From each FDA label

Do GLP-1s cause constipation?

Constipation is in the main trial table of 8 labels. The highest rate printed is 24% on Foundayo 17.2 mg (9% on placebo) and the lowest 3.1% on Ozempic 1 mg (1.5% on placebo). Separate trials, so not a ranking. Trulicity and Byetta list it only among reports after approval, without a rate.

Read from each manufacturer's FDA label on DailyMed. The newest revision saying anything on this is Aug 28, 2026.

Rate against placebo

How often constipation happened in each medicine's trials

At the highest dose in each label's main table. Separate trials with different people, so compare each rate with its own placebo group, not with another medicine.

MedicineDoseOn itOn placeboDifferenceLabel
Foundayo17.2 mg24%9%+15 pointsDailyMed
Wegovy2.4 mg24%11%+13 pointsDailyMed
Saxenda3 mg19.4%8.5%+10.9 pointsDailyMed
Zepbound15 mg11%5%+6 pointsDailyMed
Mounjaro15 mg7%1%+6 pointsDailyMed
Rybelsus and Ozempic tablets14 mg5%2%+3 pointsDailyMed
Victoza1.8 mg5%1%+4 pointsDailyMed
Ozempic1 mg3.1%1.5%+1.6 pointsDailyMed
Word for word

What each label says about constipation

Sentences from each label's warnings and side effect sections. Only cross-references are removed.

Wegovy

  • The most frequently reported reactions were nausea (42% vs. 18%), vomiting (36% vs. 10%), and diarrhea (22% vs. 19%). Other gastrointestinal-related reactions that occurred at a higher incidence than placebo among Wegovy injection-treated pediatric patients included abdominal pain, constipation, eructation, gastroesophageal reflux disease, dyspepsia, and flatulence.

Label revised Jun 18, 2026. DailyMed

Mounjaro

  • In a CV outcomes trial of 6,647 adults with type 2 diabetes mellitus and established CV disease exposed to Mounjaro, adverse reactions reported with Mounjaro were similar with the exception of dysesthesia (0.7%), decreased appetite (17%), constipation (13%), vomiting (12%), abdominal pain (10%), and fatigue (10%).

Label revised Aug 27, 2026. DailyMed

Trulicity

  • The following GI adverse reactions were reported more frequently in Trulicity-treated patients than placebo -treated patients (frequencies listed, respectively, as: placebo; 0.75 mg; 1.5 mg): constipation (0.7%, 3.9%, 3.7%), flatulence (1.4%, 1.4%, 3.4%), abdominal distension (0.7%, 2.9%, 2.3%), gastroesophageal reflux disease (0.5%, 1.7%, 2.0%), and eructation (0.2%, 0.6%, 1.6%).

Label revised Jun 16, 2026. DailyMed

Saxenda

  • The percentage of patients reporting nausea declined as treatment continued. Other common adverse reactions that occurred at a higher incidence among Saxenda-treated patients included diarrhea, constipation, vomiting, dyspepsia, abdominal pain, dry mouth, gastritis, gastroesophageal reflux disease, flatulence, eructation and abdominal distension.

Label revised Feb 25, 2026. DailyMed

Ozempic, Rybelsus and Ozempic tablets, Zepbound, Foundayo, Victoza, Byetta: listed only among reports after approval, which come with no rate because nobody knows how many people took the medicine.

Not from trials

Reports to FDA about constipation

Counts of voluntary reports from patients and doctors. They cannot show that a medicine caused anything and cannot give a rate, and a brand used by more people draws more reports.

MedicineReports namingAll reports on it
OzempicConstipation: 4,63970,863
MounjaroConstipation: 3,76997,440
ZepboundConstipation: 3,74080,835
TrulicityConstipation: 2,36087,279
VictozaConstipation: 1,29741,462
WegovyConstipation: 1,25125,993
ByettaConstipation: 1,18152,087
Rybelsus and Ozempic tabletsConstipation: 4437,758
SaxendaConstipation: 3427,270
FoundayoConstipation: 3313,050

Counted through openFDA from FDA's Adverse Event Reporting System, refreshed weekly. One report can name several terms.

Updated automatically

Latest FDA label updates

Written from each source's own record as it changes. Every change on GLPcompare

Questions

Constipation on a GLP-1: common questions

Which GLP-1 causes the most constipation?

No trial here ranks them. By the rates each label prints, Foundayo 17.2 mg is highest at 24% (placebo 9%) and Ozempic 1 mg lowest at 3.1% (placebo 1.5%). These come from separate trials with different people and doses, so compare each to its own placebo group.

Does Foundayo cause constipation?

In its FDA label, 24% of people taking Foundayo 17.2 mg reported constipation, against 9% on placebo.

Does Wegovy cause constipation?

In its FDA label, 24% of people taking Wegovy 2.4 mg reported constipation, against 11% on placebo.

Does Saxenda cause constipation?

In its FDA label, 19.4% of people taking Saxenda 3 mg reported constipation, against 8.5% on placebo.

Does Zepbound cause constipation?

In its FDA label, 11% of people taking Zepbound 15 mg reported constipation, against 5% on placebo.

Does Mounjaro cause constipation?

In its FDA label, 7% of people taking Mounjaro 15 mg reported constipation, against 1% on placebo.

Does Rybelsus cause constipation?

In its FDA label, 5% of people taking Rybelsus and Ozempic tablets 14 mg reported constipation, against 2% on placebo.

Other side effects

Trial rates describe groups, not what one person will feel. Talk to your clinician before starting, stopping or changing a medicine.

GLPcompare is an informational data platform, not a medical provider or pharmacy. Nothing here is medical advice, a diagnosis, or a recommendation to start, stop, or change any treatment. Data is aggregated from public sources and can be incomplete or out of date. Always confirm with a licensed clinician and the current FDA label.