Weight loss is a common goal for many people, and with advancements in medical treatments, there are now a variety of options available. Two of the most popular medications used for weight loss are Contrave and Ozempic. Both are proven to be effective for many individuals, but they work differently, offer unique results, and come with distinct side effects. Understanding the differences between these two medications is essential when deciding which one may be the best choice for your weight loss journey.
If you’re considering weight loss medication, a consultation with our team can help you determine the best option for your individual needs. Let’s dive into the key differences between Contrave and Ozempic, including their effectiveness, side effects, costs, and how they compare to other popular weight loss medications.
While both Contrave and Ozempic are used to support weight loss, they belong to different medication classes and operate via distinct mechanisms.
Contrave is a combination of two medications: bupropion and naltrexone. Bupropion, an antidepressant, not only helps with depression but also contributes to weight loss by affecting the brain’s reward system. Naltrexone, which is used to treat addiction, complements this by reducing cravings. Together, these two medications work synergistically to curb hunger and cravings, enabling individuals to eat less and manage their weight more effectively.
Contrave’s mechanism primarily targets the brain’s appetite control centers. The bupropion component influences the hypothalamus, responsible for regulating hunger and satiety, while naltrexone helps manage cravings. This dual-action approach is particularly beneficial for individuals struggling with emotional eating or persistent cravings.
Ozempic, on the other hand, contains semaglutide, a GLP-1 receptor agonist. Initially developed for managing type 2 diabetes, Ozempic has also been shown to assist in weight loss. It mimics the natural hormone GLP-1, which helps regulate appetite, slows digestion, and promotes insulin production, leading to lower blood sugar levels.
For weight loss, Ozempic works by reducing appetite and promoting feelings of fullness, making it easier for individuals to consume fewer calories. Unlike Contrave, which directly targets cravings, Ozempic helps control hunger through a hormonal response, encouraging better appetite regulation.
Several clinical studies have demonstrated these medications’ effectiveness for weight loss.
In a 56-week study, participants who used Contrave with lifestyle changes lost an average of 8.1% of their body weight. Those who received a placebo lost only 4.9%. For those who adhered to Contrave for the full 56 weeks, the average weight loss increased to 11.5%.
While Ozempic is primarily used for individuals with type 2 diabetes, Wegovy—containing the same active ingredient—has been approved for weight loss in individuals without diabetes. In a 68-week study, participants taking Wegovy 2.4 mg weekly, along with lifestyle changes, lost 14.9% of their body weight, compared to 2.5% in the placebo group [1].
A follow-up study showed that participants who continued Wegovy for two years achieved a weight loss of 15.4%, while those on placebo lost only 2.6% [2].
For individuals with type 2 diabetes, Ozempic tends to result in slightly less weight loss. In one study, patients with type 2 diabetes using Ozempic 2 mg weekly experienced an average weight loss of 14.1 pounds over 40 weeks [3].
Although both medications are generally well-tolerated, they each come with potential side effects. Understanding these side effects is crucial when choosing between Contrave and Ozempic.
Common side effects of Contrave may include:
In some cases, Contrave may also affect mood, potentially worsening depression, as bupropion influences the brain’s neurotransmitters. For this reason, Contrave may not be suitable for individuals with a history of depression or suicidal thoughts.
The side effects of Ozempic are typically mild, though some individuals may experience:
Many individuals find that these digestive side effects diminish over time as their body adjusts to the medication.
The cost of weight loss medications can be a significant factor when choosing between Contrave and Ozempic.
Contrave is generally more affordable than Ozempic, particularly when considering that a generic version of bupropion is available. The typical cost for a one-month supply of Contrave without insurance ranges from $625 to $746. Many insurance plans offer coverage for Contrave, though it’s important to confirm the details with your insurance provider.
Ozempic is more expensive than Contrave, with a monthly cost ranging from $950 to $1,029 without insurance. Like Contrave, insurance often covers Ozempic, but co-pays can be high, depending on the plan. Manufacturer discounts or savings programs may be available to help reduce out-of-pocket expenses.
Although both medications may assist with weight loss, it is essential to consult with a healthcare provider before combining Contrave and Ozempic. These medications work in different ways, and taking them together could increase the risk of side effects. Moreover, combining weight loss medications may not necessarily improve results and could lead to complications.
Typically, healthcare providers recommend starting with one medication and monitoring its effectiveness before considering other treatments. If you’re contemplating using both Contrave and Ozempic together, it’s crucial to discuss this with a healthcare professional to ensure your safety and make the best decision for your health.
Choosing between Contrave and Ozempic depends on your specific health needs, lifestyle, and weight loss goals. Contrave may be an excellent option for individuals struggling with emotional eating and cravings, while Ozempic may be more suitable for those seeking significant weight loss, particularly those with type 2 diabetes.
At Weight Loss Clinic LA, we understand that weight loss is a personal journey. We encourage you to schedule a consultation with us to discuss your options and determine the best course of action for achieving your weight loss goals. Our team is here to provide expert care and guide you in making an informed decision based on your unique health needs.