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Tirzepatide Medication Guide

Tirzepatide Medication Guide

Tirzepatide 10mg/ml + Cyanocobalamin 500 mcg/ml is a Glucagon-like peptide receptor agonists and is an injectable prescription medicine used for adults with obesity (BMI ≥30) or overweight (excess weight) (BMI ≥27) who also have weight-related medical problems to help them lose weight and keep the weight off. Tirzepatide should be used with a reduced calorie meal plan and increased physical activity. It should not be used with other GLP-1 receptor agonist medicines.

Rare but serious side effects (<1%)

Tirzepatide can cause serious side effects, including: Possible thyroid tumors, including cancer. Tell your healthcare provider if you get a lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath. These may be symptoms of thyroid cancer, thyroid tumors or a type of thyroid cancer called medullary thyroid carcinoma (MTC) in people.

Do not use Tirzepatide if:

  • You or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC) or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)

  • You have had a serious allergic reaction to Tirzepatide or b12 cyanocobalamin.

Before using Tirzepatide, tell your healthcare provider if you have any other medical conditions, including if you:

  • Have or have had problems with your pancreas or kidneys.

  • Have type 2 diabetes and a history of diabetic retinopathy.

  • Have or have had depression, suicidal thoughts, or mental health issues.

  • Are pregnant or plan to become pregnant. Tirzepatide may harm your unborn baby. You should stop using Tirzepatide at least 2 months before you plan to become pregnant.

  • Are breastfeeding or plan to breastfeed. It is not known if Tirzepatide passes into your breast milk.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Tirzepatide may affect the way some medicines work and some medicines may affect the way it works. Tell your healthcare provider if you are taking other medicines to treat diabetes, including sulfonylureas or insulin. Tirzepatide slows stomach emptying and can affect medicines that need to pass through the stomach quickly. 

What are the possible side effects of Tirzepatide?

Tirzepatide has some common side effects (>10%) including but not limited to; Nausea, constipation, or diarrhea, loss of appetite/feeling of fullness and acid reflux. Over time this, like other side effects associated with Tirzepatide, will improve (usually 2-4 weeks after a dose increase). If some of these side effects are left untreated and become severe, serious health consequences can occur, including renal failure and even death. We have compiled some specific recommendations and protocols that we will provide during your initial consultation; we recommend that these are utilized for your own health and wellness benefit. 

Tirzepatide can also rarely cause serious side effects, including:

  • Inflammation of your pancreas (pancreatitis). Stop using Tirzepatide and call your healthcare provider right away if you have severe pain in your stomach area (abdomen) that will not go away, with or without vomiting. You may feel the pain from your abdomen to your back.

  • Gallbladder problems.  Tirzepatide may cause gallbladder problems, including gallstones. Some gallstones may need surgery. Call your healthcare provider if you have symptoms, such as pain in your upper stomach (abdomen), fever, yellowing of the skin or eyes (jaundice), or clay-colored stools.

  • Increased risk of low blood sugar (hypoglycemia) in patients with type 2 diabetes, especially those who also take medicines for type 2 diabetes such as sulfonylureas or insulin. This can be both a serious and common side effect. Talk to your healthcare provider about how to recognize and treat low blood sugar and check your blood sugar before you start and while you take Tirzepatide. Signs and symptoms of low blood sugar may include dizziness or light-headedness, blurred vision, anxiety, irritability or mood changes, sweating, slurred speech, hunger, confusion or drowsiness, shakiness, weakness, headache, fast heartbeat, or feeling jittery.

  • Kidney problems (kidney failure). In people who have kidney problems, diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration) which may cause kidney problems to get worse. It is important for you to drink fluids to help reduce your chance of dehydration.

  • Serious allergic reactions. Stop using Tirzepatide and get medical help right away, if you have any symptoms of a serious allergic reaction, including swelling of your face, lips, tongue, or throat; problems breathing or swallowing; severe rash or itching; fainting or feeling dizzy; or very rapid heartbeat.

  • Change in vision in patients with type 2 diabetes. Tell your healthcare provider if you have changes in vision during treatment with Tirzepatide..

  • Increased heart rate. Tirzepatide can increase your heart rate while you are at rest. Tell your healthcare provider if you feel your heart racing or pounding in your chest and it lasts for several minutes.

  • Depression or thoughts of suicide. You should pay attention to any mental changes, especially sudden changes in your mood, behaviors, thoughts, or feelings. Call your healthcare provider right away if you have any mental changes that are new, worse or worry you.

How should I administer Tirzepatide?

  • Use Tirzepatide exactly as your healthcare provider tells you to

  • Tirzepatide is injected under the skin (subcutaneously) of your stomach (abdomen)

  • Use Tirzepatide 1 time each week at any time of the day

  • Tirzepatide may be taken with or without food

  • Change (rotate) your injection site with each weekly injection.  Do not use the same site for each injection.

  • If you take too much Tirzepatide, call your healthcare provider.

  • If you miss a dose you should administer the missed dose within 5 days and then resume the usual schedule thereafter. If more than 5 days have elapsed, skip the missed dose and resume administration at the next scheduled weekly dose. If more than 2 consecutive doses are missed, contact your healthcare provider for recommendations.

How should I store Tirzepatide?

Store Tirzepatide in the freezer, thaw for 30 min-1 hr prior to injecting and put back in the freezer until next dose is due. 

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