Understanding the Side Effects
Like all prescription medicines, Mounjaro can cause side effects. Many people tolerate the treatment reasonably well, and for most, side effects tend to be mild to moderate and improve as the body adjusts over time. That said, being informed about both common and serious reactions is important so you know what is normal and when to seek medical help.
Common Side Effects
The most commonly reported side effects involve the digestive system. These usually appear when starting Mounjaro or when the dose is increased, and they often lessen after the first few weeks of treatment.
- Nausea: This is the most frequent complaint and may be more noticeable after meals.
- Diarrhoea: Loose or more frequent stools can occur as digestion slows and changes.
- Reduced appetite: Many people notice they feel full more quickly, which contributes to weight loss.
- Vomiting: This is less common than nausea but may occur, especially if meals are large or rich.
- Constipation: Slower digestion can sometimes lead to difficulty passing stools.
- Indigestion or stomach pain: This may include bloating, discomfort, or mild cramping.
Tip: To reduce digestive discomfort, doctors often advise eating smaller portions, chewing food slowly, and avoiding very fatty, fried, or spicy foods. Staying well hydrated can also help ease constipation and nausea.
Serious Side Effects
Serious side effects are rare, but they can occur. It is important to recognise warning signs and seek medical attention promptly if they develop.
- Pancreatitis: This is inflammation of the pancreas. Symptoms include severe, persistent pain in the upper abdomen that may spread to the back, often accompanied by nausea or vomiting.
- Low blood sugar (hypoglycaemia): Mounjaro alone has a low risk of causing hypoglycaemia. However, the risk increases if it is taken alongside insulin or sulfonylureas. Symptoms may include sweating, dizziness, confusion, shakiness, blurred vision, or fainting.
- Allergic reactions: Rarely, serious allergic reactions can occur. Warning signs include swelling of the face, lips, tongue, or throat, hives, or difficulty breathing. This requires urgent medical care.
- Kidney problems: Severe or prolonged vomiting and diarrhoea can lead to dehydration, which may strain the kidneys or worsen existing kidney disease.
- Gallbladder problems: Rapid weight loss can increase the risk of gallstones. Symptoms may include pain in the upper right abdomen, fever, nausea, or yellowing of the skin or eyes.
The FDA Boxed Warning
Mounjaro carries a boxed warning, the strongest warning issued by the U.S. Food and Drug Administration. In animal studies involving rats, tirzepatide was associated with thyroid C-cell tumours. It is not yet known whether this risk applies to humans.
Who should not take Mounjaro?
You should not use this medication if you have a personal or family history of Medullary Thyroid Carcinoma, or if you have Multiple Endocrine Neoplasia syndrome type 2. Your doctor will review your medical history carefully before prescribing Mounjaro to ensure it is safe for you.