Re3aya Pharmacy
Mounjaro - Kwikpen 2.5 mg - 1pen/4doses
Mounjaro - Kwikpen 2.5 mg - 1pen/4doses
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How to take your Mounjaro dose
Step 1 – prepare the pen
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- Pull the Kwikpen cap off and wipe the red inner seal with a swab
Step 2 – prepare the pen
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- Select a new Kwikpen needle and pull off the paper tab from the outer needle shield
- Push the pen needle straight onto the pen and twist the pen needle on until it is tight
- Pull off the outer needle shield and keep it (it will be reused)
- Pull off the inner needle shield and put it in your household bin
Step 3 – prime the pen
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- Slowly turn the dose knob until you hear 2 clicks and the extended line is shown in the dose window
- Hold your pen with the needle pointing up and gently tap the cartridge holder to collect air bubbles at the top
- Release some medicine into the air by pushing the dose knob until it stops, then slowly count to 5 while holding the dose knob (the 0 icon must be shown in the dose window)
- If you do not see any medicine released while priming the pen, try again but do not repeat more than 2 additional times
- Do not inject into your body
Step 4 – injecting the pen
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- Turn the dose knob until it stops and the 1 icon is shown in the dose window
- Insert the Mounjaro Kwikpen needle into your skin (into your pre-chosen injection site)
- Inject the medicine by pushing the dose knob in until it stops then slowly count to 5 while continuing to hold the dose knob
- Check the 0 icon is now showing in the dose window and pull the needle out of your skin
Step 5 – after injecting
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- If you see a pinprick of blood after removing the needle (this is normal) lightly press the injection site with a cotton ball (do not rub)
- Carefully replace the outer needle shield that you set aside earlier
- Unscrew the capped needle and place into your supplied sharps container
- Replace the pen cap (never store the pen with a needle attached and always store with the pen cap securely on)
- Now your pen has been used it can be stored at room temperature up to 30°C for no more than 30 days (out of direct sunlight, heat and from the sight & reach of children)
- If you’ve injected your 4th dose from the Kwikpen, the pen (not the needle) can be disposed of in your regular household bin, or taken to a local pharmacy for
Deciding the best time to take your dose
Mounjaro is administered using the Mounjaro KwikPen, injected once a week on the same designated day. There's no best time of day to take Mounjaro, you can take it at any time of day, but the important thing is to take it at the same time and on the same day each week. We recommend planning a 15-minute window and slotting that into your weekly routine.
Write a weekly reminder on your kitchen calendar, set an alarm on your phone or add it to your online calendar. That way you’ll be reminded when it’s time to take your weekly dose. You’ll soon fall into an easy routine!
Preparing to take your Mounjaro dose
There are a few simple steps to follow before you administer your injection and you must do these each time.
Check your Mounjaro KwikPen
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Unused KwikPens should be refrigerated between 2°C to 8°C before first use and after the first injection can be stored at room temperature (up to 30°C for no more than 30 days). Inspect your KwikPen to check:
The medication name and dose match your prescription
The KwikPen isn’t out of date or damaged
The medicine isn’t frozen
The medicine is colourless to slightly yellow
The medicine doesn’t contain any particles, or is cloudy or discoloured
Choose your injection site
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You can choose from a few different injection sites depending on what works for you. But there are a few things to remember:
- You can self-inject into your stomach or thigh areas
- You can ask someone else to inject into the back of your upper arm
- You should never inject into the exact same spot – rotate the injection spot each time
- You can inject in the same area (the thigh, for example), but you need to choose a different spot each time (rotating the injection spot reduces the risk of infection and hard lumps forming)
- If you inject into your stomach, you must inject at least 2 inches away from your belly button
Wash your hands
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It’s important to practice good hand hygiene and make sure you’re always injecting your Mounjaro dose with clean hands. Wash your hands thoroughly with soap and hot water. You can also use an anti-bacterial hand sanitiser as an extra measure.
If someone is administering the injection for you, make sure they’ve followed these hand hygiene instructions too
What is Mounjaro?
Mounjaro is a once-weekly injection that is FDA approved to be used to decrease blood sugar (blood glucose) in adults who havetype 2 diabetes. It should be used together with diet and exercise. Mounjaro has also been shown in clinical trials to be useful for weight loss.
Diabetes is a long term condition when your blood sugars (HbA1c) become too high because the body does not produce or use insulin normally. Overtime high blood sugars can cause serious health problems includingheart disease,vision lossandkidney disease.
Mounjaro works to reduce blood sugar levels by increasing your insulin production and also lowering the amount of sugar your liver makes. It also slows the rate food passes through your body which makes you feel full longer.
Mounjaro (Tirzepatide) is the first dual GIP/GLP-1 receptor agonist which means it works on the glucose-dependent insulinotropic polypeptide (GIP) receptors and the glucagon-like peptide-1 (GLP-1) receptors.
Mounjaro can be used as a single therapy or with other diabetes medicines includingmetformin,sulfonylureasorSGLT2 inhibitors.
It is not known if this medicine can be used in people who have hadpancreatitis.
Mounjaro is not for use in people withtype 1 diabetes.
Is Mounjaro used for weight loss?
- Mounjaro has also shown to help lose weight in overweight patients. It is currently in Phase 3 clinical trials for weight loss in adults who are overweight, obese or have weight related health issues. Mounjaro has received FDA Fast Track designation to speed up its path for FDA submission for treating adults with obesity, or overweight with weight-related health conditions.
- In the SURMOUNT-1 clinical trial the average weight loss after 72 weeks was 15% for the 5mg dose, 19.5% for the 10mg dose and 20.9% for the 15mg dose.
- Mounjaro isnotFDA approved as a weight loss medication.
Important information
Mounjaro may cause thyroid C-cell tumors. Tell your doctor if you have a personal or family history of thyroid cancer or a condition called Multiple Endocrine Neoplasia (MEN) syndrome (a syndrome that causes tumors to develop on endocrine glands). If you experience any of the following symptoms, call your doctor immediately: lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath.
Keep all appointments with your doctor and the laboratory. Your doctor may order certain tests to check your body's response to this medicine.
Before using Mounjaro
- Tell your doctor and pharmacist if you are allergic to Mounjaro, any other medications, or any of the ingredients in this injection. Ask your pharmacist or check theMedication Guide for a list of the ingredients.
- Tell your doctor if you have or have ever had pancreas or kidney disease, stomach problems such as difficulty digesting food, or history of diabetic retinopathy.
- Tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking this medicine, call your doctor.
How should I use Mounjaro?
Mounjaro comes as a solution (liquid) in a pre-filled pen to be injected subcutaneously (under the skin). It is usually given once a week with or without meals at any time of day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use this medicine exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
Your doctor will probably start you on a low dose and gradually increase your dose, not more than once every 4 weeks.
You may change the day of the week you inject this medicine as long as at least 3 days have passed between doses.
You may administer insulin in the same area as Mounjaro but they should not be given right next to each other. Also, you should not mix Mounjaro and insulin in the same injection.
Mounjaro controls type 2 diabetes but does not cure it. It may take 4 weeks or longer before you feel the full benefit of this medicine. Continue to take this medicine even if you feel well. Do not stop taking this medicine without talking to your doctor.
Mounjaro can be injected in the abdomen, thigh or upper arm. Rotate injection sites with each dose.
What should I do if I miss a dose?
Take the missed dose as soon as you remember it within 4 days after the missed dose. However, if more than 4 days have passed, skip the missed dose and continue your regular dosing schedule. Do not inject two doses within 3 days of each other.
What are the side effects of Mounjaro?
Mounjaro may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
- nausea
- diarrhea
- decreased appetite
- vomiting
- constipation
- upset stomach
Some side effects can be serious. If you experience any of these symptoms or those listed in the Important Information section, stop taking this medicine and call your doctor immediately:
- stomach pain that will not go away (and may radiate to the back) with or without vomiting
Mounjaro may causehypoglycemia(low blood sugar). Signs and symptoms of low blood sugar may include dizziness or lightheadedness, blurred vision, anxiety, irritability or mood changes, sweating, slurred speech, hunger, confusion or drowsiness, shakiness, weakness, headache, fast heart rate and feeling jittery.This medicine may cause other side effects. Call your doctor if you have any unusual problems while taking this medication. If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online or by phone (1-800-332-1088).
Interactions
Tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
Birth control pillsmay not work as well while receiving this medicine. Your doctor may suggest you use another form ofbirth controlfor 4 weeks after starting Mounjaro and for 4 weeks after each dose change.
Taking Mounjaro with other medicines to treat diabetes like insulin or sulfonylureas may increase your risk of hypoglycemia. Talk to your doctor and pharmacist about low blood sugar and how to manage it.
This list is not complete. Many other drugs may interact with Mounjaro, including prescription and over-the-counter medicines, vitamins, and herbal products. To check for interactions with this medicine click the link below.
Storage
Mounjaro should be stored in the refrigerator between 36°F to 46°F (2°C to 8°C). Keep it in the original carton until use to protect from light. Single-dose pens can be stored at room temperature for 21 days, if needed. Store your medication only as directed. Make sure you understand how to store your medication properly.
What are the ingredients in Mounjaro?
Active ingredient: tirzepatide
Inactive ingredients: sodium chloride, sodium phosphate dibasic heptahydrate, and water for injection. Hydrochloric acid solution and/or sodium hydroxide solution may have been added to adjust the pH.
