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Allodynia and Dysesthesia Associated With Semaglutide and Tirzepatide.

Cureus · 2025

Last updated 2026-05-28

The abstract reports that two GLP-1 drugs, semaglutide and tirzepatide, may cause unusual nerve-related symptoms like allodynia (pain from non-painful stimuli) and dysesthesia (abnormal sensations). These side effects can occur in people taking the drugs for either type 2 diabetes or weight management, seem to depend on the dose, and typically go away when the medication is stopped or sometimes on its own within weeks.

AI summary of the abstract below.

JournalCureus, 2025
Citations1
Molecules semaglutide, tirzepatide

Abstract

Semaglutide and tirzepatide are two commonly prescribed glucagon-like peptide-1 (GLP-1) and GLP-1/glucose-dependent insulinotropic polypeptide (GLP-1/GIP) receptor agonists used for the treatment of type 2 diabetes and chronic weight management. Allodynia and dysesthesia have been previously reported as effects of semaglutide. This case report adds to the literature on dysesthesia from semaglutide and presents a novel report in a patient taking tirzepatide. This adverse drug reaction occurs in both patients treated for type 2 diabetes and chronic weight management, appears to be dose dependent, and resolves with discontinuation of the drug and may resolve spontaneously after several weeks.

Verbatim abstract via PubMed 41210042 ↗

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