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Wegovy tablets (oral semaglutide) 4mg: step-up dose explained

What the 4mg dose of Wegovy tablets (oral semaglutide) is for, where it sits in the step-up schedule and what to discuss with your prescriber.

Where 4mg fits

  1. Step 11.5mgfrom week 1
  2. Step 24mgfrom week 5
  3. Step 39mgfrom week 9
  4. Step 425mgfrom week 13

The UK product information says to stay on each dose for at least 4 weeks before increasing. Weeks shown are the earliest possible; many people stay on a dose for longer, and some stay on a lower dose.

4mg is a step-up dose. People usually move through it on the way to a maintenance dose; the earliest it would normally start is week 5. Some people stay on a step-up dose for longer if side effects need time to settle.

Always use the dose your prescriber has prescribed and follow the Patient Information Leaflet. Do not change your dose yourself, and never use a pen or tablet strength that was not prescribed for you.

All Wegovy tablets (oral semaglutide) doses

Doses listed in the UK product information for Wegovy tablets (oral semaglutide). Your prescriber decides your dose; not everyone increases to the highest dose.
DoseRoleEarliest start (if increased at every step)
Wegovy tablets (oral semaglutide) 1.5mgStarting doseWeek 1
Wegovy tablets (oral semaglutide) 4mgStep-up doseWeek 5
Wegovy tablets (oral semaglutide) 9mgStep-up doseWeek 9
Wegovy tablets (oral semaglutide) 25mgMaintenance doseWeek 13

Frequently asked questions

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