Tirzepatide (Mounjaro/Zepbound) is a dual GLP-1/GIP agonist approved by the FDA for type 2 diabetes and obesity. It mimics two gut hormones that regulate appetite, glucose and gastric emptying. In the SURMOUNT trials it produced average weight losses of 20.9% at 72 weeks, making it the current clinical gold standard for the pharmacological treatment of obesity.
| Target dose | Units | Volume |
|---|---|---|
| 2.5 mg (starting) | 50 IU | 0.50 mL |
| 5 mg (maintenance) | 100 IU | 1.00 mL |
| 7.5 mg | 150 IU | Split into 2 doses |
| 10 mg (maximum) | 200 IU | Split into 2 doses |
| Dosis objetivo | Unidades | Volumen |
|---|---|---|
| 2,5 mg (inicial) | 50 UI | 0,50 mL |
| 5 mg (mantenimiento) | 100 UI | 1,00 mL |
| 7,5 mg | 150 UI | Dividir en 2 dosis |
| 10 mg (máxima) | 200 UI | Dividir en 2 dosis |
| Dose cible | Unités | Volume |
|---|---|---|
| 2,5 mg (initiale) | 50 UI | 0,50 mL |
| 5 mg (entretien) | 100 UI | 1,00 mL |
| 7,5 mg | 150 UI | Diviser en 2 doses |
| 10 mg (maximale) | 200 UI | Diviser en 2 doses |
Tirzepatide is a dual agonist that activates both GLP-1 and GIP receptors, whereas a single agonist engages only one pathway. In the SURMOUNT trials this combined activation was associated with average weight reductions of 20.9% at 72 weeks and glycemic control reported as superior to semaglutide.
Reconstituting 10 mg in 2 mL of bacteriostatic water yields 5 mg/mL, equivalent to 50 mcg per IU on a U-100 insulin syringe. As a reference, a 2.5 mg amount corresponds to 50 IU (0.50 mL) and a 5 mg amount to 100 IU (1.00 mL).
After reconstitution, label the vial with the date and store it refrigerated at 2–8 °C, where it remains stable for 28–30 days. The water should be chilled only 3 minutes before reconstitution; very cold water may cause the solution to freeze, lose efficacy or be damaged.
The referenced schedule administers 2.5 mg during weeks 1–4, then 5 mg during weeks 5–8, increasing by 2.5 mg every 4 weeks as tolerated. Administration is once weekly, subcutaneously in the abdomen, thigh or arm, over a minimum cycle of 16–24 weeks to observe full results.