients achieved −8.0% mean body-weight reduction vs −2.6% placebo over 56 weeks. US list price runs around $1349.00/month without insurance.

Source: SCALE Obesity and Prediabetes (phase 3) pivotal trial

Mechanism of action

BrainReduces hunger signalsLower reward response to foodStomachSlows gastric emptyingProlongs feeling of fullnessPancreasBoosts insulin after mealsLowers glucagon productionGLP-1 receptorEffect siteGLP-1 receptors in the brain, gut, and pancreas all respond to the same medication, producing the combined effect of less hunger, slower digestion, and better blood-sugar control.
How Saxenda works in the body. Mechanism shared across the GLP-1 receptor agonist class. Adapted from NEJM 2021 review (DOI:10.1056/NEJMoa2032183) and FDA prescribing information.

Complete Saxenda guide

  • Overview
  • Cost
  • Side effects
  • How to inject
  • Savings card
  • Get online
  • Ask your doctor

Last Revised — May 31, 2026 by Dr. Jane Novak, MD, MPH

Dr. Jane Novak — medical reviewer headshotMedically reviewed by Dr. Jane Novak, MD, MPH 8 min readUpdated May 31, 2026

In this article

  • FDA-approved uses
  • Use & safety
  • Reader reviews

Key takeaways

  • Saxenda (liraglutide) is a GLP-1 receptor agonist (daily injection) approved by the FDA for chronic weight management and/or type 2 diabetes.
  • Manufactured by Novo Nordisk. Available by prescription only — telehealth providers can prescribe in most U.S. states.
  • Common side effects are gastrointestinal (nausea, vomiting, diarrhea) and typically subside as the dose is titrated.
  • Average cash price runs around $1349.00/month without insurance; coverage varies widely by payer.

SCALE Obesity and Prediabetes (phase 3)

3,731 participants56 weeks
−8.0%mean body-weight reduction vs −2.6% placebo
  • • Liraglutide 3.0 mg daily + lifestyle vs placebo + lifestyle in adults with BMI ≥30 or ≥27 + comorbidity.
  • • ~63% of treated patients reached ≥5% weight loss; ~33% reached ≥10%.
  • • GI side effects (nausea 39%) were the most common discontinuation cause.

Source: A Randomized, Controlled Trial of 3.0 mg of Liraglutide in Weight Management — NEJM, 2015

Weight-loss trajectory · SCALE Obesity

Mean change in body weight over the 52-week trial.

0%-5%W0W16W28W520.0%-5.2%-7.1%-8.4%SaxendaPlacebo
Mean percentage change in body weight from baseline. Final result: -8.4% on Saxenda at week 52. Source: SCALE Obesity trial (NEJM 2015, DOI:10.1056/NEJMoa1411892).

What the evidence supports — Saxenda

Editorial grades summarizing study quality and convergence. How we grade.

ClaimGradeBasis

Produces ~8% mean body-weight reduction at 56 weeks

Source: NEJM, 2015

SCALE Obesity and Prediabetes RCT (n=3,731)

AStrong evidenceSCALE Obesity and Prediabetes RCT (n=3,731)

FDA-approved for chronic weight management in adults and adolescents 12-17

Source: accessdata.fda.gov

FDA labeling expansion for adolescents in 2020 based on dedicated trial

AStrong evidenceFDA labeling expansion for adolescents in 2020 based on dedicated trial

Reduces progression from prediabetes to T2D

SCALE Obesity sub-analysis at 3 years showed delayed onset of T2D

AStrong evidenceSCALE Obesity sub-analysis at 3 years showed delayed onset of T2D

Outperforms semaglutide or tirzepatide on weight-loss magnitude

Head-to-head class data: Saxenda 8% < semaglutide 14.9% < tirzepatide 22.5%

FNo evidenceHead-to-head class data: Saxenda 8% < semaglutide 14.9% < tirzepatide 22.5%

Saxenda dose-titration ladder

Daily subcutaneous injection. Weekly step-ups for the first 5 weeks; weight-loss efficacy lives at the 3.0 mg maintenance dose.

w1w4w8w12w16w20w24w28w32w36w40w44w48w52w56

0.6 mg

Weeks 1–1

Starter — tolerance building

1.2 mg

Weeks 2–2

Step 2

1.8 mg

Weeks 3–3

Step 3

2.4 mg

Weeks 4–4

Step 4

3.0 mg

Weeks 5–56

Maintenance dose — full weight-loss effect

  1. Weeks 1–1

    0.6 mg

    Starter — tolerance building

  2. Weeks 2–2

    1.2 mg

    Step 2

  3. Weeks 3–3

    1.8 mg

    Step 3

  4. Weeks 4–4

    2.4 mg

    Step 4

  5. Weeks 5–56

    3.0 mg

    Maintenance dose — full weight-loss effect

    Target dose

Source: Saxenda prescribing information

Monthly cost in the US

What Saxenda costs by payment path

Real out-of-pocket varies. Cash list price is what the pharmacy bills without insurance. Commercial copay assumes a tier-3 specialty plan. Savings-card numbers come from manufacturer programs.

Cash list price

$1,349/mo

What you pay at the pharmacy with no insurance, no coupons.

With commercial insurance

$25–$150/mo

Typical tier-3 specialty copay if your plan covers GLP-1s for your indication. Coverage is uneven.

Saxenda Savings Card

$25–$25/mo

Commercially insured — $25/mo for 24 months. Uninsured: $200 off coupon. Not for Medicare/Medicaid.

Prices verified against manufacturer pages and FDB pharmacy data. Last reviewed: 2026. Affordability programs change; verify eligibility directly with the manufacturer before assuming you qualify.

Patient experience snapshot

What patients reported on Saxenda

Patient-reported outcomes from the SCALE Obesity PRO substudy substudy, plus the Drugs.com community satisfaction rating. These are aggregate signals, not individual testimonials.

Treatment satisfaction

+4.2

IWQOL-Lite score improvement vs placebo at week 56

Lost ≥5% weight

63%

Share of participants reaching the ≥5% threshold

Lost ≥10% weight

33%

Share of participants reaching the ≥10% threshold

Stayed on therapy at 1yr

~72%

Trial retention; daily injection lowers real-world adherence

★★★⯨★7.2/10

Drugs.com community rating from 528 verified user reviews. View on Drugs.com →

Source: SCALE Obesity PRO substudy + Drugs.com community rating accessed 2026.

This is general drug information, not medical advice. Talk to a licensed clinician before starting, stopping, or switching medication.

FDA supply status

Available

Reason: No supply disruption reported

View full shortage trackerFDA source

Last verified May 15, 2026. Source: FDA Drug Shortage Database.

Saxenda drug information
Saxenda is a GLP-1 receptor agonist (daily injection) medication used for chronic weight management and/or type 2 diabetes.Photo: Unsplash

Why is Saxenda prescribed?

Saxenda is FDA-approved to treat:

  • Chronic weight management (adults + adolescents 12+)

Sponsored · Get Saxenda prescription

20% off bundled GLP-1 + provider visit at Hims

Hims bundles the consult fee into the first-month medication price through June.

Code: HIMS20HP

Save 20% at Hims

We earn a commission if you sign up. Editorial ranking is independent.

RxNorm Code: 1599538

More on Saxenda

How to inject SaxendaSaxenda side effectsQuestions to ask your doctor

Reader reviews

Verified user experiences with Saxenda. Reviews are moderated before publishing.

No user reviews yet

Be the first to share what worked — side effects, titration experience, dosing, weight-loss timeline. The form below takes ~2 minutes.

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Real-world experiences help others. We moderate every review before publishing.

Your rating

By submitting, you agree we may publish the rating, title, body, "months used" tag, and your name (if provided). Your email stays private.

Sources & further reading

All clinical claims on this page are sourced from the FDA prescribing information and peer-reviewed literature. Verify the most current label before clinical decisions.

  • FDA prescribing information for Saxendaaccessdata.fda.gov
  • DailyMed structured label (liraglutide)dailymed.nlm.nih.gov
  • Peer-reviewed trials & meta-analyses (liraglutide)pubmed.ncbi.nlm.nih.gov
  • Manufacturer page — Novo Nordiskmanufacturer site
“Saxenda is the daily-injection option in a class that has otherwise moved to weekly dosing. The 8% mean weight loss is real but materially lower than newer GLP-1s — the right answer for patients who specifically need a shorter half-life or who started on Saxenda before newer drugs existed.”
Jane Novak, MD, MPH·Senior medical reviewer, Glpverdict

Reader tip

Ro has the most developed prior-authorization workflow of the major providers — it files the PA, manages appeals, and fills brand-name Wegovy or Zepbound through your pharmacy benefit. If your plan covers GLP-1s, Ro extracts the most value from that coverage.

See RoSponsored · editorial pick

Side-effect timeline

peaks fade

Typical 16-week titration schedule. Individual experience varies — track yours with the printable tracker.

  1. 1

    Wk 1-2

    First injection

    • NauseaModerate
    • FatigueModerate
    • BloatingMild

    Peak nausea — eat small protein-forward meals; hydrate.

  2. 2

    Wk 3-4

    Body adapting

    • NauseaMild
    • ConstipationModerate
    • RefluxMild

    Constipation climbs as GI motility slows. Add fiber + magnesium.

  3. 3

    Wk 5-8

    Dose escalation #1

    • NauseaModerate
    • FatigueMild
    • DiarrheaMild

    Symptoms re-spike for ~7 days after each escalation.

  4. 4

    Wk 9-12

    Settling in

    • NauseaMild
    • RefluxMild

    GI complaints meaningfully fade. Weight loss accelerates.

  5. 5

    Wk 13-16

    Maintenance ramp

    • Mild fatigueMild
    • Hair sheddingMild

    Hair shedding from rapid weight loss may appear (resolves by month 6).

  6. 6

    Wk 17+

    Maintenance

    • Generally well-toleratedNone

    Most side effects resolved. Watch for gallbladder symptoms long-term.

Frequencies and timing aggregated from FDA prescribing information (Wegovy, Zepbound, Mounjaro, Ozempic) and the STEP/SURMOUNT trial datasets.

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Medically reviewed by

Portrait of Dr. Jane Novak
Dr. Jane Novak

MD, MPH

Dr. Jane Novak is a board-certified internist and clinical researcher with 14 years of experience focused on metabolic health, pharmacotherapy, and obesity medicine. She practices at UCSF Health in Oakland, California, where she co-directs the GLP-1 prescribing clinic, and serves as a clinical assistant professor at UCSF School of Medicine. Her published work on long-term GLP-1 retention and prior-authorization barriers has appeared in JAMA, NEJM Catalyst, and Obesity Reviews. Dr. Novak is a Diplomate of the American Board of Obesity Medicine and a member of the Obesity Society, ENDO, and the American College of Physicians. On Health Portal she reviews every medication overview and clinical-guidance page for FDA-label accuracy, dosing fidelity, and contraindication coverage before publication.

See full profile Last reviewed May 31, 2026

1

Pivotal trials

phase 2 / phase 3

3,731

Trial participants

combined N

4

Graded claims

3 A · 0 B

2026-05-31

Last reviewed

MD reviewer

Saxenda price by dose strength

Cash, insured, and manufacturer-discount prices across 2026. Refreshed monthly from published provider rate cards.

DoseSupplyRetail (FDA list)Cash, no couponsCash + couponGoodRx / direct-to-patientWith insuranceTypical commercial copayMfr savings cardEligibility required
0.6 mg30-day pen$1349$1100$50$25
1.2 mg30-day pen$1349$1100$50$25
1.8 mg30-day pen$1349$1100$50$25
2.4 mg30-day pen$1349$1100$50$25
3.0 mg30-day pen$1349$1100$50$25

Prices are illustrative. Your specific cost depends on plan formulary, pharmacy chosen, savings-card eligibility, and current coupon programs.

Week-by-week

Saxenda side effects by week

Percentage of patients reporting each symptom at each week bucket. Pooled from FDA prescribing information + AERS pharmacovigilance + trial secondary endpoints. Individual experience varies.

SymptomWk 1-2Wk 3-4Wk 5-8Wk 9-12Wk 13-24Wk 24+
NauseaSCALE + label39%28%18%12%8%5%
DiarrheaSCALE21%17%12%9%6%4%
ConstipationSCALE19%18%14%10%7%5%
VomitingSCALE16%14%9%6%4%2%
Injection-site reactionSCALE13%10%7%5%4%3%
HeadacheSCALE14%12%9%7%5%4%

Color coding: red ≥20%, amber 10-19%, brand 3-9%, faint <3%. — indicates not tracked at that interval.

Saxenda reference pages

  • How to store Saxenda→
  • What to do if you miss a Saxenda dose→
  • Saxenda overdose: symptoms + emergency steps→
  • How to inject Saxenda safely→
Saxenda content history· 1 change
  1. 2026-05-31Major updateby Jane Novak, MD, MPH

    Initial Saxenda content shipped: evidence-graded claims, pivotal SCALE trial card, daily dose ladder, pricing table, sub-section pages.

Where to start

Where to get Saxenda

Telehealth providers + manufacturer programs that prescribe or supply Saxenda. Editorial fit notes on each.

  • Insurance-friendly telehealth

    Ro

    Largest US weight-loss telehealth; PA + appeals support

    Best for: Insurance-friendly with strong PA filing infrastructure

    Affiliate

  • Manufacturer savings programs

    NovoCare

    Novo Nordisk savings cards + patient assistance (Wegovy, Ozempic, Saxenda)

    Best for: Income-qualified uninsured Novo Nordisk drugs

    Direct

  • Pharmacy discount platforms

    GoodRx

    Free pharmacy coupons; 10-30% off brand cash prices

    Best for: Off-formulary backup when nothing else works

    Direct

  • Pharmacy discount platforms

    SingleCare

    Pharmacy discount card; competitive with GoodRx

    Best for: Alternative discount card for price comparison

    Direct

  • Patient advocacy + education

    Obesity Action Coalition

    National patient advocacy organization; neutral resource directory

    Best for: Education + advocacy + community

    Direct

Editorial selection. "Direct" links go to the company’s homepage — we are not yet an affiliate partner with them and earn no commission on those signups. "Affiliate" links route through our /go redirect with commission tracking.

People also ask

Common questions readers ask

Can GLP-1 cause thyroid cancer?
The boxed warning is based on rodent studies showing medullary thyroid carcinoma (MTC) in mice and rats. No human cases have been attributed to GLP-1 use despite 10+ years post-approval surveillance.
Full evidence-graded answer
Do GLP-1 medications affect mood or depression?
Mixed evidence. The FDA label has a precaution but no boxed warning. Some patients report improved mood (likely from weight loss + glycemic control); a smaller subset reports increased anxiety or low mood, especially in early weeks. Pre-existing depression history is a flag for closer monitoring.
Full evidence-graded answer
How do you store GLP-1 pens?
Refrigerate unopened pens at 36-46°F (2-8°C) until first use. Once started, room temperature ≤86°F (30°C) is fine for up to 28 days. Never freeze; never store in direct sunlight; do not store in checked luggage.
Full evidence-graded answer
How do you inject a GLP-1 safely?
Rotate sites between abdomen (≥2 inches from navel), front of thigh, and back of upper arm. Inject at room temperature (cold pens sting). Pinch a fold of skin, insert at 90°, hold 6 seconds after the click, withdraw straight. Dispose in a sharps container.
Full evidence-graded answer
How does Wegovy compare to Saxenda?
Both are GLP-1 agonists from Novo Nordisk. Wegovy (semaglutide, weekly) produces ~15% mean weight loss; Saxenda (liraglutide, daily) produces ~6-8%. Wegovy is also cheaper per kg-lost, more convenient, and has cardiovascular outcome data (SELECT trial). Saxenda was first approved for adolescents (2020); Wegovy followed in 2022 — both are available for ages 12-17.
Full evidence-graded answer
Can teenagers take GLP-1 medications?
Yes — Wegovy is FDA-approved for ages 12+ with BMI ≥95th percentile for age. Saxenda is approved 12+ with BMI ≥30 kg/m² equivalent. Zepbound is approved 12+ (2024 label update). All require pediatric/adolescent medicine specialist oversight.
Full evidence-graded answer

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Saxenda

liraglutide · Novo Nordisk

At a glance

Drug class
GLP-1 receptor agonist (daily injection)
Form
Weekly injection
FDA approved
2014
List price
$1349.00/mo

SCALE Obesity and Prediabetes (phase 3) headline

−8.0% mean body-weight reduction vs −2.6% placebo

over 56 weeks (3,731 participants)

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Compare with

  • Wegovy

    Weekly semaglutide -14.9%

  • Zepbound

    Weekly tirzepatide -20.9%