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Ozempic

Is Ozempic safe for me? What to consider

3 min read · Updated September 2026 · Reviewed by Miva's clinical team

Ozempic can help many adults manage type 2 diabetes, but it is not suitable for everyone.

Some health conditions or personal circumstances may mean Ozempic is not recommended, or that it needs to be used carefully. Knowing what to look out for can help you decide, together with your healthcare provider, whether Ozempic is right for you.

When Ozempic Must Not Be Used

Ozempic should not be used if you are allergic to semaglutide or any of the other ingredients in the medicine. Signs of an allergic reaction can include swelling, rash, itching, or difficulty breathing.

Ozempic is not suitable for people with type 1 diabetes or for the treatment of diabetic ketoacidosis. It is designed specifically for adults with type 2 diabetes.

Ozempic is not recommended for anyone who has personally had, or has a family history of, medullary thyroid carcinoma (MTC), a rare form of thyroid cancer. Ozempic is also not recommended for people with a condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).

If you are unsure whether this applies to you, speak with your healthcare provider before starting treatment. Ozempic may not be suitable if any of the above applies to you, and another type of treatment may be recommended.

Can Ozempic Be Used During Pregnancy and Breastfeeding?

Ozempic is not recommended during pregnancy. If you become pregnant while using Ozempic, or are planning to become pregnant, contact your healthcare provider promptly to reassess your treatment.

It is not known whether semaglutide passes into breast milk. Because of this, Ozempic is generally not recommended while breastfeeding. Your healthcare provider can discuss alternative options if needed.

Is Ozempic Suitable for Children and Adolescents?

Ozempic is not approved for use in children or adolescents under 18 years of age.

If you are under 18 or are seeking treatment for a child or teenager with diabetes, speak with a healthcare provider about appropriate treatment options.

What This Means for You

Ozempic can be a helpful treatment for many adults living with type 2 diabetes, but it is not suitable for everyone. Your health history or current circumstances may influence whether Ozempic is the right option

The most important step is to share your full medical history with your healthcare provider before starting treatment. This includes any past health problems, family history of serious illness, and all medicines you are currently taking.

By having an open discussion, you and your healthcare provider can decide on a treatment plan that is safe and appropriate for your individual needs.

Please note: Funding in South Africa

Ozempic is not funded by the state in South Africa; medical aid cover varies by scheme and plan. As a result, you will be responsible for paying the full cost of the medicine. Consultation fees from your healthcare provider may also apply. Your pharmacy can provide information about the current price of Ozempic.

Important safety information

Prescription medicine. Ozempic® is approved in South Africa for the treatment of adults with type 2 diabetes to improve blood glucose control. Ozempic® contains the active ingredient semaglutide and is available as a solution for injection in a pre-filled pen (4 mg/3 mL; semaglutide 1.34 mg/mL). Ozempic® has risks and benefits. Ask your healthcare provider if Ozempic® is right for you. Use strictly as directed. If you experience side effects, see your doctor, pharmacist, or healthcare professional. For more information, see the approved professional information (semaglutide) available at: https://www.sahpra.org.za/registered-health-products/

Mounjaro (tirzepatide) and Wegovy (semaglutide) are Schedule 4 prescription-only medicines in South Africa. This page is general information, not medical advice — an HPCSA-registered doctor reviews every request and decides whether treatment is right for you.

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