Weight Loss Injections
For women under age 55 years prescribed weight loss injections privately
We have been informed by your private prescriber that you are taking weight loss injections. Tirzepatide (Mounjaro) may mean that your contraception pills do not work effectively. If you are using the contraceptive pill, please use condoms for four weeks after each dose change, to avoid an unwanted pregnancy. This does not apply to Semaglutide (Ozempic). Please contact the practice for a routine appointment if you want to discuss your contraception.
For women prescribed weight loss injections privately and prescribed oral combined HRT or oral progesterone (Medroxyprogesterone /Norethisterone / Utrogestan) in combination with oestrogen
patch / spray / gel
We have been informed by your private provider that you are using weight loss injections. These may have an impact on the effectiveness of your HRT to adequately protect your endometrium (womb lining). Please do contact the practice for a routine review so that we can discuss potential alternatives.
NHS Prescribing and Advice Requests
We have received a high volume of queries regarding prescribing of weight loss injections such as Wegovy and Mounjaro following the published approval by National Institute for Clinical Excellence and Scottish Medicines Consortium. However the funding for this has not yet been agreed either centrally by Scottish Government or locally by any Health Board in Scotland and therefore GPs are not in a position to prescribe these medications. We are also not in a position to provide specific advice or counsel patients regarding the safety or appropriateness of these injections prescribed in the private sector. However, we can give general medical advice regarding weight loss, diet and lifestyle and refer to NHS Lothian Weight Management services. If you wish for this please make a
routine GP appointment. We have also been advised by NHS Lothian against referring to the
Lothian Weight Management Service specifically for weight loss injections at this time. We will update this section once we havereceived approved guidance regarding this.
Published on 30th Jun 2025