Target GLP-1 Formulation
Semaglutide (Ozempic/Wegovy)
U.S. FDA Prescribing Text
The U.S. label mentions changes in vision under warnings: "Tell your healthcare provider if you have changes in vision during treatment with OZEMPIC®." It does not explicitly state NAION or optic nerve infarction risk.
Regulatory Status: Under Ongoing Safety Review
Explicit NAION Warning: No (Generalized Vision Warning Only)
Multi-Agency Cross-Border Comparison Matrix
| Jurisdiction | Agency | NAION Warning | Gastroparesis Warning | Clinical Action Advised |
|---|---|---|---|---|
| United States | FDA | No Specific NAION (Broad Vision) | General GI Delay | Monitor baseline vision changes |
| European Union | EMA | Explicit Black Triangle / Label | Severe Dehydration & Renal Risk | Immediate ophthalmology consult & stop drug |
| United Kingdom | MHRA | Explicit Drug Safety Update | Post-marketing Gastroparesis | Urgent evaluation on painless visual loss |
| Australia | TGA | Product Information Update | Gastrointestinal adverse warning | Disc-at-risk screening & prompt referral |
Active Federal Litigation Tracker
Over 1,200 federal lawsuits consolidated in MDL (Gastroparesis & Vision Loss)
Consolidated in In re: Glucagon-like Peptide-1 Receptor Agonists Products Liability Litigation (MDL 3094). Claims center on failure to warn patients of gastroparesis and sudden ischemic vision impairment.
Patient Risk-Factor Self-Assessment
Model personalized risk indicators based on clinical predisposing factors (anatomic crowded optic disc, retinopathy, and metabolic factors).
54 yrs
Physician Consultation Report
Dynamic clinical briefing formatted for informed consent and healthcare provider discussions.
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Primary Regulatory & Legal Sources:
- Wall Street Journal: Patients Sue GLP-1 Drugmakers Over Risk of Sudden Vision Loss (Reporting on international label divergence).
- Therapeutic Goods Administration (TGA Australia): GLP-1 RAs and rare vision disorder (NAION) Product Information updates (2025/2026).
- European Medicines Agency (EMA): Product characteristics warning update on non-arteritic anterior ischaemic optic neuropathy for semaglutide.
- U.S. Judicial Panel on Multidistrict Litigation: MDL No. 3094 - In re: GLP-1 Receptor Agonists Products Liability Litigation.