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Zepbound vs. Mounjaro

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Tirzepatide, marketed under the brand names Zepbound and Mounjaro, is the same medication used to treat different conditions. Both Zepbound and Mounjaro belong to the glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptor agonist class and are administered via subcutaneous injection once a week. However, they are approved for different uses. Zepbound is FDA-approved for weight loss and long-term weight management in adults who have obesity or who have overweight with at least one weight-related condition, as well as for moderate-to-severe obstructive sleep apnea. On the other hand, Mounjaro is approved for improving blood sugar control in adults with Type 2 diabetes. Both medications share common side effects like nausea and diarrhea. Additionally, both medications can interact with other drugs, such as diabetes medications, warfarin (Jantoven, Coumadin) and birth control pills, potentially affecting their effectiveness. Neither medication is recommended during pregnancy, and both carry a risk of thyroid cancer.

Zepbound

(tirzepatide)

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Mounjaro

(tirzepatide)

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Summary for Zepbound

Prescription only

Zepbound (tirzepatide) is an injectable medication that's used along with diet and exercise. It helps with weight loss in adults who meet criteria for weight management therapy. It's also approved to treat moderate-to-severe sleep apnea. This medication belongs to the drug class called GIP and GLP-1 agonists. The dosage is 1 injection under the skin once a week. Common side effects include nausea, diarrhea, and injection site reactions. Zepbound (tirzepatide) is only available as a brand-name medication.

Indications for Zepbound

In addition to a balanced diet and exercise plan:

Pros and Cons for Zepbound

Pros

Cons

  • Must inject under the skin
  • Can cause bothersome side effects, like nausea, diarrhea, and stomach pain
  • Can't use with other tirzepatide products (Mounjaro) or with other GLP-1 agonists

Common Side Effects for Zepbound

  • Nausea (25-29%)
  • Diarrhea (19-23%)
  • Constipation (11-17%)
  • Vomiting (8-13%)
  • Stomach pain (9-10%)
  • Indigestion (9-10%)

Warnings for Zepbound

  • Risk of thyroid cancer
  • Stomach problems
  • Kidney damage
  • Gallbladder problems
  • Inflammation of the pancreas (pancreatitis)
  • Allergic reactions
  • Low blood sugar (hypoglycemia)
  • Eye problems in people with Type 2 diabetes (diabetic retinopathy)
  • Lung problems during general anesthesia or deep sedation
  • Don't share Zepound KwikPens with anyone

Summary for Mounjaro

Prescription only

Mounjaro (tirzepatide) is a prescription injection used to improve blood sugar control in people 10 years and older with Type 2 diabetes. It works best when you also follow a nutritious diet and exercise regularly. Mounjaro (tirzepatide) belongs to the drug class called GIP and GLP-1 agonists. The dosage is convenient because it's injected under the skin once a week. Some common side effects of Mounjaro (tirzepatide) include nausea and diarrhea. It can also lower your appetite, which might lead to some weight loss.

Indications for Mounjaro

Pros and Cons for Mounjaro

Pros

  • Given once weekly
  • Can lower A1C by an average of up to 2.3% in about 9 months
  • Has different forms some people can choose from (vials, single-dose injectable pens, multi-dose KwikPens)
  • Can use if you have liver or kidney problems

Cons

  • Must give as an injection given under the skin
  • Can cause unpleasant side effects like nausea, vomiting, and diarrhea
  • Takes time to reach a dose that works well
  • Might not be safe during pregnancy

Common Side Effects for Mounjaro

  • Nausea (12-18%)
  • Diarrhea (12-17%)
  • Low appetite (5-11%)
  • Vomiting (5-9%)
  • Indigestion (5-8%)
  • Constipation (6-7%)
  • Stomach pain (5-6%)

Warnings for Mounjaro

  • Risk of thyroid cancer
  • Inflammation of the pancreas (pancreatitis)
  • Low blood sugar (hypoglycemia) when used with other diabetes medications
  • Allergic reactions
  • Stomach side effects
  • Kidney damage due to dehydration
  • Eye problems in people with diabetic retinopathy
  • Gallbladder problems
  • Lung problems during general anesthesia or deep sedation
  • Don't share Mounjaro KwikPens with anyone

Prices with our coupons for Zepbound vs. Mounjaro

Price Card Drug Icon
Zepbound1 carton / 4 prefilled pens of 2.5mg/0.5ml
$1,046.87$1,280.99
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Price Card Drug Icon
Mounjaro1 carton / 4 pens of 2.5mg/0.5ml
$1,051.57$1,310.99
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