Did you know that GLP-1 agonists, widely known for aiding weight loss and diabetes control, could reduce hidradenitis suppurativa symptoms in over half of patients, according to recent 2025 studies?
“GLP-1 receptor agonists offer dual benefits for HS patients by modulating inflammatory pathways and addressing associated comorbid conditions.”
– Insights from a 2024 systematic review in the Journal of Clinical Medicine
Key Areas We Will Cover
- Understanding hidradenitis suppurativa and its impact on daily life
- How GLP-1 agonists work to combat inflammation and metabolic issues
- Latest research findings on semaglutide and liraglutide for HS
- Potential benefits, side effects, and integration into treatment plans
- When to seek expert advice from a Dermatologist in London
- Future directions and ongoing studies in this promising field
Introduction
Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition that affects thousands in the UK, causing painful lumps and abscesses in areas like the armpits and groin. As a leading Dermatologist practice, The Skin Care Network explores innovative treatments to improve patient outcomes. GLP-1 agonists, such as semaglutide and liraglutide, are gaining attention for their potential to address HS beyond traditional therapies by targeting inflammation and related metabolic factors. This guide draws on recent research to help you understand this emerging option.
What Is Hidradenitis Suppurativa?
Hidradenitis suppurativa involves blocked hair follicles leading to recurrent boils, scarring, and tunnels under the skin. It often starts after puberty and can persist for years, severely affecting quality of life through pain, odour, and restricted movement.
Common triggers include obesity, smoking, and hormonal changes, with links to metabolic syndrome. In the UK, HS affects about 1% of the population, yet diagnosis can take years. Early intervention is key to preventing progression.
The Role of GLP-1 Agonists in Skin Health
GLP-1 agonists mimic the hormone glucagon-like peptide-1, enhancing insulin secretion, slowing digestion, and promoting satiety. Originally for type 2 diabetes and obesity, they also exhibit anti-inflammatory effects by suppressing cytokines like TNF-α and IL-17, which fuel HS.
In HS, these drugs tackle metainflammation, where metabolic issues exacerbate skin inflammation. Weight loss from GLP-1 agonists reduces friction in affected areas and lowers pro-inflammatory markers, offering a multifaceted approach.
Research Insights: GLP-1 Agonists and HS
A 2025 study from the HS Foundation reviewed 45 patients using semaglutide for weight loss. Over half reported improved HS symptoms, with higher doses linked to better outcomes. Weight reduction averaged 6 kg, but factors like age or comorbidities did not significantly influence results, though trends favoured males and smokers.
A comprehensive 2024 systematic review in the Journal of Clinical Medicine analysed 25 studies, highlighting liraglutide’s ability to lower BMI, CRP levels, and HS severity scores. For instance, in one case series, patients saw Hurley staging improve from 2.6 to 1.1 after three months. Semaglutide similarly enhanced quality of life, reducing flares and DLQI scores.
Other research, including a University of Pennsylvania study, showed GLP-1 agonists reduced HS complications like surgeries and hospitalisations, particularly in overweight individuals.
Benefits and Considerations for HS Patients
Benefits include:
- Reduced inflammation and lesion severity
- Weight management to ease physical strain on the skin
- Improved metabolic health, addressing comorbidities like diabetes
- Enhanced quality of life, with fewer painful episodes
Side effects may involve nausea, gastrointestinal upset, or injection-site reactions, but these often subside. Long-term safety in HS needs more data, and these drugs are not yet licensed specifically for the condition in the UK.
As Dermatologist experts, we recommend monitoring under specialist care to balance benefits and risks.
Integrating GLP-1 Agonists into HS Treatment
Combine GLP-1 agonists with lifestyle changes like quitting smoking and a balanced diet. They may complement biologics or antibiotics for moderate to severe HS. Consult a Dermatologist for personalised plans, including off-label prescribing where appropriate.
Ongoing trials explore optimal dosing and combinations, promising broader access by 2027.
Conclusion
GLP-1 agonists represent a breakthrough in hidradenitis suppurativa management, offering anti-inflammatory and metabolic benefits that traditional treatments often miss. Key takeaways include their potential to improve symptoms through weight loss and cytokine suppression, supported by 2025 research. While more studies are needed, this approach could transform care for many UK patients.
Take Control of Your Skin Health with The Skin Care Network Today
Struggling with hidradenitis suppurativa? Book a consultation with our Dermatologist team to discuss GLP-1 agonists and tailored treatments.
📅 Schedule your appointment at our Barnet clinic
Address: 68-70 Union St, Barnet EN5 4HZ, United Kingdom
Phone: +44 20 8441 1043
Or request online for expert, compassionate care.
Frequently Asked Questions About GLP-1 Agonists for Hidradenitis Suppurativa
Navigating new treatments can spark many questions; this section addresses common concerns based on the latest evidence to help you make informed decisions.
GLP-1 agonists like semaglutide mimic a hormone to control blood sugar and weight, while reducing inflammation key to HS progression.
Not yet specifically, but Dermatologist specialists may prescribe off-label for suitable cases, backed by emerging research.
Common ones include nausea and digestive issues, but they are generally manageable and lessen over time.
They work best as part of a comprehensive plan, alongside antibiotics or biologics, under professional guidance.
Studies suggest benefits within months, linked to weight loss and reduced inflammation, but results vary.


