Mounjaro KwikPen

NOTICE: This Consumer Medicine Information (CMI) is intended for persons living in Australia.

Consumer Medicine Information (CMI) summary

The full CMI on the next page has more details. If you are worried about using this medicine, speak to your doctor or pharmacist.
This medicine is new or being used differently. Please report side effects. See the full CMI for further details.

1. Why am I using MOUNJARO KwikPen?

MOUNJARO KwikPen contains the active ingredient tirzepatide. In adults with type 2 diabetes, MOUNJARO KwikPen is used to improve blood sugar control. In adults who are overweight or have obesity, MOUNJARO is used for weight management. For more information, see Section 1. Why am I using MOUNJARO KwikPen? in the full CMI.

2. What should I know before I use MOUNJARO KwikPen?

Do not use if you have ever had an allergic reaction to tirzepatide or any of the ingredients listed at the end of the CMI.
Talk to your doctor if you have any other medical conditions, take any other medicines, or are pregnant or plan to become pregnant or are breastfeeding. For more information, see Section 2. What should I know before I use MOUNJARO KwikPen? in the full CMI.

3. What if I am taking other medicines?

Some medicines may interfere with MOUNJARO KwikPen and affect how it works. A list of these medicines is in Section 3. What if I am taking other medicines? in the full CMI.

4. How do I use MOUNJARO KwikPen?

MOUNJARO KwikPen is supplied as a multiple-dose (4 doses), pre-filled Pen that is used once a week, on the same day each week if you can.
When you first start using MOUNJARO KwikPen, the starting dose is 2.5 mg once a week for 4 weeks. After 4 weeks your dose will be increased to 5 mg once a week.
Your doctor may choose to increase your dose by 2.5 mg every 4 weeks to achieve a dose of 7.5 mg, 10 mg, 12.5 mg or 15 mg once a week if needed. The maximum dose is 15 mg once weekly.
More instructions can be found in Section 4. How do I use MOUNJARO KwikPen? in the full CMI.

5. What should I know while using MOUNJARO KwikPen?

Things you should do
Remind any doctor, surgeon, anaesthetist, pharmacist, or nurse you visit that you are using MOUNJARO KwikPen.
If you have diabetes, always carry glucose or sugary foods with you. Tell your doctor if you experience low blood sugar, called hypoglycaemia and this occurs often.
Things you should not do
Do not stop using this medicine suddenly and without consulting your Doctor/Healthcare provider.
Do not use this medicine if you think it has been frozen or exposed to excessive heat.
Driving or using machines
Be careful before you drive or use machines or tools until you know how MOUNJARO affects you.
Hypoglycaemia (low blood sugar) may affect your ability to concentrate.
Drinking alcohol
Tell your doctor if you drink alcohol. Alcohol may mask the symptoms of hypoglycaemia (low blood sugar) or make it worse.
Looking after your medicine
Store MOUNJARO KwikPen in a refrigerator (2°C - 8°C). Do not freeze.
Keep MOUNJARO KwikPen in the original package in order to protect from light until ready to use.
For more information, see Section 5. What should I know while using MOUNJARO KwikPen? in the full CMI.

6. Are there any side effects?

The most common side effects are nausea, diarrhoea, vomiting and constipation. These side effects are usually not severe. Serious side effects which may require urgent medical attention may include inflamed pancreas (acute pancreatitis - sudden severe pain in the stomach and back), gallbladder complaints and allergic reactions. For more information, including what to do if you have any side effects, see Section  6. Are there any side effects?  in the full CMI.
This medicine is subject to additional monitoring due to approval of an extension of indications. This will allow quick identification of new safety information. You can help by reporting any side effects you may get. You can report side effects to your doctor, or directly at www.tga.gov.au/reporting-problems .
Active ingredient: tirzepatide

Consumer Medicine Information (CMI)

This leaflet provides important information about using MOUNJARO KwikPen. You should also speak to your doctor, pharmacist, or nurse if you would like further information or if you have any concerns or questions about using MOUNJARO KwikPen.
Where to find information in this leaflet:

1. Why am I using MOUNJARO KwikPen?

MOUNJARO KwikPen contains the active ingredient tirzepatide. MOUNJARO KwikPen is a type of medicine called 'GIP and GLP-1 receptor agonists'. In adults, this medicine is used to help treat diabetes. In adults who are overweight or have obesity, this medicine is used to reduce weight or maintain weight loss.
Type 2 Diabetes
Diabetes mellitus is a condition in which your pancreas does not produce enough insulin to control your blood sugar (glucose) level.
In adults with type 2 diabetes, MOUNJARO KwikPen is used to improve blood sugar control.
MOUNJARO KwikPen may be used alone or in combination with other diabetes medicines to control your blood sugar levels.
Weight Management
In adults who are overweight or have obesity, MOUNJARO KwikPen is used for weight management, including weight loss and weight maintenance.

2. What should I know before I use MOUNJARO KwikPen?

Warnings

Do not use MOUNJARO KwikPen if:

you are allergic to tirzepatide, or any of the ingredients listed at the end of this leaflet.
Always check the ingredients to make sure you can use this medicine.

Children and adolescents

This medicine should not be given to children and adolescents under 18 years of age because it has not been studied in this age group.

Check with your doctor if you:

have any other medical conditions such as:
gastrointestinal disease, including severe gastroparesis (also called delayed gastric emptying), a condition affecting your digestive system. Your doctor may need to monitor your condition more closely and in some cases your doctor may need to change your dose or stop MOUNJARO KwikPen if symptoms are severe.
malnutrition (your body does not get enough of the right nutrients to meet your body’s needs).
inflammation of the pancreas (pancreatitis) - an inflamed pancreas causing severe stomach and back pain which does not go away. MOUNJARO KwikPen may cause inflammation of the pancreas.
problems with your eyes (diabetic retinopathy). Your doctor may need to monitor your condition more closely while you are using MOUNJARO KwikPen.
thoughts of suicide or death.
congestive heart failure.
kidney impairment (kidneys are not working as well as they should).
liver impairment (liver does not work as well as it should).
are taking other medicines to treat type 2 diabetes (such as a sulfonylurea or insulin) as this may cause your blood sugar to be too low (hypoglycaemia). Your doctor may tell you to test your blood sugar to decide if any of the medicine/s or doses need to be changed.
take any medicines for any other condition.
have had an allergic reaction to any medicine which you have used previously to treat type 2 diabetes.
During treatment, you may be at risk of developing certain side effects. It is important you understand these risks and how to monitor for them. See additional information under Section 6. Are there any side effects?

Pregnancy and breastfeeding

Check with your doctor if you are pregnant or intend to become pregnant.
Do not use MOUNJARO KwikPen if you are pregnant as the effects of this medicine during pregnancy have not been studied.
If you could become pregnant while using MOUNJARO KwikPen, it is recommended to use contraception.
It is unknown if the active ingredient, tirzepatide passes into breast milk. Talk to your doctor if you are breastfeeding or intend to breastfeed.

Dehydration

When starting treatment with MOUNJARO KwikPen, you may experience dehydration due to vomiting or diarrhoea.
Dehydration can lead to kidney problems. It is important to avoid dehydration by drinking plenty of fluids.
Symptoms of dehydration include dry mouth, decreased frequency of urination, dark urine, headache, muscle weakness, or dizziness. Check with your doctor if you have any questions or concerns.

3. What if I am taking other medicines?

Tell your doctor or pharmacist if you are taking any other medicines, including any medicines, vitamins or supplements that you buy without a prescription from your pharmacy, supermarket, or health food shop.
Some medicines may interfere with MOUNJARO KwikPen and affect how it works.
When MOUNJARO KwikPen is used with a medicine that contains sulfonylurea or insulin, hypoglycaemia can occur. The dose of your sulfonylurea or insulin may need to be reduced.
Some medicines may be affected by MOUNJARO KwikPen and affect how they work.
MOUNJARO KwikPen delays stomach (gastric) emptying. If you take any medicines via mouth (orally), such as slow-release medicines, medicines with quick absorption from the stomach, medicines that have a narrow therapeutic index (e.g., warfarin, digoxin), or an oral contraceptive ('the pill'), MOUNJARO KwikPen may affect how well these medicines work. Check with your doctor or pharmacist if you are not sure.
Check with your doctor or pharmacist if you are not sure about what medicines, vitamins or supplements you are taking and if these affect MOUNJARO KwikPen.

4. How do I use MOUNJARO KwikPen?

How much to use

When you first start using MOUNJARO KwikPen, the starting dose is 2.5 mg once a week for 4 weeks. After 4 weeks your doctor will increase your dose to 5 mg once a week.
Your doctor may increase your dose by 2.5 mg every 4 weeks to achieve a dose of 7.5 mg, 10 mg, 12.5 mg or 15 mg once a week if needed. The maximum dose is 15 mg once weekly.
Follow the instructions provided and use MOUNJARO KwikPen until your doctor tells you to stop. Do not change your dose unless your doctor has told you to do so. If you stop using it, your blood sugar levels may increase.

When to use MOUNJARO KwikPen

MOUNJARO KwikPen should be used once a week, on the same day each week if you can.
You can inject MOUNJARO KwikPen at any time of the day, with or without meals.
To help you remember, you may wish to tick the day of the week when you take your first dose of MOUNJARO KwikPen on the calendar found at the end of the Instructions for Use leaflet.
If necessary, you can change the day of your usual weekly injection of MOUNJARO KwikPen as long as it has been at least 3 days since your last injection of MOUNJARO KwikPen. Speak to your doctor, pharmacist or nurse if you are unsure.

How to use MOUNJARO KwikPen

Read the Instructions for Use leaflet contained in the carton carefully before using MOUNJARO KwikPen.
Follow all directions given to you by your doctor, nurse, or pharmacist carefully. They may differ from the information contained in this leaflet. If you do not understand these instructions, ask your doctor, nurse, or pharmacist for help.
Inspect the pre-filled Pen carefully before using. MOUNJARO KwikPen should be clear and colourless to slightly yellow.
Check the name and coloured label of your Pen to make sure it is the correct medicine 'MOUNJARO KwikPen' and is the correct strength prescribed for you.
To avoid underdosing (injecting too little of the medicine), ensure the dose knob on the MOUNJARO KwikPen is turned until it stops at the ‘1’ icon (see step-by-step instructions in the Instructions for Use leaflet in the carton).
Inject MOUNJARO KwikPen under the skin (subcutaneous) of your stomach (abdomen) or upper leg (thigh). MOUNJARO KwikPen must not be injected into a vein or muscle.
When injecting, it is important to change the injection site to different areas of the body, to help reduce potential pain and irritation. If you want to do so, you can inject the same area of your body each week. But be sure to choose a different injection site within that area.

If you forget to use MOUNJARO KwikPen

MOUNJARO KwikPen should be used regularly each week on the same day each week.
If you miss or forget your dose, it should be administered as soon as possible.
If there are fewer than 3 days until your next dose, then skip the missed dose. Inject the next MOUNJARO KwikPen dose as usual on your regular day.
Do not take a double dose to make up for a forgotten dose.

If you use too much MOUNJARO KwikPen

If you think that you have used too much MOUNJARO KwikPen, seek urgent medical attention.
You should immediately:
phone the Poisons Information Centre (by calling 13 11 26), or
contact your doctor, or
go to the Emergency Department at your nearest hospital.
You should do this even if there are no signs of discomfort or poisoning.

5. What should I know while using MOUNJARO KwikPen?

Things you should do

Remind any doctor, surgeon, anaesthetist, pharmacist or nurse you visit that you are using MOUNJARO KwikPen.
Tell your doctor, pharmacist, or nurse if you are planning to travel overseas. You may not be able to get MOUNJARO KwikPen in the country you are visiting, and you may need to carry a letter explaining why you are taking injecting devices with you. Your doctor, pharmacist or nurse can provide you with some helpful information.
If you have diabetes:
Make sure all your family, relatives, friends, workmates, or carers know that you have diabetes and can recognise the symptoms of hypoglycaemia (low blood sugar).
Let your doctor know if you start taking/using another medicine to treat type 2 diabetes. This could affect your blood sugar levels. Your doctor may want you to monitor your blood sugar levels more often.
Always carry something to show you have diabetes.
Always carry glucose or sugary foods with you.
Let your doctor know if you plan to have any surgery or need general anaesthesia for any reason.

Call your doctor straight away if you:

Experience severe low blood sugar, called hypoglycaemia, and this worries you.

Things you should not do

Do not stop using this medicine suddenly and without consulting your Doctor/Healthcare provider.
Do not use this medicine if you think it has been frozen or exposed to excessive heat, or if it is cloudy or contains particles. Appropriately discard and use a new Pen for your injection.
Do not use this medicine if the packaging is torn or shows signs of tampering.
Do not give your MOUNJARO KwikPen to anyone else, even if they have the same condition as you. Your doctor has prescribed MOUNJARO KwikPen only for you.

Hypoglycaemia (low blood sugar) in patients with diabetes

It is important you know and can recognise the symptoms of hypoglycaemia.
Symptoms of mild to moderate hypoglycaemia can include:
sweating
hunger, headache
tremor, unsteady movement
light-headedness
drowsiness, dizziness
depressive mood, anxiety
irritability, personality change
abnormal behaviour
inability to concentrate
sleep disturbance
blurred vision
increased heart rate or irregular heartbeat
tingling in the hands/feet/lips or tongue
slurred speech
Tell your doctor, pharmacist or nurse if you have trouble recognising the symptoms of hypoglycaemia.
Recognising these mild to moderate hypoglycaemic symptoms early may allow you to take the necessary steps to avoid more serious hypoglycaemia.
Symptoms of severe hypoglycaemia can include:
disorientation
seizures
unconsciousness
If you experience symptoms of hypoglycaemia, eat some sugary food or drink, such as jellybeans, orange juice or glucose tablets.

Driving or using machines

Be careful before you drive or use any machines or tools until you know how MOUNJARO KwikPen affects you.
Hypoglycaemia (low blood sugar) may affect your ability to concentrate. Avoid driving or using machines if you get any signs of hypoglycaemia.

Drinking alcohol

Tell your doctor if you drink alcohol.
Alcohol may mask the symptoms of hypoglycaemia (low blood sugar) or make it worse.

Looking after your medicine

Store MOUNJARO KwikPen in a refrigerator (2°C - 8°C).
When refrigeration is not possible, you can keep your Pen at room temperature (below 30°C) for up to a total of 30 days.
Do not allow the KwikPen to freeze. DO NOT use if it has been frozen.
MOUNJARO KwikPen contains glass parts. Handle it carefully. If you drop your MOUNJARO KwikPen on a hard surface, DO NOT use it. Appropriately discard it and use a new Pen for your injection.
Keep MOUNJARO KwikPen in the original package in order to protect from light.
Never use MOUNJARO KwikPen after the expiry date (month, year) stamped or printed on the carton, or on the Pen label.
Follow the Instructions for Use leaflet in the carton on how to take care of your medicine properly.
Keep it where young children cannot reach it.

When to discard your medicine

If your doctor tells you to stop taking MOUNJARO KwikPen, or
If the expiry date on the carton or KwikPen has passed.
Empty KwikPens should be disposed of in a yellow plastic sharps container or similar puncture proof container composed of hard plastic or glass. Ask your doctor, pharmacist, or nurse for further information.

Getting rid of any unwanted medicine

If you no longer need to use this medicine or it is out of date, take it to any pharmacy for safe disposal.

6. Are there any side effects?

All medicines can have side effects. If you do experience any side effects, most of them are minor and temporary. However, some side effects may need medical attention.
See the information below and, if you need to, ask your doctor, pharmacist, or nurse if you have any further questions about side effects.

Less serious side effects

Less serious side effects
What to do
Stomach related:
feeling sick (nausea)
diarrhoea (also refer to Serious Side Effects)
vomiting - this usually goes away over time (also refer to Serious Side Effects)
abdominal (stomach) pain (also refer to Serious Side Effects)
heartburn (typically a burning sensation that begins just below the breastbone and moves up towards the throat)
indigestion (dyspepsia) - discomfort in the upper stomach
swelling or bloating of the stomach which may be painful (abdominal distension)
constipation
burping or belching
farting (flatulence)
bloating and/or difficulty passing wind (farting)
feeling less hungry (decreased appetite)
General disorders and injection site related:
general feeling of tiredness
injection site reaction such as: redness, swelling or itching at the injection site.
Hypoglycaemia (low blood sugar):
When MOUNJARO KwikPen is used to treat diabetes together with:
a sulfonylurea (such as gliclazide, glibenclamide, glipizide) or insulin,
metformin and an SGLT-2i (such as metformin and dapagliflozin, or metformin and empagliflozin, or metformin and ertugliflozin)
Refer to Section 5 for signs and symptoms of hypoglycaemia.
Other effects:
dizziness
dehydration
When initiating treatment with MOUNJARO KwikPen, you may in some cases experience dehydration as a result of vomiting, nausea or diarrhoea. It is important to avoid dehydration by drinking plenty of fluids.
hair loss
Low blood pressure (hypotension)
changes to how foods or drinks taste
changes to sensation or unusual feelings of the skin
Speak to your doctor if you have any of these less serious side effects and they worry you.

Serious side effects

Serious side effects
What to do
Acute pancreatitis:
Symptoms of Inflamed pancreas (acute pancreatitis) may include:
severe pain in the stomach and back which does not go away; and
vomiting and/or diarrhoea
Allergic reactions:
Symptoms of an allergic reaction may include:
rashes
itching and rapid swelling of the tissues of the neck, face, mouth and/or throat
hives (urticaria)
problems breathing or swallowing
Gallbladder complaints:
Gallstones or an inflamed gallbladder (symptoms may include sudden, severe pain in your upper stomach (abdomen), fever, yellowing of skin or eyes (jaundice), clay-coloured stools)
Call your doctor straight away or go straight to the Emergency Department at your nearest hospital if you notice any of these serious side effects.
Slowing down or blockage of intestinal function:
Causing symptoms that may include:
severe pain in the stomach/abdomen
bloating and/or difficulty passing wind (farting)
feeling sick (nausea), vomiting and/or diarrhoea
constipation/bowel urges with no resulting movement
Tell your doctor as soon as possible.
Tell your doctor, pharmacist or nurse if you notice anything else that may be making you feel unwell.
Other side effects not listed here may occur in some people.

Reporting side effects

After you have received medical advice for any side effects you experience, you can report side effects to the Therapeutic Goods Administration online at www.tga.gov.au/reporting-problems . By reporting side effects, you can help provide more information on the safety of this medicine.
Always make sure you speak to your doctor or pharmacist before you decide to stop taking any of your medicines.

7. Product details

This medicine is only available with a doctor's prescription.

What MOUNJARO KwikPen contains

Active ingredient
(main ingredient)
tirzepatide
Other ingredients
(inactive ingredients)
dibasic sodium phosphate heptahydrate
benzyl alcohol
glycerol
phenol
sodium chloride
hydrochloric acid
sodium hydroxide
water for injections
Potential allergens
none
Do not take this medicine if you are allergic to any of these ingredients.

What MOUNJARO KwikPen looks like

MOUNJARO KwikPen is a clear, colourless to slightly yellow solution available as a multiple-dose (4 doses), pre-filled Pen.
No needles are included in the pack.
MOUNJARO KwikPen is available in the following strengths:
Quantity per dose
(dose volume = 0.6 mL)
Quantity expressed per 1 mL
AUST R number
2.5 mg/dose
4.17 mg/mL
439430
5 mg/dose
8.33 mg/mL
439690
7.5 mg/dose
12.5 mg/mL
439691
10 mg/dose
16.67 mg/mL
439692
12.5 mg/dose
20.83 mg/mL
439693
15 mg/dose
25 mg/mL
439694

Who distributes MOUNJARO KwikPen

Australia:
Eli Lilly Australia Pty Ltd
Level 9, 60 Margaret Street
Sydney NSW 2000

Further Information

If you have any questions about MOUNJARO KwikPen, contact Lilly at 1800 454 559 or your healthcare professional for assistance.
To check for CMI updates and obtain the latest version, visit www.ebs.tga.gov.au 
® = Registered Trademark
This leaflet was prepared in September 2024.
(vA3.0)

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