Mounjaro 101
Mounjaro is a medication that is approved to improve blood sugar control in adults with type 2 diabetes. Recently, Mounjaro received approval for weight loss in adults with obesity (BMI≥30) or overweight (BMI≥27) with a weight-related condition. Both Mounjaro and Zepbound (available in the US) have the same active ingredient, tirzepatide.
Tirzepatide, including both Mounjaro (FDA-approved for treatment of type 2 diabetes) and Zepbound (FDA-approved for weight loss), is a glucagon-like peptide 1 (GLP-1) receptor agonist and a glucose-dependent insulinotropic polypeptide (GIP) agonist. This means that tirzepatide acts like the GLP-1 and GIP hormones to lower blood sugar levels and decrease your appetite so you lose weight. It also slows down how fast food moves through your body, which may help you stay full for longer. Both Mounjaro and Zepbound are once-weekly medications administered via a single-use prefilled injection pen with the prescribed dose. You administer the injection under the skin of your stomach, thigh, or arm.
Research shows, on average, an individual can expect to lose 20% total body weight loss in a little over a year of taking Mounjaro in combination with a healthy lifestyle.
You are pregnant or breastfeeding
You are trying to conceive
You have a personal or family history of medullary thyroid carcinoma (MTC)
You have a personal or family history of Multiple Endocrine Neoplasia Syndrome type 2 (MEN2)
You are taking certain medications
The group of GLP-1 analogues (GLP-1a) mimics the effect of the natural gut hormone GLP-1, helping to balance blood sugar levels and suppress appetite. By slowing down gastric emptying, the medication can lead to an increased feeling of fullness and reduced appetite.
For the first 4 weeks of taking Mounjaro, you will be taking a starting dose which is 2.5mg. Following this, your dose will increase to reflect your treatment plan.
Month 2
Your dosage will increase to 5mg and you can expect to see and feel significant progress.
Month 3
Your dosage again will increase to 7.5mg
Month 4
If tolerated, your dosage will further increase to 10mg
Month 5
You will be offered an increase to 12.5mg
Month 6
Your dosage will again increase to 15mg
The maintenance dose
The maintenance dose is the maximum dose you can take. For Mounjaro, the maintenance (or maximum) dose you should take is 15mg.
Thighs
Upper arms - if administering in the arm, we recommend asking another person to give you the injection in the back of your upper arm
We advise you to mix up your injection sites to minimise discomfort.
You self-inject Mounjaro at home once a week (on the same day each week), under your skin, in the subcutaneous fat—don’t worry, the needle is very small, and most patients describe it as a pin-prick feeling.. When you inject Mounjaro, you should always follow the instructions accurately and be in a safe and clean environment.
Prepare for the injection
Wash your hands with soap and water before preparing your pen.
Check the solution inside the pen is colourless to slightly yellow.
Wipe the red inner seal with a swab
Attach the needle and remove both needle caps safely.
Only use this medication if the solution is colourless to slightly yellow. If the solution is cloudy or you can see various particles, discard it and speak to your doctor. Never reuse or share needles with others.
Check the flow
Dial your Mounjaro pen to the flow check symbol.
You will need to complete this step each time you use a new Mounjaro pen. Hold your pen horizontally with the needle
pointing upwards.
Press the dose button until the pointer is lined up with “0 mg”.
At this point, you should notice a drop of solution will appear at the tip of your needle.
If the solution does not appear at the needle tip, repeat these steps up to 2 additional times. If the solution still does not appear,
do not use the pen and contact your healthcare provider.
Select your dose
Dial your pen to the dose you have been prescribed - turn the dial until it stops and the number 1 is shown in the dose
window.
Do not inject more than your prescribed dose. Always follow your healthcare professional’s instructions.
Inject your dose
Insert the needle into your abdomen, upper arm or thigh.
Press and hold the dose button to administer the solution until the pointer is aligned with “0 mg.”
Keep holding the dose button for an additional 5 seconds to ensure the dose is fully administered.
Gently remove the injection.
Do not release the dose button until the needle has been removed from your skin.
Only inject into the areas mentioned in the patient information leaflet (abdomen, thigh and upper arm). Make sure to rotate the
injection site with each dose to avoid discomfort.
Discard your needle
Carefully attach the outer needle shield back on the needle and remove your needle from the pen.
Dispose of the needle in the yellow sharps bin provided.
Do not throw your used needles away in your household rubbish bin. Keep them out of reach of children and pets.
Store your Mounjaro pen
After every use, be sure to place the pen’s cap back on. This protects the medication from light.
You should store your pen without needles attached.
Store Mounjaro for up to 30 days at room temperature (so long as this is not above 30˚C) or in a refrigerator cooling
element (2˚C to 8˚C.)
Keep your Mounjaro pen on hand and with you at all times.
Do not leave your pen places where it could get too hot or too cold as this may cause the solution to become cloudy and
unusable. Do not freeze this medication or store it in direct sunlight. Do not store this medication in your car glove compartment.
Ensure this medication is stored somewhere others cannot reach it, particularly children and pets.