NICE continuation rules
| Medicine | Rule |
|---|
| Semaglutide (Wegovy) | Stop if under 5% weight loss after 6 months (NICE TA875) |
| Tirzepatide (Mounjaro) | Stop if under 5% weight loss after 6 months on the highest tolerated dose (NICE TA1026) |
| Liraglutide (Saxenda) | Stop if under 5% weight loss after 12 weeks on 3 mg daily (NICE TA664) |
Private prescribing follows the product licence, which uses similar rules. Review adherence, side effects and dose at each check.
Frequently asked questions
How much weight should I lose on Wegovy?
NICE expects at least 5% of starting weight by 6 months to continue.
What is the NICE rule for Mounjaro?
Stop if less than 5% weight loss after 6 months on the highest tolerated dose.
How is percentage weight loss calculated?
(Starting weight − current weight) ÷ starting weight × 100.
References
- NICE TA875: Semaglutide for managing overweight and obesity. nice.org.uk
- NICE TA1026: Tirzepatide for managing overweight and obesity. nice.org.uk
- NICE TA664: Liraglutide for managing overweight and obesity.
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