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
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
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
- Blood glucose increasedraised blood sugar reading14.3%171
- Nauseafeeling sick8.5%102
- Vomitingbeing sick5.7%68
- Diarrhoealoose or frequent stools5.3%64
- Hypoglycaemialow blood sugar5.1%61
- Glycosylated haemoglobin increaseda raised HbA1c, the long-term sugar measure3.9%47
- Acute kidney injurysudden loss of kidney function3.8%45
- Decreased appetitereduced appetite3.7%44
- Dizzinesslight-headedness or unsteadiness3.3%40
- Hyperglycaemiahigh blood sugar3.2%38
- Hospitalisationadmission to hospital3%36
- Blood glucose decreasedlow blood sugar reading2.9%35
- Weight decreasedweight loss2.8%34
- Lactic acidosisa build-up of lactic acid in the blood2.8%33
- Astheniaweakness or lack of energy2.3%27
- Dehydrationdehydration2.2%26
- Covid-19COVID-19 infection2.1%25
- Device failurethe device failed1.8%22
- Diabetes mellitus inadequate controldiabetes not well controlled1.8%22
- Pancreatic carcinoma1.8%22
- Headachehead pain1.7%20
- Falla fall1.6%19
- Abdominal painstomach or belly pain1.5%18
- Constipationconstipation1.5%18
- Off label useused for a purpose or in a way not on the label1.5%18
- Hyperkalaemiahigh blood potassium1.3%16
- Pancreatitisinflammation of the pancreas1.3%16
- Urinary tract infectionbladder or urinary infection1.3%16
- Abdominal distensiona bloated abdomen1.3%15
- 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
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
Patient sex
Who reported
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) | Reports | Share |
|---|---|---|
| Type 2 diabetes mellitus | 490 | 40.9% |
| Diabetes mellitus | 185 | 15.5% |
| Type 1 diabetes mellitus | 9 | 0.8% |
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) | Reports | Share of Insulin degludec and liraglutide reports |
|---|---|---|
| Metformin | 136 | 11.4% |
| Rosuvastatin | 60 | 5% |
| Atorvastatin | 52 | 4.3% |
| Furosemide | 49 | 4.1% |
| Kardegic | 42 | 3.5% |
| Novorapid | 40 | 3.3% |
| Amlodipine | 36 | 3% |
| Dapagliflozin | 35 | 2.9% |
| Metformin hydrochloride | 34 | 2.8% |
| Ramipril | 34 | 2.8% |
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
| Measure | Insulin degludec and liraglutide | GLP-1 receptor agonist | All reports |
|---|---|---|---|
| Reports as suspect product | 1,197 | 404,853 | 20,646,523 |
| Share of that pool | — | 0.3% | 0% |
| Reports, latest 12 months | 141 | — | 1,332,454 |
| Marked serious | 72.9% | 28% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 50 | 15 | 91 |
| Hospitalisation recorded, per 1,000 reports | 346 | 113 | 213 |
| Consumer-filed share | 50.5% | 82% | 45.8% |
| Top term, share of reports | Blood 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
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Mounjaro | brand | 85,842 | 26,334 | 23.6% |
| Trulicity | brand | 75,864 | 4,282 | 20.7% |
| Zepbound | brand | 63,628 | 40,900 | 6.2% |
| Ozempic | brand | 52,881 | 21,704 | 48.8% |
| Byetta | brand | 47,928 | 12 | 24.7% |
| Victoza | brand | 28,899 | 998 | 41.8% |
| Wegovy | brand | 19,509 | 11,958 | 45.4% |
| Saxenda | brand | 6,598 | 471 | 47.3% |
| Rybelsus | brand | 6,055 | 1,532 | 56% |
| Semaglutide | generic | 4,499 | 1,830 | 71% |
| Soliqua 100/33 | brand | 3,153 | 413 | 14.6% |
| Tirzepatide | generic | 2,522 | 1,257 | 58.4% |
| Zepbound Kwikpen | brand | 2,396 | 2,396 | 5.1% |
| Liraglutide | generic | 1,446 | 475 | 66.2% |
| Dulaglutide | generic | 994 | 104 | 68.3% |
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.