Reported Reactions

Drugs › GLP-1 receptor agonist

Generic name

Insulin degludec and liraglutide: adverse event reports filed with FDA

1,197 reports list it as a suspect or interacting product, 2016–2026. Class: GLP-1 receptor agonist.

1,197
reports as suspect product
0% of all reports · about 125 a year
141
reports, 12 months to June 2026
163 in the 12 months before
72.9%
marked serious by the reporter
28% across the class
5%
record death among outcomes, as reported
60 reports · not verified by FDA

1,197 adverse event reports received by FDA list insulin degludec and liraglutide, a generic name as a suspect or interacting product, from December 2016 to June 2026. A further 431 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 141 reports listed it, down 13% from 163 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 125 reports a year and 0% of the 20,646,523 reports in the database, and 0.3% of the reports for the GLP-1 receptor agonist class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded blood glucose increased (14.3%), nausea (8.5%) and vomiting (5.7%). A report can list several reactions, so shares add to more than 100%; 245 different terms appear across these reports. Blood glucose increased is recorded in 14.3% of these reports, a larger share than in the median GLP-1 receptor agonist drug (3.8%).

72.9% of the reports are marked serious by the reporter (28% across the class); 5% record death among the outcomes and 34.6% record hospitalisation, as reported. 50.5% of the reports came from consumers, and the largest patient age group is 45 to 64 (29.9%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

01427Jul 2021: 9Aug 2021: 11Sep 2021: 12Oct 2021: 7Nov 2021: 27Dec 2021: 112022Jan 2022: 4Feb 2022: 6Mar 2022: 2Apr 2022: 8May 2022: 14Jun 2022: 6Jul 2022: 12Aug 2022: 7Sep 2022: 11Oct 2022: 4Nov 2022: 7Dec 2022: 72023Jan 2023: 8Feb 2023: 4Mar 2023: 12Apr 2023: 6May 2023: 4Jun 2023: 6Jul 2023: 1Aug 2023: 2Sep 2023: 8Oct 2023: 4Nov 2023: 6Dec 2023: 12024Jan 2024: 4Feb 2024: 5Mar 2024: 7Apr 2024: 8May 2024: 8Jun 2024: 8Jul 2024: 9Aug 2024: 3Sep 2024: 12Oct 2024: 17Nov 2024: 23Dec 2024: 132025Jan 2025: 11Feb 2025: 18Mar 2025: 14Apr 2025: 9May 2025: 22Jun 2025: 12Jul 2025: 15Aug 2025: 7Sep 2025: 14Oct 2025: 19Nov 2025: 23Dec 2025: 72026Jan 2026: 10Feb 2026: 9Mar 2026: 6Apr 2026: 11May 2026: 9Jun 2026: 11

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

01002002016: 320162017: 1142018: 20020182019: 1632020: 8920202021: 1342022: 8820222023: 622024: 11720242025: 1712026: 562026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Insulin degludec and liraglutide reports recording the termmedian drug in glp-1 receptor agonist

  1. Blood glucose increasedraised blood sugar reading14.3%171
  2. Nauseafeeling sick8.5%102
  3. Vomitingbeing sick5.7%68
  4. Diarrhoealoose or frequent stools5.3%64
  5. Hypoglycaemialow blood sugar5.1%61
  6. Glycosylated haemoglobin increaseda raised HbA1c, the long-term sugar measure3.9%47
  7. Acute kidney injurysudden loss of kidney function3.8%45
  8. Decreased appetitereduced appetite3.7%44
  9. Dizzinesslight-headedness or unsteadiness3.3%40
  10. Hyperglycaemiahigh blood sugar3.2%38
  11. Hospitalisationadmission to hospital3%36
  12. Blood glucose decreasedlow blood sugar reading2.9%35
  13. Weight decreasedweight loss2.8%34
  14. Lactic acidosisa build-up of lactic acid in the blood2.8%33
  15. Astheniaweakness or lack of energy2.3%27
  16. Dehydrationdehydration2.2%26
  17. Covid-19COVID-19 infection2.1%25
  18. Device failurethe device failed1.8%22
  19. Diabetes mellitus inadequate controldiabetes not well controlled1.8%22
  20. Headachehead pain1.7%20
  21. Falla fall1.6%19
  22. Abdominal painstomach or belly pain1.5%18
  23. Constipationconstipation1.5%18
  24. Off label useused for a purpose or in a way not on the label1.5%18
  25. Hyperkalaemiahigh blood potassium1.3%16
  26. Pancreatitisinflammation of the pancreas1.3%16
  27. Urinary tract infectionbladder or urinary infection1.3%16
  28. Abdominal distensiona bloated abdomen1.3%15
  29. Condition aggravatedthe condition being treated got worse1.2%14

Top 30 of 245 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 18 drugs in the glp-1 receptor agonist class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death5%60
Life-threatening4.3%51
Hospitalisation (initial or prolonged)34.6%414
Disability2.2%26
Congenital anomaly0%0
Other serious42.9%513
Not serious27.1%324

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 404,853 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.1%1
2 to 110%0
12 to 170%0
18 to 443.8%46
45 to 6429.9%358
65 to 7420.1%240
75 and over18%216
Age not given28.1%336

Patient sex

Female52.5%629
Male43.6%522
Not given3.8%46

Who reported

Physician28%335
Pharmacist8.1%97
Other health professional13.3%159
Lawyer0%0
Consumer or non-health professional50.5%604
Not given0.2%2

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 35.4% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Type 2 diabetes mellitus49040.9%
Diabetes mellitus18515.5%
Type 1 diabetes mellitus90.8%

The indication field is filled in by the reporter and is often blank; shares are of all 1,197 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Insulin degludec and liraglutide reports
Metformin13611.4%
Rosuvastatin605%
Atorvastatin524.3%
Furosemide494.1%
Kardegic423.5%
Novorapid403.3%
Amlodipine363%
Dapagliflozin352.9%
Metformin hydrochloride342.8%
Ramipril342.8%

Other products listed in reports where Insulin degludec and liraglutide is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureInsulin degludec and liraglutideGLP-1 receptor agonistAll reports
Reports as suspect product1,197404,85320,646,523
Share of that pool—0.3%0%
Reports, latest 12 months141—1,332,454
Marked serious72.9%28%57.4%
Death recorded among outcomes, per 1,000 reports501591
Hospitalisation recorded, per 1,000 reports346113213
Consumer-filed share50.5%82%45.8%
Top term, share of reportsBlood glucose increased 14.3%median 3.8%0.9%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the glp-1 receptor agonist class

DrugName typeReportsLatest 12 monthsMarked serious
Mounjarobrand85,84226,33423.6%
Trulicitybrand75,8644,28220.7%
Zepboundbrand63,62840,9006.2%
Ozempicbrand52,88121,70448.8%
Byettabrand47,9281224.7%
Victozabrand28,89999841.8%
Wegovybrand19,50911,95845.4%
Saxendabrand6,59847147.3%
Rybelsusbrand6,0551,53256%
Semaglutidegeneric4,4991,83071%
Soliqua 100/33brand3,15341314.6%
Tirzepatidegeneric2,5221,25758.4%
Zepbound Kwikpenbrand2,3962,3965.1%
Liraglutidegeneric1,44647566.2%
Dulaglutidegeneric99410468.3%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Insulin degludec and liraglutide reports

How many adverse event reports has FDA received for Insulin degludec and liraglutide?

1,197 reports list Insulin degludec and liraglutide as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 141 of them arrived in the latest 12 months. Another 431 list it only as a concomitant medication.

What reactions are recorded in Insulin degludec and liraglutide reports?

blood glucose increased (14.3%), nausea (8.5%), vomiting (5.7%), diarrhoea (5.3%) and hypoglycaemia (5.1%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Insulin degludec and liraglutide was responsible.

How serious are the reports?

72.9% are marked serious by the reporter. Among the outcomes recorded, 5% of reports include death and 34.6% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (50.5%), physician (28%) and other health professional (13.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Insulin degludec and liraglutide rising?

141 reports in the 12 months to June 2026, down 13% from 163 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Insulin degludec and liraglutide was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Insulin degludec and liraglutide?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Insulin degludec and liraglutide as a suspect or interacting product; reports listing it only as a concomitant medication (431) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.