Can You Get Ozempic or Wegovy in Spain? A Guide for British Expats on the Costa Blanca (2026)

Ozempic, Wegovy, Mounjaro — weight loss injections are the most talked-about topic in British expat Facebook groups and forums on the Costa Blanca right now. The questions we see most often: "Can I get Ozempic in Spain?", "Is it cheaper than in the UK?", "Do I need a Spanish doctor?"

This guide answers all of these questions clearly and practically, based on the situation in Alicante province in 2026. We also explain what options exist if GLP-1 injections are not suitable for you.

What are GLP-1 weight loss medications?

GLP-1 receptor agonists (glucagon-like peptide-1) are injectable medications that mimic a natural hormone produced in the gut after eating. They work primarily by:

• Reducing appetite (you feel full sooner and stay full longer)
• Slowing gastric emptying (food leaves the stomach more slowly)
• Improving blood sugar regulation

The results from clinical trials are remarkable. Semaglutide (Ozempic/Wegovy) produces average weight losses of around 15% of body weight. Tirzepatide (Mounjaro) has shown even greater results — an average of 22.5% in the landmark SURMOUNT-1 trial. These are numbers previously only seen with bariatric surgery.

The three main drugs: Ozempic, Wegovy and Mounjaro

How to get a prescription in Spain as a British expat

The process is straightforward:

1. Book a consultation with a Spanish doctor — either your registered médico de cabecera (GP) through the public system if you have a tarjeta sanitaria, or a private clinic. Private consultations cost approximately €60-€120.
2. Eligibility assessment — the doctor will check your BMI (must be ≥30, or ≥27 with comorbidities like hypertension or type 2 diabetes), your general health, and any contraindications (thyroid history, pancreatitis, kidney disease, pregnancy).
3. Prescription issued — if eligible, you receive a private prescription (receta privada) that you can take to any Spanish farmacia.
4. Ongoing monitoring — you will need follow-up appointments every 1-3 months. The doctor adjusts the dose as needed.

Cost comparison: Spain vs UK

Spanish prices are broadly similar to or slightly lower than UK private prescription prices. The main cost advantage in Spain is often on the medical consultation side — private GP visits cost €60-€120 in Spain versus £150-£250 at a UK private weight loss clinic.

Side effects to be aware of

GLP-1 medications are well-tolerated by most people but have known side effects:

• Nausea — very common, especially at the start. Usually improves after a few weeks.
• Vomiting, diarrhoea, constipation
• Fatigue in the initial weeks
• "Ozempic face" — facial fat loss causing a gaunt appearance in some patients
• Muscle loss if diet is too restrictive

Weight typically returns when you stop the medication, unless you have adopted sustainable lifestyle changes during treatment. This is why professional nutritional support alongside the medication is so important.

What if Ozempic is not for you?

GLP-1 drugs are not suitable for everyone, and for many people — those without significant obesity, those who want to address specific localised fat deposits, or those who simply prefer to avoid injections — non-surgical body treatments are a better option.

In Alicante, Neobelle Adelgazamiento specialises in non-surgical body contouring treatments including HIFU body contouring and Alpha Sculpt. These target localised fat deposits directly — perfect for the stomach, love handles, or thighs — without any medication, injections or recovery time.

They offer a free body assessment. Contact them on WhatsApp in English — they are accustomed to working with international clients.