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Safety9 min readFebruary 19, 2025
Can Ozempic Cause Panic Attacks and Anxiety?
Investigating reports of anxiety and panic attacks in Ozempic users. What the evidence shows and how to manage symptoms.
By Med Consumer Watch Team
Some Ozempic users report increased anxiety or panic attacks. Are these symptoms caused by the medication, or is something else going on? Here's what we know.
The Current Evidence
What research shows:
• Clinical trials didn't show significantly increased anxiety rates
• Some post-marketing reports of anxiety and panic have emerged
• No definitive causal link established
• Regulatory agencies continue monitoring
The relationship is unclear, but user reports are real.
Possible Explanations
Why anxiety might occur:
- Blood sugar fluctuations - Can mimic or trigger anxiety symptoms
- Physical side effects - Nausea, heart racing can feel like panic
- Weight loss stress - Body changes cause emotional responses
- Pre-existing anxiety - May become more noticeable during treatment
- Brain effects - GLP-1 receptors exist in the brain, though direct effects are unproven
Symptoms That Overlap
Low blood sugar and panic attacks share symptoms:
• Rapid heartbeat
• Sweating
• Trembling
• Feeling of doom
• Dizziness
Check blood sugar during episodes if possible—hypoglycemia may be the culprit, especially if you have diabetes or aren't eating enough.
Keep a symptom journal noting when anxiety occurs, what you ate, and any other factors. This helps identify patterns.
What to Do
If you're experiencing anxiety on Ozempic:
1. Don't stop the medication abruptly—talk to your provider
2. Rule out hypoglycemia as a cause
3. Discuss with your prescriber—dose adjustment may help
4. Seek mental health support if needed
5. Practice stress management techniques
If you experience severe panic attacks or suicidal thoughts, seek immediate medical attention.
The Bottom Line
While some people report anxiety on Ozempic, a clear causal relationship hasn't been established. Multiple factors could explain these symptoms, including blood sugar changes and the stress of weight loss itself. Monitor your symptoms, work with your healthcare provider, and don't hesitate to seek mental health support if needed.
Sources & References
- FDA - GLP-1 Medication Safety Reviews
- European Medicines Agency Safety Updates
Medical Disclaimer
This article is for informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider before making decisions about your health or medications. Individual experiences may vary.