
Getting started
Your prescriber sets a starting dose and plan for you. The early days focus on settling in.
Free BMI thresholds shown are illustrative. Final eligibility is confirmed by a UK prescriber during your free consultation.
Three of the most common UK weight-loss treatments at a glance. Your prescriber confirms which is suitable for you during your consultation.
Tirzepatide · Weekly injection
Semaglutide · Weekly injection
Oral Semaglutide · Daily tablet
Mounjaro® is a once-weekly injection containing tirzepatide. If prescribed, it can be taken on the same day each week alongside healthy eating and increased physical activity.
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Average body weight reduction observed in a 72-week clinical trial of adults with obesity or overweight and at least one weight-related condition.*
*Clinical trial results are averages from specific study populations. Individual outcomes may vary and treatment should always be used as prescribed.
Mounjaro® injection is a Prescription Only Medicine (POM) containing tirzepatide. It is a once-weekly prescription treatment used to help eligible adults manage weight alongside a reduced-calorie diet and increased physical activity, and it is also prescribed for the treatment of type 2 diabetes. For UK adults living with obesity or overweight who want a clinically prescribed, medically supervised weight-management option, this guide explains what Mounjaro is, how it works, who may be eligible, what results have been seen in clinical trials, how it is taken, and the key safety points to understand before starting treatment.
Tirzepatide works with the body's natural hormone systems involved in appetite, food intake and blood sugar regulation. Alongside helping some people feel fuller for longer and reducing hunger, this effect may also support blood sugar control and help lower metabolic risks, which can make long-term lifestyle changes easier to maintain under professional supervision.
However, responses vary from person to person and treatment outcomes vary.
Before you can be prescribed Mounjaro, a qualified healthcare professional will review your medical history, current health, body mass index (BMI), any existing medical conditions, and the medicines you are taking. This article also covers dosage and administration, possible side effects, lifestyle recommendations, and why an online clinical consultation is important to make sure treatment is appropriate and safe for you.
But not everyone can take Mounjaro and that's why it is not available over the counter. A clinical assessment is always required before treatment can commence.
The Medicines and Healthcare products Regulatory Agency (MHRA) authorised Mounjaro for weight management in eligible adults in the UK in 2023. You can read more about the approval here.
Managing your weight can be challenging for many people. Changes in appetite and feelings of fullness can make it more difficult for some people to maintain a reduced-calorie eating plan over time.
Mounjaro, when prescribed appropriately, can help eligible adults to support a wider weight management programme:
Mounjaro is designed to support your weight loss journey, not replace healthy habits. It should be used with a balanced diet, regular exercise, and advice from your healthcare professional.
Mounjaro contains tirzepatide, which works by activating GLP-1 and GIP, two naturally occurring hormone receptors in the body:
These hormones are released after eating and play a role in regulating appetite, digestion, feelings of fullness and blood sugar.
By acting on both hormone pathways, Mounjaro may help:
GIP is involved in regulating energy balance and metabolism, although its effects may vary between individuals.
Because every person's body responds differently, the effects of treatment can vary. Some people notice changes sooner than others, while some may require dose adjustments under medical supervision. Using Mounjaro as prescribed is important to support treatment goals.
Treatment should always be used alongside healthy eating, regular physical activity and ongoing clinical support where appropriate.
| Feature | Mounjaro® Injection | Wegovy® Injection | Wegovy® Pill |
|---|---|---|---|
| Active ingredient | Tirzepatide | Semaglutide | Oral semaglutide |
| How it's taken | Once-weekly injection | Once-weekly injection | Once-daily tablet |
| Medicine type | Dual GIP & GLP-1 receptor agonist | GLP-1 receptor agonist | GLP-1 receptor agonist |
| Clinical trial weight reduction* | Up to 20.9% over 72 weeks | Up to 20.7% over 72 weeks | Up to 16.6% over 64 weeks |
| Eligibility | Assessed during consultation | Assessed during consultation | Assessed during consultation |
| Typical maintenance dose | Up to 15 mg weekly | Up to 7.2 mg weekly | Up to 25 mg daily |
| Common side effects | Nausea, diarrhoea, constipation, vomiting | Nausea, diarrhoea, constipation, vomiting | Nausea, diarrhoea, constipation, vomiting |
| Taken with food? | Any time of day | Any time of day | Empty stomach, at least 30 minutes before food or drink |
| Prescription required | Yes | Yes | Yes |
Do not switch to Mounjaro® if you are currently using another prescription weight management injection, such as semaglutide, unless directed by a healthcare professional.
The medicines may be used for similar purposes but they have different active ingredients and act in different ways. The dose of one medicine cannot be directly compared to that of another. Changing treatment requires careful clinical assessment.
During your online consultation, your prescriber will ask you about:
From this information, they will determine if Mounjaro may be appropriate and, if so, the most appropriate starting dose.
Do not stop your current treatment or change medicines without speaking to a healthcare professional first.
Mounjaro® is a once-weekly injection and should always be used exactly as directed by your healthcare professional.
Your prescriber will determine the right dosing schedule for you. Treatment is usually started at a low dose and may be increased gradually, if appropriate. This gradual process allows your body to get used to the medication and may reduce the risk of gastrointestinal side effects.
To help you get the most from your treatment:
Mounjaro is given as an injection under the skin (subcutaneous). Common options for the injection site are:
It's best to change injection sites regularly to help reduce skin irritation.
If you forget to take a dose, follow the advice given in the Patient Information Leaflet or the advice given by your healthcare professional. A missed dose should usually be taken within 96 hours, following the Patient Information Leaflet or your prescriber's advice.
Don't take extra doses or inject more than your doctor ordered to make up for a missed dose.
If you are not sure what to do, contact your prescriber or pharmacist, or speak to your doctor, before you take your next injection.
To help maintain the quality of the medicine:
Always check the expiry date before use.
Used needles should be placed in an approved sharps container.
Never dispose of loose needles in household waste and never share your injection pen with another person, even if the needle has been changed.
For complete prescribing information, including storage, dosing and administration guidance, refer to the Mounjaro Summary of Product Characteristics (SmPC).
Mounjaro is designed to help you manage your weight. But it's not a substitute for good lifestyle habits.
Treatment is intended to be used alongside a reduced-calorie diet and regular physical activity.
Sustainable lifestyle changes may help support long-term healthy habits.
Some simple ways to support your weight management plan include:
Focus on meals that include:
Eating regular meals and paying attention to portion sizes may also help you stay on track.
Physical activity doesn't need to be intense to make a difference.
Activities such as:
can all form part of a healthy routine. Choose activities you enjoy and can maintain over time.
Poor sleep may affect appetite, food choices and energy levels. Aim for a regular sleep routine whenever possible.
Staying hydrated is important during treatment, particularly if you experience vomiting or diarrhoea.
Your prescriber may recommend follow-up appointments to monitor your progress, discuss any side effects and review whether treatment remains appropriate.
Remember, everyone's journey is different. Lifestyle changes and medicine work together, and progress can vary from person to person.
The NHS also recommends that weight management medicines are used as part of a wider programme that includes healthy eating, physical activity and behavioural support where appropriate.
Mounjaro® is a Prescription Only Medicine (POM) and must be prescribed by a suitably qualified healthcare professional.
An online consultation is a way of ensuring treatment is prescribed safely and only when clinically appropriate.
Your assessment will include answering questions about your:
In the UK, a qualified prescriber will go over your answers and determine if Mounjaro is right for you.
You may be contacted for more information before a prescribing decision is made.
Weight management medicines are not suitable for everyone.
Some medical conditions, medicines or personal circumstances may affect whether Mounjaro can be prescribed safely.
A clinical assessment helps ensure that:
If Mounjaro is not considered suitable, your prescriber may discuss alternative approaches to weight management that better match your clinical needs.
Starting treatment is only one part of your weight management journey, and your clinical team may review progress and support treatment over time.
Depending on your provider, ongoing clinical support may include:
Regular reviews allow your healthcare professional to monitor your response to treatment and answer any questions you may have throughout your weight loss journey.
Mounjaro® is prescribed to eligible adults to help manage their weight. However, as with all prescription medicines, it may not be suitable for everyone.
Before Mounjaro is prescribed, a healthcare provider will review your health history and current medications to determine if treatment is appropriate for you.
Your online consultation is an important part of this process and helps to ensure the safe use of the medicine.
Mounjaro may be considered for adults who meet the licensed prescribing criteria in the UK. This generally includes adults living with:
Examples of weight-related conditions may include:
Your prescriber will also consider factors such as your ethnic background, overall health and medical history when assessing eligibility, as BMI thresholds may vary for some populations.
Meeting the BMI criteria alone does not automatically mean Mounjaro is suitable. Every prescription is based on an individual clinical assessment.
There are situations where Mounjaro may not be recommended or where extra care is needed before treatment can begin.
You should tell your healthcare professional if you:
Your healthcare professional may recommend a different treatment if they believe another option would be more appropriate.
Always provide accurate information during your consultation so the safest prescribing decision can be made.
When prescribed appropriately and used alongside healthy lifestyle changes, Mounjaro may support weight management in several ways.
The medicine works by helping to regulate appetite and feelings of fullness, which may make it easier for some people to follow a reduced-calorie eating plan.
Potential benefits may include:
Many people taking Mounjaro injection report feeling less hungry between meals. Reduced appetite may make it easier to manage food intake, although experiences vary.
Mounjaro injections act on natural hormones involved in appetite regulation. Some people may notice they feel satisfied after eating smaller portions.
Healthy habits such as balanced eating and regular physical activity remain essential.
For some people, treatment may help support these lifestyle changes by making it easier to maintain healthier routines.
Unlike medicines that require daily dosing, Mounjaro is taken once a week. Many people find that a consistent weekly schedule is easier to fit into their routine.
Because treatment is prescribed and monitored by a healthcare professional, your progress, side effects and ongoing suitability can be reviewed throughout your treatment.
It is important to remember that individual responses vary. Some people may experience greater changes than others, while some may decide with their prescriber that another treatment approach is more suitable.
Like all medicines, Mounjaro injections can cause side effects, although not everybody experiences them, and this safety overview covers the side effects of Mounjaro you may need to know about.
Many side effects are mild to moderate and are most common when treatment begins or when the dose is increased. They often improve as your body adjusts to the medicine.
If side effects are persistent, severe or causing concern, speak to your healthcare professional.
Some of the more commonly reported side effects include:
Your prescriber may recommend increasing your dose gradually to help reduce the likelihood of gastrointestinal side effects.
Some people find it helpful to:
These suggestions may not work for everyone, but they can help some people manage common digestive symptoms.
Serious side effects are less common but require prompt medical attention.
Seek urgent medical advice immediately if you experience:
Symptoms may include:
This requires immediate emergency medical attention.
Persistent vomiting or diarrhoea can lead to dehydration, particularly if fluid intake is reduced.
Seek medical advice if you are unable to keep fluids down or develop symptoms such as dizziness, confusion or reduced urination.
Before starting treatment, your healthcare professional will assess whether Mounjaro is appropriate for you.
Be sure to mention if you:
Some medicines may require dose adjustments or closer monitoring while using Mounjaro.
Mounjaro injection is not recommended during pregnancy.
If you become pregnant or are planning a pregnancy, tell your healthcare professional as soon as possible.
It is also not generally recommended while breastfeeding because it is not known whether tirzepatide passes into breast milk.
Mounjaro itself is not expected to affect your ability to drive.
However, if it is used alongside insulin or certain diabetes medicines, low blood sugar (hypoglycaemia) may occur, which can affect concentration and reaction times.
If this applies to you, discuss safe driving with your healthcare professional.
Always use Mounjaro exactly as prescribed.
Do not:
For complete information about contraindications, precautions, interactions and administration instructions, refer to the official Mounjaro Summary of Product Characteristics (SmPC) published by the MHRA.
Some people may be suitable for oral prescription medicines instead of injections. Your prescriber will discuss whether these are appropriate based on your medical history and treatment goals.
For some individuals, structured lifestyle changes may be the most appropriate first step. This may include:
Depending on your circumstances, you may also be eligible for NHS-supported weight management programmes, which can provide a structured weight loss service. These services can include lifestyle support and, for some people, access to prescription medicines where clinically appropriate.
No. Mounjaro is a medicine that you can only get with a prescription in the UK. A doctor or a nurse has to decide if Mounjaro is right for you before you can take it.
You take Mounjaro once a week on the same day every week if you can. Your doctor or nurse will tell you how to give yourself the injection and when to do it.
Mounjaro has an ingredient called tirzepatide. Mounjaro for weight loss works by acting on GLP-1 and GIP pathways to help reduce appetite and support feelings of fullness. If you also make lifestyle changes, Mounjaro might help you manage your weight.
Everyone is different so you might notice changes at different times. Some people feel less hungry straight away, while others might take longer to see changes in their weight. If you're wondering how much weight you may lose, results vary from person to person and depend on your treatment plan. It also depends on how well you stick to your treatment plan.
Yes. You should still eat food and not too much of it. You should also try to be more active. Mounjaro is meant to be used with a diet and exercise to help you manage your weight.
Yes, you can exercise while taking Mounjaro unless your doctor or nurse tells you not to. Regular exercise is actually a good idea because it can support weight loss and help you stay healthy.
If you miss a dose of Mounjaro you should read the instructions that come with your medicine or talk to your doctor or nurse. Do not take a double dose to make up for the one you missed.
Maybe. You should talk to your doctor or nurse about it. They will decide if switching to Mounjaro is right for you and may need to review your current Mounjaro dose or the injection you are switching from before advising on the change.
Alcohol may worsen some side effects, such as nausea, in some people. If you're unsure, speak to your healthcare professional.
No. Mounjaro is not recommended during pregnancy. If you are pregnant, planning a pregnancy or breastfeeding, tell your healthcare professional before starting treatment.
Mounjaro can interact with some medicines, so tell your prescriber about anything you take before starting treatment. They may review your current dose, other prescriptions, over-the-counter medicines, and supplements to check whether Mounjaro is suitable for you.
You should keep your Mounjaro pen in the fridge between 2°C and 8°C. Do not use the pen after it expires.
No. Individual responses vary. Treatment outcomes depend on many factors, including medical history, lifestyle changes, adherence to treatment, individual response to the medicine, and dose level, so average weight loss can differ from person to person.
It depends on you. Your doctor or nurse will check on you regularly to see if you should keep taking Mounjaro. Many people stay on treatment long term with dose reviews, and healthcare providers typically titrate the dose over time to balance effectiveness and side effects. Not everyone needs the maximum dose to benefit, and the maximum maintenance dose is usually 15mg weekly.
You can read the official UK prescribing information in the MHRA Summary of Product Characteristics (SmPC).
If you're thinking about Mounjaro® for weight management, the first step is to complete a private online consultation.
Your answers will be reviewed by a qualified UK healthcare professional who will take into account your medical history, health and eligibility to make a decision about whether Mounjaro Injection or another weight loss medication is clinically appropriate for you.
If prescribed, your medicine will be dispensed by a registered UK pharmacy and you will receive clear guidance on how to use it safely.
Complete your online consultation today to find out whether Mounjaro Injection may be suitable for you.

Your prescriber sets a starting dose and plan for you. The early days focus on settling in.

Cravings ease off, and eating well starts to feel less like a fight.

You'll feel it before the scales show it — more energy, a bit more like yourself.

Some weeks are harder than others. Your care team keeps you on track.

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