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Mounjaro

Mounjaro

tirzepatide

Manufacturer:

Eli Lilly

Distributor:

Zuellig Pharma
Concise Prescribing Info
Contents
Tirzepatide
Indications/Uses
Adjunct to diet & exercise in adults w/ insufficiently controlled type 2 DM as monotherapy when metformin is considered inappropriate due to intolerance or contraindications, or in addition to other medicinal products for diabetes. Adjunct to reduced-calorie diet & increased physical activity for wt management including wt loss & maintenance in adults w/ initial BMI ≥30 kg/m2 (obesity) or ≥27 to <30 kg/m2 (overwt) in the presence of at least 1 wt-related comorbid condition (eg, HTN, dyslipidaemia, obstructive sleep apnoea, CV disease, prediabetes or type 2 DM).
Dosage/Direction for Use
SC Initially 2.5 mg once wkly, increased to 5 mg once wkly after 4 wk. May be further increased in 2.5 mg-increments after min of 4 wk on current dose. Recommended maintenance dose: 5, 10 & 15 mg. Max dose: 15 mg once wkly.
Contraindications
Special Precautions
Discontinue use if pancreatitis is suspected & not to be restarted if pancreatitis diagnosis is confirmed. Increased risk of hypoglycaemia in combination w/ insulin secretagogue or insulin. Acute pancreatitis; nausea, vomiting, diarrhoea; severe GI disease eg, severe gastroparesis; non-proliferative diabetic retinopathy requiring acute therapy, proliferative diabetic retinopathy or diabetic macular oedema. Aspiration in association w/ general anaesth or deep sedation. Contains benzyl alcohol. Ensure to avoid fluid depletion & electrolyte disturbances especially in elderly. May affect ability to drive & use machines. Severe hepatic or renal impairment & ESRD. Women of childbearing potential should use effective contraception. Discontinue use at least 1 mth before planned pregnancy & not recommended during pregnancy. Lactation. Childn <18 yr. Elderly ≥85 yr.
Adverse Reactions
Hypoglycaemia w/ sulphonylurea or insulin; nausea, diarrhoea, vomiting, abdominal pain, constipation. Hypersensitivity reactions; hypoglycaemia w/ metformin & SGLT2i, decreased appetite; dizziness; hypotension; dyspepsia, abdominal distention, eructation, flatulence, GERD; hair loss; fatigue, inj site reactions; increased heart rate, lipase, amylase & blood calcitonin.
Drug Interactions
Potential impact on absorption rate of concomitantly administered oral medicinal products. Monitor patients on concomitant oral medicinal products w/ narrow therapeutic index eg, warfarin, digoxin. Risk of delayed effect in oral medicinal products w/ importance for rapid onset of effect.
MIMS Class
Antidiabetic Agents / Anti-Obesity Agents
ATC Classification
A10BX16 - tirzepatide ; Belongs to the class of other blood glucose lowering drugs excluding insulins. Used in the treatment of diabetes.
Presentation/Packing
Form
Mounjaro soln for inj (multi-dose pre-filled KwikPen) 10 mg/0.6 mL (1 dose)
Packing/Price
4 dose x 1's
Form
Mounjaro soln for inj (multi-dose pre-filled KwikPen) 12.5 mg/0.6 mL (1 dose)
Packing/Price
4 dose x 1's
Form
Mounjaro soln for inj (multi-dose pre-filled KwikPen) 15 mg/0.6 mL (1 dose)
Packing/Price
4 dose x 1's
Form
Mounjaro soln for inj (multi-dose pre-filled KwikPen) 2.5 mg/0.6 mL (1 dose)
Packing/Price
4 dose x 1's
Form
Mounjaro Soln for inj (multi-dose pre-filled KwikPen) 5 mg/0.6 mL (1 dose)
Packing/Price
4 dose x 1's
Form
Mounjaro soln for inj (multi-dose pre-filled KwikPen) 7.5 mg/0.6 mL (1 dose)
Packing/Price
4 dose x 1's
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