Short answer: Several are. Wegovy injection and Saxenda are approved for weight in children 12 and older with obesity. Victoza, Trulicity and Mounjaro are approved for type 2 diabetes from age 10. Ozempic, Rybelsus, Zepbound and Byetta are not established in children. In the Wegovy teen trial, BMI fell 16.1% on Wegovy and rose 0.6% on placebo.
| Medicine | Approved for | From age |
|---|---|---|
| Wegovy injection (semaglutide) | Weight reduction with obesity | 12 |
| Saxenda (liraglutide) | Weight with obesity and body weight over 60 kg | 12 |
| Victoza (liraglutide) | Type 2 diabetes | 10 |
| Trulicity (dulaglutide) | Type 2 diabetes | 10 |
| Mounjaro (tirzepatide) | Type 2 diabetes | 10 |
| Wegovy tablets | Not established in children | Adults only |
| Ozempic, Rybelsus (semaglutide) | Not established in children | Adults only |
| Zepbound (tirzepatide) | Not established in children | Adults only |
| Byetta (exenatide) | Not established; a teen trial did not show it worked | Adults only |
The Saxenda label also says it is not established for children with type 2 diabetes. The Wegovy label says its heart-risk use is not established in children.
Wegovy was tested in 201 teens aged 12 and up with obesity, mean age 15, for 68 weeks (section 14.3). BMI fell 16.1% on Wegovy and rose 0.6% on placebo; body weight fell 14.7% against a 2.7% gain. A BMI drop of at least 10% happened in 65.1% on Wegovy and 7.7% on placebo.
Saxenda was tested in 251 teens aged 12 to 17 for 56 weeks (section 14.2). Body weight fell 2.65% on Saxenda and rose 2.37% on placebo. 10.4% stopped Saxenda because of side effects, and none on placebo.
The diabetes approvals rest on smaller trials: 134 patients for Victoza, 154 for Trulicity and 99 for Mounjaro, each aged 10 to 17 (section 8.4).
The boxed warning on thyroid C-cell tumors appears on each of these labels and is not limited by age.
Teen doses step up much like adult doses, with some differences: Saxenda allows a 2.4 mg maintenance dose if 3 mg is not tolerated, and Mounjaro tops out at 10 mg for children (section 2). Decisions about starting, dose and how long to continue belong with the child's doctor. Dose Track can log each injection, weight and side effects, and a parent can keep the record for a teen.
Read more on Dose Track: Wegovy dosing guide · Saxenda dosing guide · Mounjaro dosing guide · Trulicity dosing guide