Does Semaglutide Cause Acne? What the Science Says

Semaglutide is a medication prescribed for various health conditions, primarily to help manage type 2 diabetes and to support weight management. It works by mimicking a natural hormone in the body, glucagon-like peptide-1 (GLP-1), which helps regulate blood sugar levels and appetite. The medication is available in injectable forms, such as Ozempic and Wegovy, and an oral tablet form, Rybelsus. This medication has demonstrated benefits in improving glycemic control and reducing the risk of major cardiovascular events in certain adult patients.

Semaglutide and Acne Reports

While semaglutide is widely used, acne is not commonly listed as a direct or frequent side effect in official clinical trial data or product literature. Some individuals taking semaglutide have anecdotally reported new or worsening acne breakouts, suggesting a possible connection not yet definitively established.

Recent research indicates that while semaglutide itself might not directly cause acne, some studies have noted a higher incidence of acne diagnoses among GLP-1 drug users, particularly women. One retrospective study found that people using GLP-1 drugs for weight management were 34% more likely to be diagnosed with acne within a year, with women showing a 53% higher likelihood. This indicates that while acne is not a universally recognized side effect, it remains a reported concern for some users.

Potential Links Between Semaglutide and Skin

The emergence of acne or other skin changes while taking semaglutide could be attributed to several indirect mechanisms. Semaglutide influences hormone levels, and hormonal shifts, such as those related to significant weight loss or improved insulin sensitivity, can impact skin oil production and potentially trigger acne.

Inflammatory responses could also play a role, as semaglutide affects various bodily processes, and some individuals might experience skin sensitivity, rashes, or burning sensations. Rapid or substantial weight loss, often experienced with semaglutide, can also lead to changes in facial skin, sometimes referred to as “Ozempic face,” characterized by volume loss and sagging, rather than acne. These skin changes are often due to the fat disappearing faster than the skin can adapt, potentially affecting collagen and elastin.

Managing Acne While Taking Semaglutide

For individuals experiencing acne while on semaglutide, a consistent skincare routine can help manage breakouts. Gently wash affected areas twice daily with a mild cleanser and lukewarm water, avoiding harsh scrubbing or abrasive products. Using non-comedogenic products, which are less likely to clog pores, is also advisable for all cosmetics, sunscreens, and moisturizers.

Lifestyle factors can also influence skin health. Staying well-hydrated and maintaining a balanced diet are beneficial for overall skin wellness. Managing stress and ensuring adequate sleep can also contribute to clearer skin. For persistent breakouts, over-the-counter treatments containing ingredients like benzoyl peroxide or salicylic acid may be helpful.

When to Consult a Doctor

Discuss any new or worsening skin changes, including acne, with your healthcare provider. This is particularly relevant if the acne is persistent, severe, or causes significant distress or discomfort. Your doctor can help determine if the skin issues are related to semaglutide or another underlying cause.

Seek immediate medical attention if you experience signs of a severe reaction, such as a rash, itching, hives, or swelling of the face, lips, tongue, or throat. These could indicate a more serious allergic reaction. Always inform your healthcare provider about all side effects to ensure appropriate management and safety.