Semaglutide Nasal Spray? What We Know So Far

Explore what is currently known about semaglutide nasal spray, an investigational therapy not approved by the FDA, and how it differs from approved GLP-1 treatments.

Key takeaways
  • Semaglutide nasal spray is still under development and has not been approved by the FDA for any uses.Some individuals may find nasal delivery appealing due to its needle-free convenience.
  • Effectiveness and safety of nasal spray formulations have not been established in humans, and current findings are limited to early-stage or preclinical research.

Please note that this article is not meant to be medical advice; please consult with a licensed healthcare provider to determine best practices for your health.

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What Is Semaglutide Nasal Spray?

Semaglutide nasal spray is an experimental form of GLP-1 therapy that would aim to deliver semaglutide through the nasal passage rather than by injection or oral tablet.

The goal of experimental nasal spray formulations is to provide a needle-free delivery method; however, their effectiveness for weight management or blood sugar control has not been evaluated in human clinical trials.

Unlike FDA-approved injectable or oral GLP-1 medications, the nasal spray version has not been approved. This article simply discusses the possibility of this option. 

How Semaglutide Works

Semaglutide belongs to a class of medications known as GLP-1 receptor agonists. These medications may support weight management and blood sugar control by:

  • Increasing insulin secretion when blood sugar levels are elevated
  • Reducing glucagon, a hormone that raises blood sugar
  • Delaying gastric emptying
  • Suppressing appetite

These effects have been studied in FDA-approved injectable GLP-1 therapies; their relevance to nasal delivery remains unknown due to a lack of human clinical data.

Currently, most GLP-1 medications such as Ozempic®, which is only approved for management of T2 diabetes and WeGovy®, which is approved for weight loss are administered as once-weekly injections. Oral options, such as Rybelsus®, are available but require specific timing for proper absorption.

Potential Advantages of Nasal Delivery

A nasal spray version of semaglutide may offer several theoretical benefits, particularly for individuals who prefer to avoid injections:

  • Needle-free application for those who are averse to injectable treatments
  • Convenience and ease of use in everyday settings or while traveling
  • Theoretical potential for faster absorption via nasal mucosa, though this has not been confirmed in human trials.
  • Possible central nervous system effects due to nasal-to-brain delivery pathways

All potential benefits listed are theoretical and have not been demonstrated in peer-reviewed human studies.

Is It Effective? What Research Says

Semaglutide nasal spray remains in early-stage development, and available data come primarily from preclinical research involving animal models or laboratory testing.

One preclinical study by MetP Pharma AG suggested that its BrainDos™ delivery technology may support nasal-to-brain absorption. However, there are no published human clinical trials evaluating the safety or effectiveness of semaglutide nasal spray for weight management or blood sugar control. 

Eden is not affiliated with MetP Pharma AG or any manufacturer of semaglutide nasal formulations. This article is simply to discuss the conversation around this experimental form of semaglutide.

By contrast, FDA-approved injectable GLP-1 medications have been studied in large-scale clinical trials and have shown meaningful reductions in weight and improvements in metabolic markers. These results apply only to the injectable or oral versions that have undergone FDA review.

There is currently no evidence to suggest that nasal semaglutide would produce comparable outcomes. Further research, including human clinical trials, is required to evaluate the safety, absorption, and effectiveness of nasal delivery methods.

Safety and Side Effects

FDA-approved GLP-1 receptor agonists, including injectable semaglutide, have known side effects such as nausea, bloating, and fatigue. However, semaglutide nasal spray has not been studied in humans, and its safety profile is unknown. In clinical studies of FDA-approved injectable GLP-1 medications, the most commonly reported side effects include:

  • Nausea, bloating, or diarrhea
  • Occasional headaches or fatigue
  • Rare but serious effects such as pancreatitis or gallbladder issues
  • These side effects have not been evaluated in relation to nasal spray formulations.

Because semaglutide nasal spray has not been studied in human clinical trials, its specific safety profile remains unknown. Differences in how the medication is delivered and absorbed through the nasal passage may result in unique risks that are not yet well understood.

Individuals should speak with a licensed healthcare provider before using any investigational or unapproved semaglutide product.

Nasal vs Injectable vs Oral GLP-1

Feature Nasal Spray (Investigational) Injectable (FDA-Approved) Oral (FDA-Approved)
Convenience Theoretical; under investigation Weekly dosing Daily dosing
Absorption Variable; unproven in humans Consistent Requires fasting
Onset Unconfirmed; based on preclinical research only Proven consistent Slower onset
Safety Data Limited to animal/studies Extensive clinical data Moderate data
Insurance Coverage Rarely covered (if at all) May be covered May be covered

Disclaimer: Nasal spray semaglutide is investigational and not approved by the FDA. The characteristics listed are based on preclinical findings and have not been evaluated in human clinical trials. Comparisons to FDA-approved products are for educational purposes only.

Final Thoughts

Semaglutide nasal spray is being explored as a potential needle-free method of GLP-1 delivery. However, there are key considerations:

  • It is not approved by the FDA
  • Its safety and effectiveness have not been evaluated in human clinical trials
  • Outcomes may differ significantly from injectable or oral formulations due to differences in absorption and delivery method

For individuals exploring GLP-1 medications as part of a care plan, FDA-approved injectable options currently provide the most robust clinical evidence and regulatory oversight. Please consult with your licensed healthcare provider to determine whether GLP-1 medications are an option for your health.

Disclaimer: The FDA does not approve compounded medications for safety, quality, or manufacturing. Prescriptions and a medical evaluation are required for certain products. The information provided on this blog is for general informational purposes only. It is not intended as a substitute for professional advice from a qualified healthcare professional and should not be relied upon as personal health advice. The information contained in this blog is not meant to diagnose, treat, cure, or prevent any disease. Readers are advised to consult with a qualified healthcare professional for any medical concerns, including side effects. Use of this blog's information is at your own risk. The blog owner is not responsible for any adverse effects or consequences resulting from the use of any suggestions or information provided in this blog.

Frequently asked questions

Is semaglutide nasal spray FDA-approved?

No. Only injectable and oral formulations of semaglutide are currently approved by the FDA. Nasal spray versions remain investigational.

Is nasal semaglutide as effective as injections?

There is currently no clinical evidence in humans evaluating the effectiveness of semaglutide nasal spray. Its safety, absorption, and outcomes remain unknown and may differ significantly from injectable or oral formulations.

Why would someone want a nasal spray version?

Some patients express interest in needle-free options for convenience or injection aversion. However, nasal semaglutide remains investigational, and its safety, effectiveness, and clinical advantages have not been studied in humans.

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References