In the quest for effective weight loss solutions, two medications have emerged as strong contenders: Contrave and Wegovy. Both have shown promising results in clinical studies and are helping people shed pounds and improve their overall health. But which one is right for you? This blog will dive deep into a comparison of Contrave and Wegovy, examining their effectiveness, side effects, costs, and more to help you make an informed decision.
If you’re ready to take control of your weight loss journey, visit Best Weight Loss Medication to book a consultation and learn how these options could work for you.
Contrave combines two active ingredients: Naltrexone (32 mg) and Bupropion (360 mg). These medications target the brain’s reward system, reducing cravings and emotional eating. Paired with healthy lifestyle changes, Contrave helps users achieve significant weight loss.
Wegovy, on the other hand, contains semaglutide, a GLP-1 receptor agonist that regulates appetite and slows digestion. Taken as a weekly injection, Wegovy has been shown to produce substantial weight loss over time.
Clinical studies highlight the effectiveness of both medications:
A study revealed that participants using Contrave lost significantly more weight than those taking a placebo.
Beyond weight loss, users experienced better heart health, improved eating habits, and a higher quality of life.
In the STEP 1 trial, adults with overweight or obesity who received once-weekly semaglutide 2.4 mg alongside lifestyle intervention lost an average of approximately 14.9% of their starting body weight at 68 weeks, compared with approximately 2.4% with placebo. This was a study-average result, not a guaranteed individual outcome. Wegovy injection is initiated at 0.25 mg once weekly and gradually increased; 2.4 mg is the usual recommended maintenance dose, and additional approved dosing options depend on the patient and indication. Patients should follow their prescriber’s instructions and the current FDA prescribing information [2].
These numbers make Wegovy one of the most effective weight loss medications available today.

Both medications have unique side effect profiles that you should consider:
Common issues include nausea (27%-34%), headache (14%-24%), constipation (15%-24%), dizziness (7%-14%), and dry mouth (8%). Some users also experienced temporary increases in blood pressure, though blood pressure improved overall by the end of the study [3].
Wegovy may impact blood sugar levels and the absorption of other medications due to its effect on digestion. People with diabetes should monitor their blood sugar closely while on Wegovy, as combining it with other glucose-lowering drugs can increase the risk of hypoglycemia [4].
Cost can be a determining factor when choosing a weight loss medication:
Contrave pricing depends on the pharmacy, location, eligibility for manufacturer assistance, and insurance coverage. Check current prices with a licensed pharmacy or the manufacturer.
Wegovy costs vary by formulation, prescribed dose, insurance, pharmacy, and current manufacturer savings programs. Confirm current pricing and eligibility with the manufacturer or pharmacy.
While both medications are effective independently, combining them is not recommended without medical supervision. Their mechanisms of action target different areas, and taking them together could increase the risk of side effects or drug interactions. Always consult your healthcare provider before considering combination treatments.
Mounjaro (tirzepatide) is another GLP-1 receptor agonist similar to Wegovy. It works by mimicking hormones that regulate appetite and blood sugar. While it shows promising results, its availability for weight loss is currently limited compared to Wegovy.
Saxenda, like Wegovy, is a GLP-1 receptor agonist but requires daily injections instead of weekly ones. It is less potent than Wegovy but still effective for weight loss. When compared to Contrave, Saxenda may work better for those who prefer injectable medications over pills.
Phentermine is a stimulant that suppresses appetite, making it a popular short-term weight loss solution. Unlike Contrave, which can be used long-term, Phentermine is only approved for a few weeks of use due to potential side effects and dependency risks. Neither medication is universally safer or more sustainable; treatment choice depends on medical history, contraindications, risks, and patient preferences.
Both Contrave and Wegovy are excellent tools for weight loss, but the right choice depends on your individual needs, lifestyle, and medical history. Contrave may be ideal for those who prefer oral medication and need help with cravings and emotional eating. Wegovy, on the other hand, is a powerful option for those looking for a long-term injectable solution.
Ready to take the next step? Visit Best Weight Loss Medication and book your consultation today. Our experts will guide you through your options and create a personalized plan tailored to your weight loss goals.
Let’s make your journey to a healthier, happier you a reality!
1. Apovian CM, Aronne L, Rubino D, et al. A randomized, phase 3 trial of naltrexone SR/bupropion SR on weight and obesity‐related risk factors (COR‐II). Obesity. 2013;21(5):935-943. doi:https://doi.org/10.1002/oby.20309
2. Wilding JPH, Batterham RL, Calanna S, et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity. New England Journal of Medicine. 2021;384(11):989-1002. doi:https://doi.org/10.1056/nejmoa2032183
3. Ornellas T, Chavez B. Naltrexone SR/Bupropion SR (Contrave): A New Approach to Weight Loss in Obese Adults. P T. 2011;36(5):255-262.4. Pharmaceutical Research: Recent Advances and Trends Vol. 6.; 2024. doi:https://doi.org/10.9734/bpi/prrat/v6