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Weight loss pill
Wegovy pill South Africa
Daily oral semaglutide for weight loss, reviewed by our medical team.
- One tablet a day, no injections needed
- Contains semaglutide, the active ingredient in Wegovy
- Take on an empty stomach with a small sip of water
Available doses
R1,349R1,499
Price with Subscribe & Save
Indicative dose range for reference. Your doctor determines the right dose based on your medical review. Treatment may not be suitable for everyone.
About Wegovy pills
What is the Wegovy pill and how does it work?
The Wegovy pill is an oral form of semaglutide. It acts on GLP-1 receptors to slow stomach emptying and reduce appetite, just like the injection, but is taken as a daily tablet.
Can I buy it online?
Yes, via a medical review. It's a prescription-only medicine and can't be bought without one.
How long before it works?
Appetite often changes within the first few weeks. Weight loss builds gradually as the dose is increased over several months.
How do you take it
Take it on an empty stomach with no more than half a glass of water, and wait 30 minutes before eating, drinking or taking other medicines.
In short
Wegovy pill summary
| Detail | Information |
|---|---|
| Active ingredient | Semaglutide (oral) |
| Form | Once-daily tablet |
| Manufacturer | Novo Nordisk |
| Price | R1,349–R2,899 per month |
| Availability | In stock |
| Strengths | 3mg, 7mg, 14mg, 25mg |
| Review | Our doctors assess whether the treatment is suitable and monitor your progress. They adjust your dose if needed. |
| Support | Medical team available throughout your journey |
| Monitoring | Regular check-ins with our medical team during treatment |
Real results from our patients
People come to us for different reasons, but most are looking for a safe, guided way to manage their weight.
15%
average body weight lost in oral semaglutide studies*
9 in 10
reported health improvements
7 in 10
reported greater confidence
*Based on clinical study results and patient-reported outcomes. Individual results may vary.
How to get the Wegovy pill
The first steps toward feeling healthier.
Complete a simple questionnaire
Answer questions about your health, lifestyle and goals.
Your request is reviewed by a doctor
An HPCSA-registered doctor carefully reviews your request to check the treatment is safe and suitable for you.
Receive discreet delivery
Your medication is prepared by our registered pharmacy and discreetly packaged for delivery to your door.
Stay supported
Schedule check-ins with our specialist team to track your progress and support you throughout your journey.
Understanding side effects
Most side effects relate to digestion and occur early in treatment or after a dose increase. For most people they ease as the body adjusts.
Digestive issues
Nausea, diarrhoea, vomiting, constipation and indigestion are the most common effects, usually strongest in the first few weeks and after each dose increase.
Other common side effects
Headache, dizziness, tiredness and temporary hair loss linked to rapid weight loss.
Dehydration
Persistent nausea, vomiting or diarrhoea can lead to dehydration. Drink fluids regularly and tell your doctor if symptoms are severe.
Less common but serious
Gallbladder problems, pancreatitis and severe allergic reactions are rare. Seek help immediately for severe abdominal pain with vomiting.
Eligibility
The Wegovy pill supports weight management alongside healthy eating and regular exercise.
Is the Wegovy pill right for me?
- Adults with a BMI of 30 or higher
- Adults with a BMI of 27 or higher plus a weight-related condition
- People who prefer an oral treatment over injections
- People who can take a tablet on an empty stomach each morning
Who shouldn't use it?
- Under 18 or over 85
- Pregnant or breastfeeding
- Allergic to semaglutide or any of the tablet's ingredients
- Personal or family history of medullary thyroid carcinoma, or MEN2
- History of pancreatitis or severe gastrointestinal conditions
- Currently taking another GLP-1 medicine
Taking it and dosing
Wegovy pill dosage schedule
Treatment starts with a low dose and is built up every 4 weeks until you reach the dose that works best for you.
| Weeks | Daily dose | Notes |
|---|---|---|
| Weeks 1–4 | 3mg | Starting dose |
| Weeks 5–8 | 7mg | Building up |
| Weeks 9–12 | 14mg | Building up |
| Week 13 onwards | 25mg | Maintenance dose if suitable |
If you miss a dose, skip it and take your next dose the following day at the usual time. Don't take two doses on the same day.
Comparing the Wegovy pill
Wegovy pill vs Wegovy injection
Same active ingredient, different delivery method. The pill is taken daily on an empty stomach; the injection is weekly and has the most evidence for weight loss.
Wegovy pill vs Mounjaro
Mounjaro is a weekly injection with dual hormone action and a higher average weight loss in studies. The pill suits people who'd rather avoid needles.
Wegovy pill vs Saxenda
Saxenda is a daily injection containing liraglutide. The Wegovy pill offers daily dosing without injecting, with semaglutide as the active ingredient.
Wegovy pill vs Foundayo
Both are once-daily oral treatments. Your doctor advises which is most suitable based on your history and tolerance.
Important safety information
Contraindications, interactions and when to seek urgent help.
Don't use it if you
- Are allergic to semaglutide or any of the tablet's ingredients
- Have a personal or family history of medullary thyroid carcinoma
- Have Multiple Endocrine Neoplasia syndrome type 2
- Are pregnant or breastfeeding
Interactions
- Absorption is affected by food, drink and other medicines taken too soon after the tablet
- Insulin and sulfonylureas increase the risk of low blood sugar
- Other GLP-1 medicines should not be combined
- Oral contraception may be less effective due to slower stomach emptying
When to seek urgent help
- Severe abdominal pain radiating to the back
- Persistent vomiting
- Severe upper abdominal pain with fever
- Signs of a severe allergic reaction
Storage & travel
Store tablets in the original blister pack at room temperature, below 30°C, away from moisture. No refrigeration needed, which makes travel easy.
Stopping, restarting and switching
Talk to your doctor before changing your treatment.
Stopping treatment
Oral semaglutide doesn't cause physical withdrawal, but appetite often returns to pre-treatment levels and some weight regain is common.
Restarting
After a short break you can usually restart at your last tolerated dose. After a longer break you may need to restart at 3mg and build up again.
Switching to an injection
Your doctor advises the appropriate starting dose for the injection and when to use your first pen after your last tablet.
Alternatives
- Mounjaro — weekly dual-hormone injection
- Wegovy injection — weekly semaglutide pen
- Foundayo — once-daily oral treatment
- Orlistat — reduces fat absorbed from food
Wegovy pill prices
The price depends on the prescribed strength and generally increases as your dose rises. Each pack lasts four weeks.
| Dose | Stage | Price per month | Subscribe & Save |
|---|---|---|---|
| 3mg | Starting dose | R1,499.00 | R1,349.00 |
| 7mg | Building up | R1,999.00 | R1,799.00 |
| 14mg | Building up | R2,499.00 | R2,249.00 |
| 25mg | Maintenance | R2,899.00 | R2,609.00 |
Prices are per month. Subscribe & Save is optional. Your doctor confirms the right dose based on your review.
Excellently rated
47,000+ verified customer reviews
4.6 out of 5 stars based on more than 47,000 reviews.
AI-generated summary
Reviewers overwhelmingly report a great experience. Customers praise the efficiency and professionalism of the service, the simple ordering process, fast and reliable delivery, and a support team that is helpful, responsive and genuinely engaged.
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Their service is exceptional
Their service is exceptional, very thorough and efficient.
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Best online pharmacy I've ever used
They're so helpful and efficient and respond quickly. I'll definitely use this service again.
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Very trustworthy company
I was reviewed by a doctor before any decision was made. That gives me confidence it's a trustworthy company. It arrived in an insulated box with a cool pack, and my order went smoothly.
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The experience has changed my life
I've lost a significant amount of weight and I'm no longer hungry, so I don't overeat. The guidance along the way has really kept me on track.
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Fast, efficient and knowledgeable
Miva has guided me through my weight-loss journey. The service is fast, but there's always knowledgeable support in the background.
Verified
Fast and simple
I filled out a thorough questionnaire, uploaded photos and the prescription was sent within the hour. The usage instructions were very detailed.
Our team of specialists
Our clinical team of doctors, pharmacists, dietitians and health coaches supports you at every stage. Join over 1 million patients who trust Miva with their health.
Dr. Lydia Sham Rashid
Head Physician
MD
Dr. Shehna Raghoonanan
Doctor
MB ChB
Abdal Alvi
Chief Clinical Officer
MPharm, IP, MRPharmS
Laura Perez
Head of Clinical Nutrition
BSc (Hons), MSc, MSc
Aamina Rafiq
Responsible Pharmacist
MPharm
Ayisha Mushtaq
Registered Nutritionist
MSc Human Nutrition
Zahra Qureshi
Clinical Pharmacist
MPharm, IP
Richard Wood
Clinical Pharmacist
MPharm, IP
Rebekkah Shaw
Head of Patient Care
BSc (Hons)
Jane Miller
Registered Dietitian
MSc, RD
Frequently asked questions about the Wegovy pill
Weight loss treatments
Medically reviewed by
Aamina Rafiq
Responsible Pharmacist
This page has been reviewed by our clinical team to ensure the information is clear, accurate and up to date. Last updated: 10 February 2026.
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