Can I administer a 0.25 mg dose using a 1 mg pen of Ozempic (semaglutide)?

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Last updated: June 23, 2025View editorial policy

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From the FDA Drug Label

Pen delivers doses in 1 mg increments only The FDA drug label does not answer the question.

From the Research

Yes, you can administer a 0.25 mg dose using a 1 mg Ozempic (semaglutide) pen. The 1 mg Ozempic pen is designed with a dose selector that allows you to dial different doses, including the 0.25 mg starting dose. To administer a 0.25 mg dose, simply turn the dose selector until it shows 0.25 mg in the dose counter window, then inject as directed. It's essential to note that the provided evidence does not directly address the administration of a 0.25 mg dose using a 1 mg Ozempic pen. However, based on the general information about Ozempic pens, they come pre-filled and pre-calibrated, so the dose you select is the dose you'll receive. When starting Ozempic therapy, 0.25 mg once weekly is typically the recommended initial dose for the first four weeks, which helps your body adjust to the medication and minimizes gastrointestinal side effects, as mentioned in various studies 1, 2, 3, 4, 5. After four weeks at 0.25 mg, the dose is usually increased to 0.5 mg once weekly. The 1 mg pen can accommodate these different dosing needs, making it versatile for the entire titration schedule. Always follow your healthcare provider's specific instructions regarding your dosing schedule.

Some key points to consider:

  • Ozempic pens are designed for ease of use and accuracy in dosing.
  • The initial dose of 0.25 mg is crucial for minimizing side effects and ensuring tolerance to the medication.
  • Regular follow-up with your healthcare provider is necessary to adjust the dose as needed and monitor for any potential side effects.
  • Studies have shown the efficacy and safety of semaglutide in weight management and improving cardiovascular risk factors 1, 2, 4, 5.

Given the information available and the design of Ozempic pens, administering a 0.25 mg dose using a 1 mg pen is feasible and aligns with the typical dosing regimen for Ozempic therapy.

References

Research

Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes.

The New England journal of medicine, 2023

Research

Once-Weekly Semaglutide in Adults with Overweight or Obesity.

The New England journal of medicine, 2021

Research

Semaglutide: Double-edged Sword with Risks and Benefits.

Archives of internal medicine research, 2025

Research

Semaglutide for the treatment of obesity.

Trends in cardiovascular medicine, 2023

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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