Liraglutide
Daily GLP-1 receptor agonist (Saxenda/Victoza). FDA-approved for chronic weight management and type 2 diabetes. Older sibling of semaglutide with smaller weight-loss effect size.
Educational only — not medical advice. SmartPeptide does not prescribe, diagnose, or treat. Always consult a licensed healthcare provider before using any peptide, supplement, medication, or protocol.
What the research shows
SCALE Obesity (n=3,731, 56 weeks) showed ~8% body-weight reduction on 3mg/day vs ~2.6% placebo. LEADER (n=9,340, type 2 diabetics) demonstrated cardiovascular benefit. FDA-approved 2014 (weight management) and 2010 (T2D).
What's still experimental
Use in adolescents (newer indication, smaller dataset). Combinations with SGLT2 inhibitors for additive weight effect. Long-term durability beyond ~3 years of continuous use.
Anecdotal / community reports
Off-label microdosing, cycling on/off, and direct comparisons with semaglutide are widely discussed in patient communities but lack head-to-head RCT data.
Anecdotal reports are NOT scientific evidence. They reflect personal experience and may not generalize.
FDA approval status
Source: openFDA + DailyMed (NIH/NLM)- Full label on DailyMedLiraglutide(LIRAGLUTIDE) · Lupin Pharmaceuticals, Inc.Indications & usage
1 INDICATIONS AND USAGE Liraglutide injection is indicated: as an adjunct to diet and exercise to improve glycemic control in adults and pediatric patients aged 10 years and older with type 2 diabetes mellitus Limitations of Use: Liraglutide injection contains liraglutide. Coadministration with other liraglutide-containing products is not recommended. Liraglutide injection is a glucagon-like peptide-1 (GLP-1) receptor agonist indicated: as an adjunct to diet and exercise to improve glycemic control in adults and pediatric patients aged 10 years and older with type 2 diabetes mellitus ( 1 ). Limitations of Use : Coadministration with other liraglutide-containing products is not recommended.
Dosage & administration2 DOSAGE AND ADMINISTRATION Adult Patients: Initiate at 0.6 mg injected subcutaneously once daily for one week then increase to 1.2 mg daily. If additional glycemic control is required, increase the dose to 1.8 mg daily after one week of treatment with the 1.2 mg daily dose. ( 2.1 ) Pediatric Patients: Initiate at 0.6 mg injected subcutaneously once daily for at least one week. If additional glycemic control is required increase the dose to 1.2 mg daily and if additional glycemic control is still required, increase the dose to 1.8 mg daily after at least one week of treatment with the 1.2 mg daily dose. ( 2.1 ) Inspect visually prior to each injection. Only use if solution is clear, colorless, and contains no particles. ( 2.3 ) Inject liraglutide injection subcutaneously once-daily at any…
Warnings5 WARNINGS AND PRECAUTIONS Acute Pancreatitis : Has been observed in patients treated with GLP-1 receptor agonists, including liraglutide injection. Discontinue if pancreatitis is suspected. ( 5.2 ) Never Share a liraglutide injection Pen Between Patients, even if the needle is changed. ( 5.3 ) Hypoglycemia : Adult patients taking an insulin secretagogue or insulin may have an increased risk of hypoglycemia, including severe hypoglycemia. In pediatric patients 10 years of age and older, the risk of hypoglycemia was higher with liraglutide injection regardless of insulin and/or metformin use. Reduction in the dose of insulin secretagogues or insulin may be necessary. ( 5.4 ) A cute Kidney Injury Due to Volume Depletion : Monitor renal function in patients reporting adverse reactions that co…
- Full label on DailyMedLiraglutide(LIRAGLUTIDE) · Biocon Pharma Inc.Indications & usage
1 INDICATIONS AND USAGE Liraglutide injection is indicated in combination with a reduced calorie diet and increased physical activity to reduce excess body weight and maintain weight reduction long term in: Adults and pediatric patients aged 12 years and older with body weight greater than 60 kg and obesity. Adults with overweight in the presence of at least one weight-related comorbid condition. Limitations of Use Liraglutide injection contains liraglutide. Coadministration with other liraglutide-containing products or with any other glucagon-like peptide-1 (GLP-1) receptor agonist is not recommended. The safety and effectiveness of liraglutide injection in pediatric patients with type 2 diabetes have not been established. Liraglutide injection is a glucagon like peptide 1 (GLP-1) recepto…
Dosage & administration2 DOSAGE AND ADMINISTRATION Inject liraglutide injection subcutaneously in the abdomen, thigh, or upper arm once daily at any time of day, without regard to the timing of meals. ( 2.1 ) The recommended dose of liraglutide injection is 3 mg daily. ( 2.2 ) Initiate at 0.6 mg per day for one week. In weekly intervals, increase the dose until a dose of 3 mg is reached. ( 2.2 ) If pediatric patients do not tolerate an increased dose during dose escalation, the dose may also be lowered to the previous level. Dose escalation for pediatric patients may take up to 8 weeks. ( 2.2 ) Pediatric patients who do not tolerate 3 mg daily may have their dose reduced to 2.4 mg daily. ( 2.2 ) Adult patients with type 2 diabetes should monitor blood glucose prior to starting liraglutide injection and during li…
Warnings5 WARNINGS AND PRECAUTIONS Acute Pancreatitis: Has been observed in patients treated with GLP-1 receptor agonists, including liraglutide injection. Discontinue if pancreatitis is suspected. ( 5.2 ) Acute Gallbladder Disease: If cholelithiasis or cholecystitis are suspected, gallbladder studies are indicated. ( 5.3 ) Hypoglycemia: Can occur in adults when liraglutide injection is used with an insulin secretagogue (e.g. a sulfonylurea) or insulin. The risk may be lowered by a reduction in the dose of concomitantly administered insulin secretagogues or insulin. In the pediatric clinical trial, patients did not have type 2 diabetes. Hypoglycemia occurred in liraglutide injection-treated pediatric patients. Inform all patients of the risk of hypoglycemia and educate them on the signs and sympto…
- Full label on DailyMedLiraglutide(LIRAGLUTIDE) · A-S Medication SolutionsIndications & usage
1 INDICATIONS AND USAGE Liraglutide is indicated: • as an adjunct to diet and exercise to improve glycemic control in adults and pediatric patients aged 10 years and older with type 2 diabetes mellitus, • to reduce the risk of major adverse cardiovascular events (cardiovascular death, non-fatal myocardial infarction, or non-fatal stroke) in adults with type 2 diabetes mellitus and established cardiovascular disease. Limitations of Use : Liraglutide should not be used in patients with type 1 diabetes mellitus. Liraglutide contains liraglutide and should not be coadministered with other liraglutide-containing products. Liraglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist indicated: • as an adjunct to diet and exercise to improve glycemic control in adults and pediatric patients…
Dosage & administration2 DOSAGE AND ADMINISTRATION • Adult Patients : Initiate at 0.6 mg injected subcutaneously once daily for one week then increase to 1.2 mg daily. If additional glycemic control is required, increase the dose to 1.8 mg daily after one week of treatment with the 1.2 mg daily dose (2.1) . • Pediatric Patients : Initiate at 0.6 mg injected subcutaneously once daily for at least one week. If additional glycemic control is required increase the dose to 1.2 mg daily and if additional glycemic control is still required, increase the dose to 1.8 mg daily after at least one week of treatment with the 1.2 mg daily dose (2.1) . • Inspect visually prior to each injection. Only use if solution is clear, colorless, and contains no particles (2.3) . • Inject liraglutide subcutaneously once-daily at any tim…
Warnings5 WARNINGS AND PRECAUTIONS • Pancreatitis : Postmarketing reports, including fatal and non-fatal hemorrhagic or necrotizing pancreatitis. Discontinue promptly if pancreatitis is suspected. Do not restart if pancreatitis is confirmed (5.2) . • Never share a liraglutide pen between patients, even if the needle is changed (5.3) . • Hypoglycemia: Adult patients taking an insulin secretagogue or insulin may have an increased risk of hypoglycemia, including severe hypoglycemia. In pediatric patients 10 years of age and older, the risk of hypoglycemia was higher with liraglutide regardless of insulin and/or metformin use. Reduction in the dose of insulin secretagogues or insulin may be necessary (5.4) . • Acute Kidney Injury : Postmarketing, usually in association with nausea, vomiting, diarrhea,…
All current FDA labels (DailyMed)
- LIRAGLUTIDE INJECTION, SOLUTION [TEVA PHARMACEUTICALS, INC.]· May 06, 2026
- LIRAGLUTIDE INJECTION [BIOCON PHARMA INC.]· Apr 27, 2026
- LIRAGLUTIDE INJECTION, SOLUTION [ORBICULAR PHARMACEUTICAL TECHNOLOGIES PRIVATE LIMITED]· Apr 17, 2026
- LIRAGLUTIDE INJECTION [HIKMA PHARMACEUTICALS USA INC.]· Mar 31, 2026
- LIRAGLUTIDE INJECTION, SOLUTION [BIOCON PHARMA INC.]· Mar 30, 2026
- LIRAGLUTIDE INJECTION, SOLUTION [ORBICULAR PHARMACEUTICAL TECHNOLOGIES PRIVATE LIMITED]· Mar 16, 2026
FDA enforcement & recalls
Live · openFDA Drug Enforcement API- Class IIOngoing· Voluntary: Firm initiatedFDA record
Liraglutide Injection, 18 mg/3 mL (6 mg/mL), Rx only, Manufactured for: Lupin Pharmaceuticals, Inc., Naples, FL 34108, Manufactured by: Lupin Limited, Nagpur 441108, INDIA, a) 2 Pens- NDC 70748-346-02…
Reason: Presence of particulate matter: a white thread-like structure in the cartridge
Apr 24, 2026·Lupin Pharmaceuticals Inc. - Class IITerminated· Voluntary: Firm initiatedFDA record
Saxenda (liraglutide) Injection, 18 mg/3 mL (6 mg/mL), 1 x 3 mL Prefilled Pen, Sample. Not for Resale., Rx only, Novo Nordisk Inc., Plainsboro, NJ 08536, Manufactured by: Novo Nordisk A/S, Bagsvaerd,…
Reason: Temperature Abuse: product samples were stored at temperatures below 32* F which is not in accordance with storage requirements that could cause a lack of efficacy and damage to the cartridge and pen-injectors.
Mar 22, 2021·Novo Nordisk Inc - Class IITerminated· Voluntary: Firm initiatedFDA record
ViCTOZA (liraglutide) injection, 18 mg/3 mL (6 mg/mL), contains: 1 Victoza Pen, Sample Not for Resale, Rx only, Manufactured by: Novo Nordisk A/S, Bagesvaerd, Denmark NDC 0169-4060-90 (Pen), 0169-406…
Reason: Temperature Abuse: product samples were stored at temperatures below 32* F which is not in accordance with storage requirements that could cause a lack of efficacy and damage to the cartridge and pen-injectors.
Mar 22, 2021·Novo Nordisk Inc - Class ITerminated· Voluntary: Firm initiatedFDA record
Xultophy 100/3.6 (insulin degludec and liraglutide injection), 100 units/mL and 3.6 mg/mL, 3 mL Prefilled Pen, SAMPLE, Rx only, Manufactured by: Novo Nordisk A/S, Bagsvaerd, Denmark, Distributed by: N…
Reason: Temperature Abuse: product samples were stored at temperatures below 32* F which is not in accordance with storage requirements that could cause a lack of efficacy and damage to the cartridge and pen-injectors.
Mar 22, 2021·Novo Nordisk Inc
Mechanism & targets
ChEMBL · UniProt · Open TargetsMolecule (ChEMBL)
View on ChEMBL- CHEMBL1784agonistGlucagon-like peptide 1 receptor agonist
Protein targets (UniProt)
- NeprilysinP08473gene: MMEHomo sapiens· 750 aaReviewed
Thermolysin-like specificity, but is almost confined on acting on polypeptides of up to 30 amino acids (PubMed:15283675, PubMed:6208535, PubMed:6349683, PubMed:8168535). Biologically important in the destruction of opioid peptides such as Met- and Leu-enkephalins by cleavage of a Gly-Phe bond (PubMed:17101991, PubMed:6349683). Catalyzes cleavage of bradykinin, substance P and neurotensin peptides (PubMed:6208535). Able to cleave angiotensin-1, angiotensin-2 and angiotensin 1-9 (PubMed:15283675,…
- Glucagon-like peptide 1 receptorP43220gene: GLP1RHomo sapiens· 463 aaReviewed
G-protein coupled receptor for glucagon-like peptide 1 (GLP-1) (PubMed:19861722, PubMed:26308095, PubMed:27196125, PubMed:28514449, PubMed:7517895, PubMed:8216285, PubMed:8405712). Ligand binding triggers activation of a signaling cascade that leads to the activation of adenylyl cyclase and increased intracellular cAMP levels (PubMed:19861722, PubMed:26308095, PubMed:27196125, PubMed:28514449, PubMed:7517895, PubMed:8216285, PubMed:8405712). Plays a role in regulating insulin secretion in respon…
- Dipeptidyl peptidase 4P27487gene: DPP4Homo sapiens· 766 aaReviewed
Cell surface glycoprotein receptor involved in the costimulatory signal essential for T-cell receptor (TCR)-mediated T-cell activation (PubMed:10900005, PubMed:10951221, PubMed:11772392, PubMed:17287217). Acts as a positive regulator of T-cell coactivation, by binding at least ADA, CAV1, IGF2R, and PTPRC (PubMed:10900005, PubMed:10951221, PubMed:11772392, PubMed:14691230). Its binding to CAV1 and CARD11 induces T-cell proliferation and NF-kappa-B activation in a T-cell receptor/CD3-dependent man…
Live research
PubMed · ClinicalTrials.gov · Europe PMC · OpenAlexClinical trials (ClinicalTrials.gov)
- Combined Effects of GLP-1 Analogue and Exercise on Maintenance of Weight Loss and Health After Very-low Calorie DietUNKNOWNNCT04122716 · PHASE4 · n=215 · 2016-09
- Liraglutide Effectiveness in Preoperative Weight-loss for Bariatric-metabolic SurgeryCOMPLETEDNCT06201819 · PHASE4 · n=37 · 2022-12-18
- Risk Factors Affect Weight Loss Outcomes After Treatment.COMPLETEDNCT06482411 · N/A · n=3602 · 2024-06-27
- Investigation of the Relationship Between Peripheral and Central Metabolic Changes Induced by GLP-1 AgonistsCOMPLETEDNCT06818292 · NA · n=10 · 2024-10-21
- Antidiabetic Effects of Adding a DPP-4 Inhibitor to Pre-Existing Treatment With an Incretin Mimetic in Patients With T2DCOMPLETEDNCT01937598 · PHASE3 · n=16 · 2013-08
Europe PMC — 20,334 additional records
Includes EU/UK studies and PubMed Central full-text articles. Often surfaces research weeks before PubMed indexes it.
- Diabetic cerebral microvascular disorder: from key pathologies to targeted interventionsZhang Q, Liu J, Ji X., et al. · 2026Open access
- Glucagon-like peptide-1: a critical link between gut microbiota dysbiosis and degenerative musculoskeletal diseasesYang W, Hao C, Wang N, et al. · 2026Open access
- GLP-1 receptor agonists in stroke prevention: a narrative review on emerging therapeutic frontiersChikatimalla R, Shah A, Shah T, et al. · 2026Open access
- The role and mechanism of UPRmt in adipocytesLiu H, Chen J, Qiu DQ, et al. · 2026Open access
Research volume (OpenAlex topic graph)
Human clinical evidence
Semantic Scholar · AI TLDRs · influence-rankedHuman-study summaries for “liraglutide” are available on Semantic Scholar but the shared free-tier API quota is exhausted right now. Try refreshing in a few minutes, or check the PubMed and Europe PMC panels above for the same literature.
Research funding & verification
NIH RePORTER · CrossRef DOI registryNIH-funded research
U.S. National Institutes of Health- 5U01DK098246-07$30.9MContinuation of the Glycemia Reduction Approaches in Diabetes: A Comparative Effectiveness (GRADE) StudyJOHN M LACHIN · GEORGE WASHINGTON UNIVERSITY · FY2018
- 2U01DK098246-06$30.5MContinuation of the Glycemia Reduction Approaches in Diabetes: A Comparative Effectiveness (GRADE) StudyJOHN M LACHIN · GEORGE WASHINGTON UNIVERSITY · FY2017
- 4U01DK098246-05$30.0MGlycemia Reduction Approaches in Diabetes: A comparative effectiveness studyJOHN M LACHIN · GEORGE WASHINGTON UNIVERSITY · FY2016
- 5U01DK098246-04$28.9MGlycemia Reduction Approaches in Diabetes: A comparative effectiveness studyJOHN M LACHIN · GEORGE WASHINGTON UNIVERSITY · FY2015
Publication landscape
CrossRef · DOI registry- Novo Nordisk209 works
- National Natural Science Foundation of China119 works
- National Institutes of Health21 works
- Eli Lilly and Company21 works
- Novo Nordisk A/S19 works
- Boehringer Ingelheim18 works
Funder diversity is a credibility signal. Research concentrated in a single drug company's funding warrants more scrutiny than research funded across NIH, charities, and academic grants.
Preprints — cutting edge
bioRxiv · medRxiv · via Europe PMCPreprints have NOT been peer-reviewed. They are early research shared by authors before formal validation. Treat findings as preliminary.
- Preprint<i>OCT1</i> Variants Are Associated with Metformin Clearance and Gluconeogenesis: Mechanistic Insights for Youth-Onset Type 2 Diabetes in the MIGHTY StudyCantor SL, Zeng Y, Davis FS, et al. · 2026-05-28
- PreprintTherapeutic Potential of Anti-Obesity Drugs in Obesity-Associated Female Reproductive DysfunctionVarra F, Theodosis-Nobelos P, Varra V, et al. · 2026-05-26
- PreprintEffects of Liraglutide on Gut Bacterial Community DynamicsBull J, Durham PL, Mirza BS., et al. · 2026-01-27
- PreprintHyperglycemia promotes maladaptive Dectin-1 signaling and impairs skin antifungal host defenseReyna DE, Davis E, Salina ACG, et al. · 2026-02-14
- PreprintThe Colonic Mucus Layer is Thinner and is Associated with Goblet Cell Hyperplasia in the <i>db/db</i> Mouse Model of Type 2 DiabetesRowe MC, Demuynck M, Sharma A, et al. · 2026-04-06
Known risks
Pancreatitis (rare), gallbladder events, thyroid C-cell tumor signal in rodents (warning in label), hypoglycemia when combined with insulin or sulfonylureas. Not recommended in personal/family history of medullary thyroid carcinoma or MEN-2.
Reported side effects
Nausea, vomiting, diarrhea, constipation, injection-site reactions. GI effects usually peak in first weeks then taper.
FDA adverse event reports (FAERS)
Updated quarterly by FDA- US28,120
- FR1,474
- CA1,286
- GB1,115
Most-reported reactions
- Nausea7,710
- Blood Glucose Increased4,349
- Vomiting3,716
- Diarrhoea3,622
- Pancreatitis2,510
- Decreased Appetite2,309
- Weight Decreased2,222
- Headache2,147
- Off Label Use1,857
- Fatigue1,733
Counts from FDA Adverse Event Reporting System (FAERS). Voluntary reports — they show what was reported, not whether the drug caused the event. Many reports lack confirmation. FAERS docs
What requires medical supervision
Prescription medication. Requires baseline labs and ongoing monitoring for pancreatitis, thyroid concerns, and glycemic management.
Questions for your clinician
- Why liraglutide vs semaglutide for my situation?
- What baseline + follow-up labs do you recommend?
- How do we handle GI side effects during titration?