Saxenda

Saxenda is a weight-loss treatment that is used together with a healthy, balanced diet and regular exercise as part of an overall weight-loss plan. It is recommended for adults with excess weight (a BMI of 27 or more) who also have weight-related medical problems or those with a BMI of 30 or more (obese). The use of weight loss medicines depends on your body mass index (BMI). BMI is calculated using your height and weight. Learn more about BMI.

Saxenda suppresses your appetite by increasing feelings of fullness and reducing feelings of hunger, which can lead to eating fewer calories and losing weight. 

In Aotearoa New Zealand Saxenda comes as an injection that it is given under your skin, and is available on prescription only. 

• The usual starting dose is 0.6 mg once a day.
• Your doctor will tell you how long to keep taking this dose. It will be for at least 1 week.
• Your dose may then be increased by 0.6 mg each week until you reach the recommended dose of 3 mg once a day. 
• Once you reach the recommended dose of 3 mg in week 5 of treatment, keep using this dose until your treatment period ends. Do not increase your dose further.

On Saxenda treatment weight loss normally starts within 2 weeks and continues for 9–12 months.

Your healthcare provider will show you how to use Saxenda. The following is a guide.

Time of day

Saxenda injection is used once a day. You can use Saxenda at any time of day, with or without food and drinks. It is best to use Saxenda at about the same time each day, at a time that is most convenient for you.

Prefilled pen

Saxenda is a pre-filled, dial-a-dose pen. This means that the pen contains an amount of medicine already loaded (18 mg of liraglutide). Depending on the dose you dial, it can deliver amounts of 0.6 mg, 1.2 mg, 1.8 mg, 2.4 mg and 3 mg.

Needles 

Saxenda pre-filled pens are designed to be used with NovoFine® needles of up to 8 mm long Needles are not included with the pen. Ask your doctor or nurse which needle width (gauge) and length is best for you. Use a new needle for each injection and dispose of it after use. 

Injection site

Saxenda is given as an injection under your skin (subcutaneous injection) as shown to you by your doctor or nurse. Saxenda may be injected into the front of your waist (abdomen), the front of your thigh or your upper arm. Do not inject Saxenda into a vein or muscle. 

Missed dose

If you miss a dose of Saxenda and the next dose is less than 12 hours away, skip the missed dose and carry on as normal. If there are more than 12 hours until the next dose, take the missed dose as soon as you remember. Do not take 2 doses at the same time.

For more detailed information on how to use the Saxenda pen, seethe Medsafe consumer information sheet on Saxenda(external link) or watch this video(external link).

If you have any of the following, please discuss your options with your healthcare provider before taking Saxenda as it may not be suitable for you:

• problems with your stomach or digestive system
• diabetes
• are you over 75 years old
• an overactive thyroid
• kidney or liver problems
• pregnant or breastfeeding.

Like all medicines, Saxenda can cause side effects, although not everyone gets them. 

The following links have more information on Saxenda:

Saxenda(external link) Medsafe Consumer Information Sheet, NZ
Saxenda(external link) Novo Nordisk

BMI calculator

Weight loss medicines
Weight loss – a healthy approach
Body mass index (BMI)

1. Liraglutide(external link) NZ Formulary 
2. Weight loss: the options and the evidence(external link) BPAC, NZ, 2019