Does Ozempic (Semaglutide) Increase the Risk of UTI?

female injecting ozempic

If you’ve started taking Ozempic (semaglutide) for diabetes or weight loss, you may have heard rumors about side effects — including the question:
👉 “Can Ozempic cause urinary tract infections (UTIs)?”

The short answer is no — current medical evidence shows that Ozempic does not increase the risk of UTI.
Let’s break down what the research says in simple terms.


Understanding Ozempic and How It Works

Ozempic belongs to a class of medications called GLP-1 receptor agonists. These drugs mimic a natural hormone your body makes, which helps lower blood sugar, reduce appetite, and support weight loss.

They’re different from another popular diabetes drug class called SGLT2 inhibitors (such as Jardiance or Farxiga). SGLT2 inhibitors work by helping the kidneys remove extra sugar through urine — and that process can sometimes increase the risk of urinary and genital infections.

Because Ozempic doesn’t work through the kidneys, it does not increase sugar in the urine and therefore doesn’t increase UTI risk.


What the Research Says

Several major studies have looked specifically at whether GLP-1 drugs like semaglutide cause urinary tract infections — and the answer has been consistently no.

1. Large Real-World Study

A 2025 Danish study compared over 100,000 people with diabetes who started either GLP-1 receptor agonists or SGLT2 inhibitors.
After one year:

  • 10.2% of people on GLP-1 drugs had a UTI
  • 10.0% of people on SGLT2 inhibitors had a UTI

That’s almost identical — showing no extra UTI risk for those taking Ozempic (risk ratio 0.98, 95% CI 0.94–1.03)【1】.

2. Global Safety Databases

A 2025 analysis of worldwide drug safety reports also found no pharmacovigilance signal — meaning no increase in UTI reports — for GLP-1 drugs like Ozempic, while SGLT2 inhibitors showed a strong association with urinary infections【2】.

In plain language: millions of patients take semaglutide, and the data doesn’t show UTIs happening more often than normal.

3. FDA and Clinical Trials

If a drug commonly causes a side effect, the FDA lists it in the prescribing information.
Ozempic’s official FDA label includes nausea, vomiting, diarrhea, and constipation — but not urinary tract infection【3】.
Across dozens of clinical trials, researchers also found no increase in UTI risk with semaglutide.

4. Meta-Analyses and Systematic Reviews

Independent scientific reviews pooling data from thousands of patients confirmed that Ozempic’s main side effects are gastrointestinal, not infections.
For example, studies published in Frontiers in Endocrinology【4】, Current Medical Research and Opinion【5】, and the International Journal of Molecular Sciences【6】 all found no significant increase in urinary or genital infections in people taking semaglutide.


Why This Matters

uti symptoms

UTIs are one of the most common infections, especially in women, and they can be painful and disruptive.
It’s natural to wonder whether a new medication might make them more likely.

But with Ozempic, you can rest assured: the evidence is clear and consistent — it doesn’t raise your risk of getting a UTI.
If you do experience UTI symptoms (burning, urgency, cloudy urine), it’s likely unrelated to your medication and should be treated promptly.

At UTIRx.com, our team of urologists provides same-day online prescriptions for uncomplicated urinary tract infections. You can start treatment quickly — without waiting for an appointment or visiting urgent care.


Bottom Line

  • Ozempic (semaglutide) does not increase UTI risk.
  • ✅ Large studies and FDA data confirm no association between semaglutide and urinary infections.
  • ⚠️ Common side effects are mostly gastrointestinal — nausea, constipation, and mild stomach discomfort.
  • 💡 Always stay hydrated and maintain good bathroom habits to reduce your natural risk of UTIs.

If you’re taking Ozempic for diabetes or weight loss, you can continue safely without worrying about urinary tract infections.


Key Takeaway for Patients

Woman practicing good hygiene that wont cause uti

Your UTI risk depends on many factors — hydration, hygiene, sexual activity, and medical history — not your Ozempic use.

If you ever feel symptoms coming on, UTIRx.com is here to help. Our board-certified urologists can review your symptoms and send treatment to your local pharmacy the same day — no video call required.


References

  1. Ljungberg C, Kristensen FPB, Dalager-Pedersen M, et al. Risk of Urogenital Infections in People With Type 2 Diabetes Initiating SGLT2is Versus GLP-1RAs in Routine Clinical Care: A Danish Cohort Study. Diabetes Care. 2025;48(6):945-954. doi:10.2337/dc24-2169.
  2. Kim TH, Lee K, Park S, et al. Disproportionality Analysis of Infection Associated With Antidiabetic Drug Use Patterns. Scientific Reports. 2025;15(1):33583. doi:10.1038/s41598-025-18723-2.
  3. OZEMPIC Prescribing Information. U.S. Food and Drug Administration. Updated 2023-11-17.
  4. Smits MM, Van Raalte DH. Safety of Semaglutide. Frontiers in Endocrinology. 2021;12:645563. doi:10.3389/fendo.2021.645563.
  5. Rivera FB, Arias-Aguirre E, Aguirre Z, et al. Evaluating the Safety Profile of Semaglutide: An Updated Meta-Analysis. Current Medical Research and Opinion. 2024;40(9):1495-1514. doi:10.1080/03007995.2024.2383731.
  6. Feier CVI, Vonica RC, Faur AM, Streinu DR, Muntean C. Assessment of Thyroid Carcinogenic Risk and Safety Profile of GLP-1 RA Semaglutide (Ozempic) Therapy for Diabetes Mellitus and Obesity: A Systematic Literature Review. International Journal of Molecular Sciences. 2024;25(8):4346. doi:10.3390/ijms25084346.

Key Takeaways

  • Ozempic (semaglutide) does not increase the risk of UTI, according to current medical evidence.
  • Research consistently shows no correlation between GLP-1 drugs and urinary infections.
  • SGLT2 inhibitors, unlike Ozempic, can increase UTI risk due to their mechanism involving the kidneys.
  • Major studies and FDA data confirm that the most common side effects of Ozempic are gastrointestinal, not infections.
  • Patients should stay hydrated and maintain good hygiene to reduce their natural risk of UTIs, unrelated to Ozempic use.

Estimated reading time: 5 minutes

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