{"id":632102,"date":"2025-04-29T15:12:23","date_gmt":"2025-04-29T19:12:23","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=632102"},"modified":"2026-01-28T13:48:43","modified_gmt":"2026-01-28T18:48:43","slug":"does-semaglutide-increase-heart-rate","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/does-semaglutide-increase-heart-rate\/","title":{"rendered":"Does semaglutide (Ozempic) increase heart rate?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/ozempic\/what-is\"><span style=\"font-weight: 400;\">Semaglutide<\/span><\/a><span style=\"font-weight: 400;\">, sold as brand names Ozempic, Wegovy, and Rybelsus, is a prescription medication approved by the U.S. Food and Drug Administration (FDA) to improve blood glucose control in type 2 diabetes mellitus or for weight management. It works by enhancing insulin secretion, which slows gastric emptying, leading to decreased appetite and weight loss. According to medical experts, Ozempic can cause your heart rate to increase following administration, but it\u2019s a rare side effect.\u00a0<\/span><\/p>\n<h2 id=\"semaglutide-ozempic-and-increased-heart-rate\"><span style=\"font-weight: 400;\">Semaglutide (Ozempic) and increased heart rate<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Semaglutide, a GLP-1 receptor agonist, can increase heart rate due to its direct effects on the sinus node. The sinus node, or the sinoatrial (SA) node, is your heart\u2019s natural pacemaker\u2014a cluster of cells in the right atrium that generates electrical impulses that set the heart\u2019s rhythm and rate. Ozempic can stimulate this area of the heart, leading to a temporary increase in resting heart rate.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In addition to increased heart rate, semaglutide\u2019s effects on cardiovascular function can reduce the risk of cardiac events. \u201cSemaglutide and other GLP-1 agonist drugs have consistently demonstrated improvement in cardiovascular functions,\u201d says Craig D. Robison, MD, a board-certified cardiologist at Tri-City Cardiology Consultants in Mesa, Arizona. \u201cThese drugs are associated with a decreased risk of stroke, heart attacks, and the development of heart failure.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A <\/span><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2307563#\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> involving patients with preexisting cardiovascular disease and overweight or obesity without diabetes found that a weekly semaglutide dose of 2.4 milligrams (mg) reduced the risk of death from cardiac events, nonfatal myocardial infarction, or nonfatal stroke.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s crucial to note that increased heart rate is not a common side effect of semaglutide. \u201cAccording to the <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39118222\/\"><span style=\"font-weight: 400;\">SURE (SemaglUtide Real-World Evidence) program analysis<\/span><\/a><span style=\"font-weight: 400;\">, about 16% of people experience an increased heart rate after two years on Ozempic, compared to 11% of people who were not on Ozempic in the same time frame,\u201d says Erika Gray, PharmD, founder of MytoolBox Genomics in San Francisco, California. \u201cAccording to the SUSTAIN 6 trial, the average increase in heart rate is between 2.75-3.2 beats per minute (bpm), which is clinically insignificant.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While the average heart rate increase is between two and three beats per minute, some individuals have experienced an <\/span><a href=\"https:\/\/pdf.hres.ca\/dpd_pm\/00047200.PDF\"><span style=\"font-weight: 400;\">increase of up to 10 bpm<\/span><\/a><span style=\"font-weight: 400;\"> in resting heart rate after administering a 1.5 mg dose of semaglutide.<\/span><\/p>\n<h3 id=\"risk-factors-and-considerations\"><span style=\"font-weight: 400;\">Risk factors and considerations<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Because semaglutide may increase resting heart rate, it may be an unsafe drug for some individuals. \u201cPatients with pre-existing heart failure who experience an increased heart rate with semaglutide and other GLP-1 agonist drugs are potentially at risk of their heart failure worsening,\u201d Dr. Robison explains. \u201cThese increases in heart rate are more pronounced in the longer-acting GLP-1 agonists such as semaglutide and tirzepatide.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Aside from heart conditions, you should also avoid semaglutide if you have any of the following conditions or situations:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Type 1 diabetes mellitus<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A history of medullary thyroid carcinoma (MTC)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chronic stomach problems<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eye disease or vision problems<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Medical history of pancreatitis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hypersensitivity to the drugs or its active ingredients<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Severe gastrointestinal diseases<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kidney disease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are pregnant or breastfeeding<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you have a pre-existing heart condition, please notify your healthcare provider so that they can decide whether semaglutide is a safe medication for you.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In addition to pre-existing conditions, certain lifestyle choices could exacerbate your risk of an increased heart rate while taking semaglutide.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some <\/span><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/tachycardia\/symptoms-causes\/syc-20355127\"><span style=\"font-weight: 400;\">lifestyle factors<\/span><\/a><span style=\"font-weight: 400;\"> that could further contribute to increased heart rate with the injectable medication include:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stress\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Physical inactivity<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Excessive alcohol consumption or withdrawal<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Too much caffeine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Smoking or nicotine use<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Use of illegal drugs, such as cocaine or methamphetamine<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">While increased heart rate is a very rare side effect of semaglutide, other potential side effects are more likely to occur while taking this injectable medicine.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The most common <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/ozempic-side-effects\/\"><span style=\"font-weight: 400;\">side effects of semaglutide<\/span><\/a><span style=\"font-weight: 400;\"> include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nausea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Constipation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diarrhea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eructation (burping or belching)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Abdominal pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stomach pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headache<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Decreased appetite<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dyspepsia (indigestion)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Abdominal distension<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Flatulence<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gastritis (inflammation of the stomach lining)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gastroesophageal reflux disease (GERD)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diabetic retinopathy<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hypoglycemia (low blood sugar)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increased amylase<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increased lipase<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Injection site reactions<\/span><\/li>\n<\/ul>\n<h2 id=\"should-you-be-worried\"><span style=\"font-weight: 400;\">Should you be worried?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Based on clinical trials and insights from medical experts, it\u2019s highly unlikely that you\u2019ll experience an elevated heart rate from taking Ozempic or other semaglutide medications. However, if you have any underlying medical conditions, are constantly stressed, or have some unhealthy lifestyle habits, you may have an increased risk of experiencing this rare symptom.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cPeople in relatively good health should not be concerned about increased heart rate on Ozempic, as it is uncommon and rarely noticeable when it occurs,\u201d Dr. Gray says. However, don&#8217;t hesitate to consult your healthcare provider if you believe you\u2019re experiencing an elevated heart rate or other symptoms.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">To stay on top of your heart health while taking semaglutide, you can start monitoring your heart rate daily to keep track of your bpm and identify any changes early on.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here\u2019s a <\/span><a href=\"https:\/\/www.massgeneralbrigham.org\/en\/about\/newsroom\/articles\/how-to-check-your-heart-rate\"><span style=\"font-weight: 400;\">step-by-step guide<\/span><\/a><span style=\"font-weight: 400;\"> for monitoring your heart rate:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Use the pads\/tips of your index finger and middle finger and gently press them against the side of your neck. You can also press on the inside of your wrist, just below the base of your thumb.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Count the number of beats you feel for 15 seconds. You can use a stopwatch or other timing device to track the seconds accurately.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Multiply the number of beats by four to get your heart rate.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">So, for example, if you count 20 beats in 15 seconds, multiply 20 by four, for a total of 80 bpm. According to the American Heart Association, most adults should have a heart rate between <\/span><a href=\"https:\/\/www.heart.org\/en\/healthy-living\/fitness\/fitness-basics\/target-heart-rates#:~:text=For%20most%20adults%2C%20a%20resting,as%2040%20beats%20per%20minute.\"><span style=\"font-weight: 400;\">60 to 100 beats per minute<\/span><\/a><span style=\"font-weight: 400;\">. Factors such as age, physical fitness, and other medications will affect an individual\u2019s heart rate.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you don\u2019t want to check your heart rate the old-fashioned way, consider a wearable device. \u201cWearables, such as an Apple Watch, can monitor your resting heart rate and notify you if there are any long-term changes in heart rate trends,\u201d Dr. Robison says.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/how-long-can-you-take-semaglutide\/\"><b>How long can you take semaglutide?<\/b><\/a><\/p>\n<h2 id=\"what-to-do-if-you-experience-an-increased-heart-rate-after-taking-semaglutide\"><span style=\"font-weight: 400;\">What to do if you experience an increased heart rate after taking semaglutide<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you take semaglutide and your heart starts to beat rapidly, please contact your healthcare provider as soon as possible. \u201cThey can help you determine if the increased heart rate is from Ozempic or from a new condition,\u201d Dr. Gray says. \u201cYou and your doctor can determine the best course of action with Ozempic.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">They may recommend stopping the medication or adjusting the dose. They may also suggest other ways to mitigate side effects, such as switching to an <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/ozempic-alternatives\/\"><span style=\"font-weight: 400;\">alternative medication<\/span><\/a><span style=\"font-weight: 400;\"> or making lifestyle changes, such as stopping or limiting caffeine consumption, engaging in smoking cessation, or adopting stress management techniques.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Semaglutide, sold as brand names Ozempic, Wegovy, and Rybelsus, is a prescription medication approved by the U.S. Food and Drug Administration (FDA) to improve blood glucose control in type 2 diabetes mellitus or for weight management. It works by enhancing insulin secretion, which slows gastric emptying, leading to decreased appetite and weight loss. According to [&hellip;]<\/p>\n","protected":false},"author":85,"featured_media":632104,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[788,21067],"coauthors":[20975],"class_list":["post-632102","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-drug-safety","tag-glp-1-drugs","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Semaglutide and heart rate: Understanding the risks<\/title>\n<meta name=\"description\" content=\"Some Ozempic users report heart palpitations and increased heart rate. 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