Official instructions

Mounjaro Instructions
Mounjaro® KwikPen®

Step-by-step guide for adults: preparation, correct injection, dosing and storage. Once a week, subcutaneously.

💊 Eli Lilly 📅 Once a week 💉 4 doses per pen

What is Mounjaro®?

Mounjaro® is a tirzepatide-based medication from Eli Lilly, available in KwikPen® pre-filled injection pens. Administered subcutaneously once a week.

📅
Once a week
Preferably on the same day each week
💉
4 doses per pen
One month of therapy per pack
👤
For one patient only
Do not share with another person
❄️
2–8°C
Store in the refrigerator

How does Mounjaro® work?

Mounjaro® mimics the action of two gut hormones (GIP and GLP-1) simultaneously, which sets it apart from other drugs in its class.

🍽️ Reduces food intake and feelings of hunger
🩸 Improves insulin secretion when blood sugar is elevated
⚖️ Helps the body respond better to its own insulin
🔄 Regulates glucose metabolism in the liver
⏱️ Slows gastric emptying — reduces peak blood sugar after meals

Dosing schedule

Always start with 2.5 mg — regardless of the goal (weight loss or diabetes). Dose increases should happen no sooner than every 4 weeks.

1
Weeks 1–4
2.5 mg
Body adaptation
2
Weeks 5–8
5 mg
First results
3
As needed
7.5–15 mg
Maintenance dose
⚠️ Maximum dose — 15 mg per week. Dose increases above 5 mg should be done under medical supervision.

Step-by-step instructions

🔧 Preparation
P1
Remove the cap and inspect the pen

Check the product name, dose and expiry date on the label. The solution should be clear, colourless or slightly yellow.

P2
Take a new needle

Wipe the red inner seal with a swab. Always use a new needle for each injection — to prevent infection.

P3
Attach the needle

Press the pen vertically onto the needle and twist until firmly attached.

P4
Remove the needle caps

Remove the outer cap and keep it. Remove the inner cap and discard it.

💨 Air removal
1
Turn the dial to 2 clicks

Slowly turn the dose button until you hear 2 clicks and the air-shot line appears in the window.

2
Hold needle up and press the button

Gently tap the cartridge. Press the button all the way down and count to 5. The symbol ⑩ should appear in the window. A small drop at the tip means the air has been removed successfully.

💉 Injection
I1
Choose the injection site

Three possible zones: abdomen (at least 5 cm from the navel), thigh or upper arm. Rotate injection sites each week.

I2
Turn the dose button

Turn until it stops and the symbol appears in the window.

I3
Inject

Insert the needle into the skin. Press the button all the way and slowly count to 5. The symbol should appear in the window — the full dose has been delivered. Remove the needle.

I4
Dispose of the needle

Replace the outer cap. Unscrew the needle and discard it in a sharps container. Replace the pen cap.

Missed a dose?

✅ Within 4 days
Inject as soon as possible. The next injection follows your regular schedule.
❌ More than 4 days
Skip the missed dose. Resume on your next scheduled day. Never inject a double dose.

Storage

🆕
Before opening
  • Refrigerator 2–8°C
  • Until expiry date
  • Do not freeze
📂
After opening
  • Up to 30°C room temperature
  • No more than 30 days
  • Keep away from light
🗑️
Disposal
  • After the 4th dose or 30 days
  • Needles — in a sharps container
  • Do not dispose of needles in household waste
🚫 Do not use the pen if: the dose does not match the prescription, the expiry date has passed, the product has been frozen or has changed colour.

Side effects

The most common are nausea and diarrhoea — mainly at the start or when increasing the dose. In most patients they resolve on their own.

🍽️ Eat small portions
🥗 Avoid fatty foods
💧 Drink enough water
🌙 Inject in the evening before bed
🚨 Seek medical attention immediately if: severe abdominal pain, persistent vomiting, signs of allergy (rash, swelling), or breathing problems.

Frequently asked questions

Once a week, subcutaneously, on any convenient day. It is best to inject on the same day each week — for example every Friday or Sunday.

If fewer than 4 days have passed — inject as soon as possible. If more than 4 days — skip it and wait for your next scheduled dose. Never inject a double dose.

Before opening: 2–8°C in the refrigerator, do not freeze. After opening: below 30°C, no more than 30 days. Keep away from light and heat.

Three zones: abdomen (at least 5 cm from the navel), thigh or upper arm. Rotate injection sites with each injection.

Only compatible disposable pen needles. Never reuse a needle — it increases the risk of infection and blockage.

Most people feel only minor discomfort. To minimise it: let the pen warm to room temperature for 30 minutes, and insert the needle at a straight angle.

Always 2.5 mg for the first 4 weeks — regardless of the goal (weight loss or diabetes). This is the adaptation period. After that, your doctor may increase to 5 mg and beyond.

Mounjaro KwikPen® is a pre-filled disposable injection pen containing tirzepatide from Eli Lilly. Available in doses of 2.5 / 5 / 7.5 / 10 / 12.5 / 15 mg. Each pen contains 4 doses for weekly use.

Yes. Mounjaro® is officially approved both for the treatment of type 2 diabetes and for weight management in adults without diabetes.

Eat small portions, avoid fatty foods and drink enough water. Try injecting in the evening before bed — nausea tends to be less noticeable in the morning. Side effects usually resolve after the adaptation period.

⚠️ This guide is for informational purposes only. Always follow your doctor's recommendations. Mounjaro® is a registered trademark of Eli Lilly and Company.