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GLP-1 Decoder

Tirzepatide Headaches: Why, How Long They Last, What Helps

The tirzepatide labels do not list headache as a side effect. What people mean by it: pain in the head.

In the label
Not listed
Most common in the label
Nausea 18%

Zepbound facts at a glance

Time it remains in your body
100%50%25%0%05.5 d11 d16.5 d22 d27.5 d50%25%12.5%time after the dose

Its half-life is 5 to 6 days. After 5.5 d, half is gone, and about 3% remains after five half-lives (27.5 d).

Body weight lost in its main trial
SURMOUNT-1: 5 mg weekly15%SURMOUNT-1: 10 mg weekly19.5%SURMOUNT-1: 15 mg weekly20.9%Placebo3.1%

In SURMOUNT-1 over 72 weeks, 20.9% of body weight was reported, compared with 3.1% on placebo.

Costs over time
202420252026$1,086.37$0List priceSelf-pay

In US dollars, the monthly price points are the list price and self-pay offers, each taken from the maker's price page.

Sources: FDA label (DailyMed), Eli Lilly 1 2, cnbc.com.

What the Mounjaro label lists instead

Headache does not appear on the Mounjaro label. The label reports these five side effects more often than any others.

Adverse Reactions in Pool of Placebo-Controlled Trials Reported in 5% or more of MOUNJARO-treated Adult Patients with Type 2 Diabetes Mellitus (Table 1)
Side effectPlaceboMounjaro 5 mgMounjaro 10 mgMounjaro 15 mgMore than placebo, 15 mg
Nausea4%12%15%18%+14 points
Diarrhea9%12%13%17%+8 points
Decreased Appetite1%5%10%11%+10 points
Vomiting2%5%5%9%+7 points
Dyspepsia3%8%8%5%+2 points

Source: Mounjaro label (DailyMed).

Headache: Tirzepatide Compared With Other GLP-1s

Each label describes its own trials, which included different groups of people. Think of it as a rough guide.

You will also see Foundayo in the table of pill forms.

Headache across GLP-1 labels
MedicineHighest rate in the labelDose groupPlaceboPeople in the trials
Wegovy14%2.4 mg10%Adults with obesity or overweight (weight management)
Saxenda13.6%all doses12.6%Adults with obesity or overweight (weight management)
Victoza11%1.2 mg7%Adults with type 2 diabetes
Foundayo9%9 mg7%Adults with obesity or overweight (weight management)
Byetta9%all doses6%Adults with type 2 diabetes
OzempicNot listed–––
RybelsusNot listed–––
MounjaroNot listed–––
ZepboundNot listed–––
TrulicityNot listed–––

Sources: Wegovy label (DailyMed), Foundayo label (DailyMed), Saxenda label (DailyMed), Victoza label (DailyMed), Byetta label (DailyMed).

Source: FDA label (DailyMed).