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Am Fam Physician. 2023;108(1):93-94

Author disclosure: No relevant financial relationships.

DrugDosageDose formCost*
Tirzepatide (Mounjaro)2.5 mg subcutaneously once weekly for four weeks, followed by 5 mg once weeklyInjection pen (pre-filled single-dose pen, 0.5 mL): 2.5, 5, 7.5, 10, 12.5, and 15 mg$1,000 for four 2.5-mg injection pens
Titration: increase dosage by 2.5 mg every four weeks to a maximum dosage of 15 mg once weekly if additional glycemic control is needed

Tirzepatide (Mounjaro) is labeled for the treatment of type 2 diabetes mellitus in adults as an adjunct to lifestyle modifications. It is the first agonist that targets both glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide receptors.1 This dual effect is hypothesized to impact glycemic control and weight loss more than GLP-1 receptor agonism alone due in part to the prevalence of glucose-dependent insulinotropic polypeptide receptors in adipose tissue and the brain.

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STEPS new drug reviews cover Safety, Tolerability, Effectiveness, Price, and Simplicity. Each independent review is provided by authors who have no financial association with the drug manufacturer.

This series is coordinated by Allen F. Shaughnessy, PharmD, assistant medical editor.

A collection of STEPS published in AFP is available at https://www.aafp.org/afp/steps.

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