For anyone using semaglutide, the question of its shelf life after opening is a common source of confusion, particularly concerning the 28-day rule. The answer is not a simple 'yes' or 'no,' as the storage guidelines vary significantly depending on the specific product. Brand-name Ozempic, brand-name Wegovy, and compounded semaglutide all have different recommendations based on their formulation and intended use.
Ozempic (Semaglutide) Multi-Dose Pen Storage
Ozempic, which is approved for the treatment of type 2 diabetes, is dispensed as a multi-dose pen. After the first injection, an Ozempic pen can be used for up to 56 days, whether refrigerated or kept at room temperature below 86°F (30°C). Unopened pens should be refrigerated between 36°F and 46°F (2°C and 8°C) until their expiration date. Never freeze Ozempic; if frozen, discard it. Dispose of the pen after 56 days or by the expiration date.
Wegovy (Semaglutide) Single-Dose Pen Storage
Wegovy, used for chronic weight management, comes in single-use pens. This means the pen is discarded after one injection, so the 28-day open-pen rule doesn't apply. Unopened Wegovy pens are typically refrigerated. An unopened pen can be stored at room temperature (below 86°F/30°C) for up to 28 days. Discard the pen immediately after use.
Compounded Semaglutide: The 'Beyond-Use Date' (BUD)
Compounded semaglutide is not FDA-approved and has different storage rules. The relevant timeframe is the beyond-use date (BUD) set by the pharmacy. This is often 28 days, though it can vary (28-90 days). Compounded versions usually require constant refrigeration (36°F-46°F). Always follow the specific instructions and BUD on the pharmacy's label.
Comparing Semaglutide Storage Rules
Feature | Ozempic (Multi-dose pen) | Wegovy (Single-dose pen) | Compounded Semaglutide (Vial) |
---|---|---|---|
Usage Type | Multi-dose | Single-dose | Multi-dose |
Opened Stability | 56 days (refrigerated or room temp < 86°F) | N/A (discard after use) | Typically 28-90 days, depending on formulation (refrigerated) |
Before First Use | Refrigerate (36-46°F / 2-8°C) | Refrigerate (36-46°F / 2-8°C) or up to 28 days at room temp | Refrigerate (36-46°F / 2-8°C) |
FDA Status | FDA-Approved | FDA-Approved | Not FDA-Approved |
Key Rule | Discard 56 days after first use. | Discard after a single injection. | Discard according to the pharmacy's Beyond-Use Date. |
Risks of Using Improperly Stored or Expired Semaglutide
Using semaglutide past its stability period can reduce its effectiveness because the medication can degrade. There's also a risk of contamination and unknown side effects from using a degraded drug. Always inspect the solution before injecting; discard if it's cloudy, discolored, or contains particles.
How to Properly Dispose of Semaglutide
Proper disposal of semaglutide is important. Place pens and needles in an FDA-approved sharps container. Follow local guidelines for sharps disposal and check for medication take-back programs.
Conclusion: The Importance of Following Specific Guidance
Determining whether you have to throw away semaglutide after 28 days depends on the product. The 28-day rule applies to unopened Wegovy at room temperature and is a common BUD for compounded semaglutide. However, an opened Ozempic pen is stable for 56 days. Always consult the specific instructions for your medication and discard it if you have any doubts about its storage or expiration.
For more information, refer to the U.S. Food and Drug Administration guidelines on GLP-1 medications.