this post was submitted on 21 Sep 2023
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Nearly three months into taking Ozempic for diabetes, Jenny Kent had already lost 12 pounds, and her blood sugar numbers were looking better than they had in a while.

Ozempic, the injectable drug approved for Type 2 diabetes, has taken the world by storm.

But for Kent something else changed after she started taking Ozempic.

"I was just constantly in a state of being overwhelmed," says Kent. "So my response to that was just I was just crying all the time. Sobbing, crying ... I still didn't put it together, so I kept ... taking my injections."

She's one of many people taking Ozempic and related drugs who describe mental health problems. But that side effect isn't mentioned in Ozempic's instructions for use, or drug label.

In July, the European Medicines Agency said that it was looking into the risk of thoughts of self-harm and suicidal thoughts with the use of Ozempic and similar drugs. As of July 11, the regulator, Europe's FDA, was evaluating more than 150 reports.

The FDA hasn't taken that step. For now, the agency is monitoring the situation. "We continue to conclude that the benefits of these medications outweigh their risks when they are used according to the FDA approved labeling," spokesperson Chanapa Tantibanchachai said in an email to NPR. She noted that weight-loss drug Wegovy, which contains the same active ingredient as Ozempic, semaglutide, includes a warning about suicidal thoughts on its label.

Even though the link between these drugs and mental health concerns isn't definitive, it's important that patients talk with doctors if they experience something unusual, says Dr. Jonathan Alpert, who chairs the Department of Psychiatry and Behavioral Sciences at Montefiore Medical Center and Albert Einstein College of Medicine.

"I always think it makes sense to take side effects like that seriously, particularly in drugs that are relatively new and that we're still learning about," he says.

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[–] robocall@lemmy.world 29 points 1 year ago (1 children)

I wonder if some people use over-eating as a way to soothe themselves, and deal with certain problems like anxiety, trauma, discomfort, etc.. and using Ozempic, Wegovy, GLP-1 medications take away that form of coping, which manifests underlying issues in another way, such as suicidal thoughts or other unhealthy coping mechanisms.

[–] FlyingSquid@lemmy.world 8 points 1 year ago

Over-eating is definitely a way people cope with depression, trauma, etc. It's another form of eating disorder.

[–] FlyingSquid@lemmy.world 12 points 1 year ago (3 children)

You want to lose weight? Get a major stomach ulcer. I haven't eaten in a month (30 day anniversary! Yay!) and I've lost 25 pounds with no pharmaceuticals needed!

[–] eek2121@lemmy.world 8 points 1 year ago (1 children)

Or get hospitalized. I dropped 40 lbs after spending a month in the ICU.

[–] FlyingSquid@lemmy.world 5 points 1 year ago (1 children)

That would do it too. Sorry to hear it, hope you're doing better now.

[–] eek2121@lemmy.world 4 points 1 year ago

Thanks! Thankfully it was years ago. Mostly recovered except the more permanent stuff (scarring, other conditions)

I consider myself to be doing great today.

[–] yenahmik@lemmy.world 6 points 1 year ago (1 children)

Dang, dude. That sucks.

Be careful with that. I know a guy who had an ulcer. It started hemorrhaging and he nearly bled to death internally. I think he was stuck in the hospital for something like 3 months.

[–] FlyingSquid@lemmy.world 4 points 1 year ago

I'm getting a scope in early October. I just have to hang in there until then. Thanks.

[–] NOT_RICK@lemmy.world 3 points 1 year ago (1 children)

I hope you’re on TPN in that case? Yeesh, I hope you get well soon

[–] FlyingSquid@lemmy.world 2 points 1 year ago* (last edited 1 year ago) (1 children)

Not sure what TPN is, but I'm following my gastro doc's instructions. And thanks!

[–] NOT_RICK@lemmy.world 3 points 1 year ago (1 children)

It’s IV nutrition for people that have GI issues that prevent them from eating. I’m not clinical so I trust your doctor more than my worry, though

[–] FlyingSquid@lemmy.world 2 points 1 year ago

Got it. Thanks.

[–] OldWoodFrame@lemm.ee 6 points 1 year ago

I believe Wegovy is a higher dose than Ozempic, it's possible that the high dose can cause psychological concerns in a subset of people, and some smaller subset have issues even with the smaller dose. If the smaller subset is sufficiently smaller such that it doesn't warrant a warning, maybe it's correct that the warning is on one and not the other.

150 reports is likely not the entire amount of impact, but it's also a miniscule number compared to the 60,000 new prescriptions per week in the USA. There has to be a bar where an impact is not worth noting.

[–] dingus@lemmy.ml 4 points 1 year ago* (last edited 1 year ago) (2 children)

Ya don't say? A wildly popular weight loss drug wasn't tested enough before being unleashed on the public?

Who could have expected such a thing?

Didn't something similar happen in the 90's with Fen/Phen?

Me. I expected it. Along with anyone else that has been paying attention to how the pharma industry handles things.

[–] NOT_RICK@lemmy.world 11 points 1 year ago

Pharma companies are required to continuously monitor their drugs adverse effects even after FDA approval ever since Vioxx killed a bunch of people, so that’s good at least. You’ve piqued my interest. I actually just looked at Semaglutide’s adverse effects from their phase 3 trial and the semaglutide cohort actually reported a lower rate of psychiatric disorders than the control group. Maybe they should have had a larger sample size or a longer study window.

[–] AllonzeeLV@lemmy.world -2 points 1 year ago* (last edited 1 year ago)

Fuck it, live for today and try shit.

It's not like there's much of a future to enjoy. Our species has seen to that for the next few generations.