Your weekly Zepbound routine
Your weekly Zepbound routine
Take Zepbound at home, with or without food, once a week
Zepbound comes in either:
- A single-dose pen. There's no need to see or handle the needle of the pen
- A single-dose vial, administered with a needle and a syringe
Your healthcare provider can help you choose the injection site that is best for you. You or another person can inject the medicine in your stomach or thigh. Another person should give you the injection in the back of your upper arm.
Select a device using the tabs below to learn more:
Watch and learn: A step-by-step guide to your Zepbound pen
Please read the full Instructions for Use included with your Zepbound pen.
00:00-00:42
[The Zepbound logo and title animate on screen, followed by the Indication and Limitations of Use.]
CAPTION: HOW TO USE once weekly Zepbound® (tirzepatide) injection
0.5
mL 2.5 mg |
5 mg | 7.5 mg | 10 mg | 12.5 mg | 15 mg
Indication and Limitations of Use (LOU)
NARRATOR: Indication and Limitations of Use (LOU). Zepbound is an injectable prescription
medicine that may
help adults with obesity, or with excess weight (overweight) who also have weight-related medical
problems, lose
weight and keep it off. Zepbound should be used with a reduced-calorie diet and increased physical
activity.
Zepbound contains tirzepatide and should not be used with other tirzepatide-containing products or
any
GLP-1
receptor agonist medicines. It is not known if Zepbound is safe and effective when taken with
other
prescription,
over-the-counter, or herbal weight loss products. It is not known if Zepbound can be used in
people
who have had
pancreatitis. It is not known if Zepbound is safe and effective for use in children under 18 years
of
age.
00:42-01:18
[Select Safety Information animates on screen.]
CAPTION: HOW TO USE once weekly Zepbound® (tirzepatide) injection
0.5 mL
2.5 mg | 5
mg | 7.5 mg | 10 mg | 12.5 mg | 15 mg
Select Safety Information
NARRATOR: Select Safety Information. Tell your healthcare provider if you get a lump or
swelling
in your
neck, hoarseness, trouble swallowing, or shortness of breath. These may be symptoms of thyroid
cancer.
In studies
with rats, Zepbound and medicines that work like Zepbound caused thyroid tumors, including thyroid
cancer. It is
not known if Zepbound will cause thyroid tumors, or a type of thyroid cancer called medullary
thyroid
carcinoma
(MTC) in people. Do not take Zepbound if you or any of your family have ever had MTC or if you
have an
endocrine
system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).
01:18-01:23
CAPTION: HOW TO USE once weekly Zepbound® (tirzepatide) injection
0.5 mL
2.5 mg | 5
mg | 7.5 mg | 10 mg | 12.5 mg | 15 mg
NARRATOR: See Indication and Safety Summary with Warnings at the end of this video.
01:23-01:34
[Title card fades to a woman named Andrea taking a selfie video with her phone as she walks into her
living room.
Upbeat music plays in the background. Andrea shows us the Zepbound box and sits comfortably on her
couch.]
CAPTION: Actor portrayal throughout.
ANDREA: I just got back from the pharmacy and I bet you’re wondering what’s inside. Let’s
open
it together?
01:34-02:02
[The selfie screen expands to a full, wide screen as Andrea opens the Zepbound box. The box glows
green,
lighting up
Andrea’s delighted face as she takes the Zepbound pen out of the box.]
CAPTION: 2.5 mg is the starting dose and not indicated for chronic weight
management.
After 4
weeks, dose should be increased to 5 mg once weekly.
Zepbound should be used along with a reduced-calorie meal plan and increased
physical activity. Individual results may vary.
ANDREA: This is the once-weekly, single-use Zepbound pen! You may already know that Zepbound
is
proven to
help adults with obesity lose weight along with diet and exercise. So now let's take a look at how
to
use the pen.
And if you're like me, you may be nervous to inject for the first time. But don't worry, I'm here
to
walk you
through each step of using it.
02:02-02:08
[Andrea holds up the Zepbound pen and looks at a graphic that animates on screen.]
CAPTION: Keep it in the refrigerator between 36ºF and 46ºF, not exposed to freezing
temperatures
If Zepbound is stored at room temperature, it should not be returned to the
refrigerator.
ANDREA: To start, let's talk about how to store Zepbound. It is best to keep it in the
refrigerator.
02:08-02:16
[New text animates on the graphic.]
CAPTION: Keep it in its original carton and away from direct light and heat (safe
up to
86ºF)
If Zepbound is stored at room temperature, it should not be returned to the
refrigerator. Discard if not used within 21 days after removing from the refrigerator.
ANDREA: But if you're traveling and don't have access to a fridge, the pens can stay at room
temperature for
up to 21 days. Now, come take a closer look.
02:16-02:25
[In a close-up of the Zepbound pen in Andrea’s hand, a green graphic line traces and highlights the
pen’s cap, then
the 2.5 mg label.]
ANDREA: This gray cap stays on until you are ready to inject. Double check that the pen is
not
damaged and
that you’re taking the correct medicine and dose.
02:25-02:33
[The close-up of the Zepbound pen in Andrea's hand remains on screen as a graphic animates on.]
CAPTION: Frozen Cloudy Discolored Particles Expired
ANDREA: Don’t use it if the medicine is frozen, cloudy, discolored, or has any particles.
And be
sure to
check the expiration date.
02:33-02:55
[Back to a medium shot of Andrea holding the Zepbound pen on her couch as a new graphic highlighting
parts of the
body animates on screen.]
CAPTION: 1. CHOOSE YOUR INJECTION SITE
ANDREA: The first step is to decide where to inject. You can do it in your stomach or thighs
by
yourself, or
in the back of your upper arms with someone’s help. You can use the same area every week, just
don’t
inject into
the same exact spot. Your doctor can help you with these choices. I'm going for the
stomach.
02:55-03:01
[A hand-washing icon graphic animates on screen.]
ANDREA: Oh, and make sure to wash your hands before every injection. Just three more steps
left.
03:01-03:12
[Andrea stands up from the couch and walks to another part of her living room. She watches as a new
graphic showing
a hand pulling the cap from the Zepbound pen animates on. The screen then changes to another
close-up of
Andrea
holding the Zepbound pen.]
CAPTION: 2. PULL OFF THE CAP
ANDREA: With the pen locked, remove the gray cap and throw it away. And do not touch the
base.
03:12-03:20
[Andrea places the pen on her stomach and unlocks it as another graphic showing a person placing the
Zepbound pen on
their stomach animates on.]
CAPTION: 3. PLACE AND UNLOCK
ANDREA: Place the clear base of the pen flat against your skin and unlock it by turning the
lock
ring.
03:20-03:37
[The camera moves down and zooms in on Andrea’s stomach as she gives herself the injection. Another
graphic showing
a person pushing the button of the Zepbound pen animates on. The pen clicks. After 10 seconds, it
clicks
again.
Andrea finishes the injection and holds the pen to the camera while a green graphic line traces and
highlights the
gray plunger.]
CAPTION: 4. PRESS AND HOLD UP TO 10 SECONDS
ANDREA: Press and hold the purple button for up to 10 seconds. The first click means the
injection has
started. Keep holding. The second click means it’s done. The injection is complete when the gray
plunger is
visible.
03:37-03:50
[Andrea holds the pen up. She then disposes of the pen in an FDA-cleared sharps container before she
picks up her
phone.]
ANDREA: And that's all! The process is the same regardless of the dose you've been
prescribed.
Now you just
need to safely dispose of your used pen in an FDA-cleared sharps container.
03:50-04:17
[Still filming selfie style, Andrea sets her phone down on a cabinet in her laundry room. She steps
back
and picks
up a laundry detergent bottle, gesturing toward different areas of the bottle as she speaks.]
ANDREA: If you don't have an FDA-cleared sharps container, you can use a heavy-duty plastic
household
container, such as a laundry detergent bottle. And no, this isn't a paid partnership with a
detergent
brand. Just
make sure it’s made of heavy-duty plastic, has a tight-fitting, puncture-resistant lid, is
leak-resistant, and is
properly labeled.
04:17-04:43
[Suddenly, Andrea’s excited and clumsy dog joins her in the laundry room, bumping into the cabinet
and
causing the
phone to fall to the floor. Andrea picks the phone up from the floor, smiles, and pets her dog as
she
speaks to the
phone.]
ANDREA: Just make sure you leave it in a safe place away from kids and pets! I hope I’ve
helped
you feel
comfortable with your Zepbound injection. But if you have more questions, talk to your doctor or
visit
Zepbound.com.
04:43-04:49
[The green Zepbound arrows fly in, wiping on a white title card as the Zepbound logo fades on.]
CAPTION: once weekly Zepbound® (tirzepatide) injection 0.5 mL 2.5 mg
| 5
mg | 7.5 mg
|
10 mg | 12.5
mg | 15 mg
04:49-12:54
[The Zepbound logo fades out before Important Safety Information fades in and begins to scroll.
Background music
plays quietly.]
CAPTION: INDICATION AND SAFETY SUMMARY WITH WARNINGS
once weekly Zepbound® (tirzepatide) injection 0.5 mL 2.5 mg | 5 mg | 7.5 mg | 10 mg |
12.5 mg | 15
mg
NARRATOR: INDICATION AND SAFETY SUMMARY WITH WARNINGS. Zepbound® is an
injectable
prescription
medicine that
may help adults with obesity, or with excess weight (overweight) who also have weight-related
medical
problems,
lose weight and keep it off. It should be used with a reduced-calorie diet and increased physical
activity.
Zepbound contains tirzepatide and should not be used with other tirzepatide-containing products or
any
GLP-1
receptor agonist medicines. It is not known if Zepbound is safe and effective when taken with
other
prescription,
over-the-counter, or herbal weight loss products. It is not known if Zepbound can be used in
people
who have had
pancreatitis. It is not known if Zepbound is safe and effective for use in children under 18 years
of
age.
Warnings. Zepbound may cause tumors in the thyroid, including thyroid cancer. Watch for possible
symptoms, such as
a lump or swelling in the neck, hoarseness, trouble swallowing, or shortness of breath. If you
have
any of these
symptoms, tell your healthcare provider.
Do not use Zepbound if you or any of your family have ever had a type of thyroid cancer called
medullary thyroid
carcinoma (MTC). Do not use Zepbound if you have Multiple Endocrine Neoplasia syndrome type 2 (MEN
2).
Do not use
Zepbound if you have had a serious allergic reaction to tirzepatide or any of the ingredients in
Zepbound.
Zepbound may cause serious side effects, including:
Severe stomach problems. Stomach problems, sometimes severe, have been reported in people who use
Zepbound. Tell
your healthcare provider if you have stomach problems that are severe or will not go away.
Kidney problems (kidney failure). Diarrhea, nausea, and vomiting may cause a loss of fluids
(dehydration), which
may cause kidney problems. It is important for you to drink fluids to help reduce your chance of
dehydration.
Gallbladder problems. Gallbladder problems have happened in some people who use Zepbound. Tell
your
healthcare
provider right away if you get symptoms of gallbladder problems, which may include pain in your
upper
stomach
(abdomen), fever, yellowing of skin or eyes (jaundice), or clay-colored stools.
Inflammation of the pancreas (pancreatitis). Stop using Zepbound and call your healthcare provider
right away if
you have severe pain in your stomach area (abdomen) that will not go away, with or without
vomiting.
You may feel
the pain from your abdomen to your back.
Serious allergic reactions. Stop using Zepbound and get medical help right away if you have any
symptoms of a
serious allergic reaction, including swelling of your face, lips, tongue or throat, problems
breathing
or
swallowing, severe rash or itching, fainting or feeling dizzy, or very rapid heartbeat.
Low blood sugar (hypoglycemia). Your risk for getting low blood sugar may be higher if you use
Zepbound with
medicines that can cause low blood sugar, such as a sulfonylurea or insulin. Signs and symptoms of
low
blood sugar
may include dizziness or light-headedness, sweating, confusion or drowsiness, headache, blurred
vision, slurred
speech, shakiness, fast heartbeat, anxiety, irritability, mood changes, hunger, weakness or
feeling
jittery.
Changes in vision in patients with type 2 diabetes. Tell your healthcare provider if you have
changes
in vision
during treatment with Zepbound.
Depression or thoughts of suicide. You should pay attention to changes in your mood, behaviors,
feelings or
thoughts. Call your healthcare provider right away if you have any mental changes that are new,
worse,
or worry
you.
Common side effects. The most common side effects of Zepbound include nausea, diarrhea, vomiting,
constipation,
stomach (abdominal) pain, indigestion, injection site reactions, feeling tired, allergic
reactions,
belching, hair
loss, and heartburn. These are not all the possible side effects of Zepbound. Talk to your
healthcare
provider
about any side effect that bothers you or doesn’t go away.
Tell your healthcare provider if you have any side effects. You can report side effects at
1-800-FDA-1088 or
www.fda.gov/medwatch.
Before using Zepbound. Your healthcare provider should show you how to use Zepbound before you use
it
for the
first time. Tell your healthcare provider if you are taking medicines to treat diabetes including
insulin or
sulfonylureas which could increase your risk of low blood sugar. Talk to your healthcare provider
about low blood
sugar levels and how to manage them. If you take birth control pills by mouth, talk to your
healthcare
provider
before you use Zepbound. Birth control pills may not work as well while using Zepbound. Your
healthcare provider
may recommend another type of birth control for 4 weeks after you start Zepbound and for 4 weeks
after
each
increase in your dose of Zepbound.
Review these questions with your healthcare provider: Do you have other medical conditions,
including
problems
with your pancreas or kidneys, or severe problems with your stomach, such as slowed emptying of
your
stomach
(gastroparesis) or problems digesting food? Do you take diabetes medicines, such as insulin or
sulfonylureas? Do
you have a history of diabetic retinopathy? Do you take any other prescription medicines or
over-the-counter
drugs, vitamins, or herbal supplements? Are you pregnant, plan to become pregnant, breastfeeding,
or
plan to
breastfeed? Zepbound may harm your unborn baby. Tell your healthcare provider if you become
pregnant
while using
Zepbound. It is not known if Zepbound passes into your breast milk. You should talk with your
healthcare provider
about the best way to feed your baby while using Zepbound.
Pregnancy Exposure Registry: There will be a pregnancy exposure registry for women who have taken
Zepbound during
pregnancy. The purpose of this registry is to collect information about the health of you and your
baby. Talk to
your healthcare provider about how you can take part in this registry, or you may contact Lilly at
1-800-LillyRx
(1-800-545-5979).
How to take. Read the Instructions for Use that come with Zepbound. Use Zepbound exactly as your
healthcare
provider says. Zepbound is injected under the skin (subcutaneously) of your stomach (abdomen),
thigh,
or upper
arm. Use Zepbound 1 time each week, at any time of the day. Change (rotate) your injection site
with
each weekly
injection. Do not use the same site for each injection. If you take too much Zepbound, call your
healthcare
provider, seek medical advice promptly, or contact a Poison Center expert right away at
1-800-222-1222.
Learn more. Zepbound is a prescription medicine. For more information, call 1-800-LillyRx
(1-800-545-5979) or go
to www.zepbound.lilly.com.
This summary provides basic information about Zepbound but does not include all information known
about this
medicine. Read the information that comes with your prescription each time your prescription is
filled. This
information does not take the place of talking with your healthcare provider. Be sure to talk to
your
healthcare
provider about Zepbound and how to take it. Your healthcare provider is the best person to help
you
decide if
Zepbound is right for you.
ZP CON CBS 08NOV2023
Zepbound® and its delivery device base are registered trademarks owned or licensed by Eli
Lilly
and
Company, its
subsidiaries, or affiliates.
12:54-12:56
[The Zepbound logo fades back in.]
CAPTION: once weekly Zepbound® (tirzepatide) injection 0.5 mL 2.5 mg
| 5
mg | 7.5 mg
|
10 mg | 12.5
mg | 15 mg
A Lilly Medicine
visit www.zepbound.lilly.com or call 1-800-LillyRx for pricing information
12:56-12:58
[The Lilly logo animates on, covering the screen in red as the background music fades out.]
CAPTION: Lilly A MEDICINE COMPANY
Check the authenticity of your medicine
Click the button below to check the authenticity of your medicine and see what genuine Zepbound looks like.
Check authenticityAfter you inspect your pen, follow these 4 steps to use Zepbound
You don't have to mix Zepbound. And you don't have to see the needle. Follow the below steps to use your Zepbound pen:*†
- Choose your injection site.
- Pull off the cap.
- Place and unlock.
- Press and hold up to 10 seconds.
Even if you don't feel a poke, if you hear 2 clicks, the injection is complete. You will know your injection is complete when the gray plunger is visible.
*These 4 steps are not the complete instructions for using Zepbound. Before starting Zepbound, your healthcare provider should show you how to use the Zepbound pen. Always inspect your pen prior to injection and read the full Instructions for Use included with your Zepbound pen.
†Your healthcare provider can help you choose the injection site that is best for you. You or another person can inject the medicine in your stomach or thigh. Another person should give you the injection in the back of your upper arm.
Watch and learn: A step-by-step guide to your Zepbound vial
Please read the full Instructions for Use included with your Zepbound vial.
00:00-00:51
[The Zepbound logo animates on screen, followed by the Indication and Limitations of Use. Upbeat music plays.]
CAPTION: HOW TO USE once weekly Zepbound® (tirzepatide) injection 0.5 mL 2.5 mg | 5 mg | 7.5 mg | 10 mg | 12.5 mg | 15 mg
Indication and Limitations of Use
NARRATOR: Indication and Limitations of Use. Zepbound is an injectable prescription medicine that may help adults with obesity, or with excess weight (overweight) who also have weight-related medical problems, lose weight and keep it off. Zepbound should be used with a reduced-calorie diet and increased physical activity.
Zepbound contains tirzepatide and should not be used with other tirzepatide-containing products or any GLP-1 receptor agonist medicines. It is not known if Zepbound is safe and effective when taken with other prescription, over-the-counter, or herbal weight loss products. It is not known if Zepbound can be used in people who have had pancreatitis. It is not known if Zepbound is safe and effective for use in children under 18 years of age.
00:51-01:27
[Select Safety Information animates on screen.]
CAPTION: HOW TO USE once weekly Zepbound® (tirzepatide) injection 0.5 mL 2.5 mg | 5 mg | 7.5 mg | 10 mg | 12.5 mg | 15 mg
Select Safety Information
NARRATOR: Select Safety Information. Tell your healthcare provider if you get a lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath. These may be symptoms of thyroid cancer. In studies with rats, Zepbound and medicines that work like Zepbound caused thyroid tumors, including thyroid cancer. It is not known if Zepbound will cause thyroid tumors, or a type of thyroid cancer called medullary thyroid carcinoma (MTC) in people. Do not take Zepbound if you or any of your family have ever had MTC or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).
01:27-01:32
CAPTION: HOW TO USE once weekly Zepbound® (tirzepatide) injection 0.5 mL 2.5 mg | 5 mg | 7.5 mg | 10 mg | 12.5 mg | 15 mg
NARRATOR: See Indication and Safety Summary with Warnings at the end of this video.
01:32-01:38
CAPTION: HOW TO USE once weekly Zepbound® (tirzepatide) injection 0.5 mL 2.5 mg | 5 mg | 7.5 mg | 10 mg | 12.5 mg | 15 mg
NARRATOR: In this video you will learn how to inject Zepbound using the single-dose vial and a needle and a syringe.
01:38-01:54
[An illustration of a refrigerator animates on screen. The Zepbound logo appears and remains on screen in the lower right-hand corner.]
CAPTION: Getting started with your Zepbound® (tirzepatide) injection
Read the Instructions for Use before you start taking Zepbound and each time you get a new vial.
Do not share your needles or syringes with other people. You may give other people a serious infection or get a serious infection from them.
NARRATOR: Be sure to read the Instructions for Use before you start taking Zepbound and each time you get a new vial. There may be new information. This information does not take the place of talking to your healthcare provider about your medical condition or your treatment.
01:54-02:03
[A carton of Zepbound animates on screen.]
CAPTION: Getting started with your Zepbound® (tirzepatide) injection
Read the Instructions for Use before you start taking Zepbound and each time you get a new vial.
Do not share your needles or syringes with other people. You may give other people a serious infection or get a serious infection from them.
NARRATOR: Do not share your needles or syringes with other people. You may give other people a serious infection or get a serious infection from them.
02:03-02:19
[A carton of Zepbound animates on screen.]
CAPTION: Getting started with your Zepbound® (tirzepatide) injection
Read the Instructions for Use before you start taking Zepbound and each time you get a new vial.
Do not share your needles or syringes with other people. You may give other people a serious infection or get a serious infection from them.
NARRATOR: The Zepbound single-dose vial is a subcutaneous injection, which means it is injected under the skin. Ready to learn how to use the Zepbound single-dose vial? Let’s begin with preparing for your once-weekly injection.
02:19-02:25
[An illustration of the inside of an open refrigerator door animates on screen, highlighting a carton of Zepbound on one of the shelves.]
CAPTION: Preparing for your Zepbound® injection
- Remove the vial from the refrigerator
02:25-02:33
[The refrigerator illustration fades away as the animation zooms in on a Zepbound vial.]
CAPTION: The Zepbound® vial
- Check the medicine and dose
- Check that it has not expired
02:33-02:43
[A blue line highlights the medicine at the bottom of the Zepbound vial.]
CAPTION: The Zepbound® vial
- The medicine is colorless to slightly yellow
- Make sure the medicine is not frozen, not cloudy, and does not have particles in it
02:43-03:01
[In addition to the Zepbound vial, a syringe and needle, an alcohol swab, gauze, and a sharps container animate on screen.]
CAPTION: Preparing for your Zepbound® injection
Gather supplies:
- 1 single-dose Zepbound vial
- 1 syringe and 1 needle, supplied separately
- 1 alcohol swab
- Gauze
- 1 sharps container for throwing away used needles and syringes
NARRATOR: Gather supplies needed to give your injection. You will need: one single-dose Zepbound vial, one syringe and one needle (supplied separately), one alcohol swab, gauze, and one sharps container for throwing away used needles and syringes.
03:01-03:18
[Text animates on screen.]
CAPTION: Preparing for your Zepbound® injection
Always use a new syringe and needle for each injection to prevent infections and blocked needles.
Do not reuse or share your syringes or needles with other people. You may give other people a serious infection or get a serious infection from them.
NARRATOR: Always use a new syringe and needle for each injection to prevent infections and blocked needles. Do not reuse or share your syringes or needles with other people. You may give other people a serious infection or get a serious infection from them.
We will now review the steps to inject your dose of Zepbound.
03:18-03:23
[A pair of hands move back and forth with bubbles animating in the background.]
CAPTION: Preparing your Zepbound® injection site
- Wash your hands
03:23-03:32
[A diagram of a person animates on screen, purple ovals highlighting the stomach area and thighs.]
CAPTION: Choose your injection site
- You or someone else can inject Zepbound under the skin of your stomach area (abdomen) or thighs
03:32-03:49
[Purple ovals highlight the upper arms on the diagram of the person.]
CAPTION: Choose your injection site
- Someone else can give you the injection in the back of your upper arm
- Change (rotate) your injection site with each weekly injection. You may use the same area of your body but be sure to choose a different injection site in that area. Do not use the same site for each injection
03:49-03:59
[A person’s hands holding a Zepbound vial animate on screen. The hands remove the cap and wipe the rubber stopper with an alcohol swab.]
CAPTION: Prepare the vial
- Pull off the plastic protective cap
- Do not remove the rubber stopper
- Wipe the rubber stopper with the alcohol swab
03:59-04:03
[The hands remove the outer wrapping from a syringe and needle.]
CAPTION: Attach the syringe and needle
- Remove the outer wrapping from the syringe and needle
04:03-04:14
[The needle twists onto the syringe until tight and firmly attached.]
CAPTION: Attach the syringe and needle
- Remove the outer wrapping from the syringe and needle
- Attach the needle to the top of the syringe
04:14-04:17
[The hands pull the needle shield off the syringe.]
CAPTION: Prepare the syringe and needle
- Remove the needle shield by pulling straight off
04:17-04:31
[One hand holds the syringe pointing up while the other hand pulls down on the plunger. A graphic animates on screen, showing a close-up of the syringe and highlighting the plunger tip reaching the 0.5-mL line.]
CAPTION: Prepare the syringe and needle
- Hold the syringe pointed up
- Pull down until the plunger tip reaches 0.5 mL of air
04:31-04:35
[One hand holds the vial while the other hand pushes the needle through the vial’s rubber stopper.]
CAPTION: Push the needle in
- Push the needle through the rubber stopper of the vial
04:35-04:41
[One hand holds the vial while the other hand pushes the plunger all the way into the vial.]
CAPTION: Push the plunger in
- Push the needle through the rubber stopper of the vial
- Push the plunger all the way in
- This puts air into the vial
04:41-04:55
[One hand holds the vial and syringe upside down. The other hand pulls the plunger down. A graphic animates on screen, showing a close-up of the syringe and highlighting the plunger tip extending beyond the 0.5-mL line.]
CAPTION: Fill the syringe
- Turn the vial and syringe upside down
- Pull the plunger down until the plunger tip is past 0.5 mL
NARRATOR: Next, you will need to turn the vial and syringe upside down. Make sure that the tip of the needle is in the liquid and slowly pull the plunger down until the plunger tip is past the 0.5-milliliter line.
04:55-05:00
[One hand holds the vial and syringe upside down. The other hand flicks the syringe to remove air bubbles.]
CAPTION: Fill the syringe
- Tap the syringe if there are any air bubbles
05:00-05:07
[One hand holds the vial and syringe upside down. The other hand pushes the plunger up with its thumb. A graphic animates on screen, showing a close-up of the syringe and highlighting the plunger tip extending to the 0.5-mL line.]
CAPTION: Finish syringe preparation
- Push the plunger up until the plunger tip reaches 0.5 mL
05:07-05:12
[One hand holds the vial. The other hand pulls the syringe out of the vial.]
CAPTION: Finish syringe preparation
- Push the plunger up until the plunger tip reaches 0.5 mL
- Pull the syringe out
05:12-05:24
[The Zepbound logo disappears from the lower right-hand corner. Holding their shirt up to reveal their stomach area, a person inserts the needle into their skin and pushes down on the plunger of the syringe—holding it in place for five seconds.]
CAPTION: Injecting the medicine
- Insert the needle into your skin
- Push down on the plunger
- The needle should stay in for at least 5 seconds
05:24-05:36
[The person pulls the needle out of their skin. A sharps container animates on screen. The needle and syringe drop safely into the container. The Zepbound logo re-appears on screen in the lower right-hand corner.]
CAPTION: Injecting the medicine
- Insert the needle into your skin
- Push down on the plunger
- The needle should stay in for at least 5 seconds
- Pull out the needle
- Do not recap the needle. Recapping the needle can lead to a needle stick injury
- Place the used needle and syringe directly into your FDA-cleared sharps container
05:36-05:45
[Holding their shirt up to reveal their stomach area, the person presses their injection site with an alcohol swab. The Zepbound logo disappears from the lower right-hand corner.]
CAPTION: Injecting the medicine
- If you see blood, press the injection site with a piece of gauze or alcohol swab
- Do not rub the area
05:45-05:50
[A sharps container animates on screen. The Zepbound logo re-appears on screen in the lower right-hand corner.]
CAPTION: Disposing of used needles and syringes
- Do not throw away needles and syringes in your household trash
05:50-06:23
[The sharps container remains on screen. A green hazardous waste label animates on and off screen.]
CAPTION: Disposing of used needles and syringes
- If you do not have a sharps disposal container, you may use a household container that is:
- Made of a heavy-duty plastic
- Fit with a puncture-resistant lid that can be closed tightly without sharps being able to come out
- Upright and stable during use
- Leak-resistant
- Properly labeled to warn of hazardous waste inside the container
- Do not recycle your used sharps disposal container
- Keep Zepbound vials, syringes, needles, and all medicines out of the reach of children
Do not recycle your used sharps disposal container. Follow your community guidelines for the right way to dispose of your sharps disposal container.
Keep Zepbound vials, syringes, needles, and all medicines out of the reach of children.
06:23-06:38
[Text animates on screen.]
CAPTION: If you have any questions about injecting Zepbound® (tirzepatide) or problems with your Zepbound vial, contact your healthcare provider or Lilly at 1-800-LillyRx (1-800-545-5979). For more information about Zepbound, visit our website at zepbound.lilly.com.
Zepbound® and its delivery device base are registered trademarks owned or licensed by Eli Lilly and Company, its subsidiaries, or affiliates. Zepbound is available by prescription only. PP-ZP-US-0952 08/2024 ©Lilly USA, LLC 2024. All rights reserved.
NARRATOR: If you have any questions or concerns about administering Zepbound, please contact your healthcare provider or Lilly at 1-800-LillyRx (1-800-545-5979).
06:38-14:42
[Text animates on screen and begins scrolling. The Zepbound logo animates on the upper right-hand corner of the screen.]
CAPTION: INDICATION AND SAFETY SUMMARY WITH WARNINGS
once weekly Zepbound® (tirzepatide) injection 0.5 mL 2.5 mg | 5 mg | 7.5 mg | 10 mg | 12.5 mg | 15 mg
NARRATOR: INDICATION AND SAFETY SUMMARY WITH WARNINGS. Zepbound is an injectable prescription medicine that may help adults with obesity, or with excess weight (overweight) who also have weight-related medical problems, lose weight and keep it off. It should be used with a reduced-calorie diet and increased physical activity.
Zepbound contains tirzepatide and should not be used with other tirzepatide-containing products or any GLP-1 receptor agonist medicines. It is not known if Zepbound is safe and effective when taken with other prescription, over-the-counter, or herbal weight loss products. It is not known if Zepbound can be used in people who have had pancreatitis. It is not known if Zepbound is safe and effective for use in children under 18 years of age.
Warnings. Zepbound may cause tumors in the thyroid, including thyroid cancer. Watch for possible symptoms, such as a lump or swelling in the neck, hoarseness, trouble swallowing, or shortness of breath. If you have any of these symptoms, tell your healthcare provider.
Do not use Zepbound if you or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC). Do not use Zepbound if you have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Do not use Zepbound if you have had a serious allergic reaction to tirzepatide or any of the ingredients in Zepbound.
Zepbound may cause serious side effects, including:
Severe stomach problems. Stomach problems, sometimes severe, have been reported in people who use Zepbound. Tell your healthcare provider if you have stomach problems that are severe or will not go away.
Kidney problems (kidney failure). Diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration), which may cause kidney problems. It is important for you to drink fluids to help reduce your chance of dehydration.
Gallbladder problems. Gallbladder problems have happened in some people who use Zepbound. Tell your healthcare provider right away if you get symptoms of gallbladder problems, which may include pain in your upper stomach (abdomen), fever, yellowing of skin or eyes (jaundice), or clay-colored stools.
Inflammation of the pancreas (pancreatitis). Stop using Zepbound and call your healthcare provider right away if you have severe pain in your stomach area (abdomen) that will not go away, with or without vomiting. You may feel the pain from your abdomen to your back.
Serious allergic reactions. Stop using Zepbound and get medical help right away if you have any symptoms of a serious allergic reaction, including swelling of your face, lips, tongue or throat, problems breathing or swallowing, severe rash or itching, fainting or feeling dizzy, or very rapid heartbeat.
Low blood sugar (hypoglycemia). Your risk for getting low blood sugar may be higher if you use Zepbound with medicines that can cause low blood sugar, such as a sulfonylurea or insulin. Signs and symptoms of low blood sugar may include dizziness or light-headedness, sweating, confusion or drowsiness, headache, blurred vision, slurred speech, shakiness, fast heartbeat, anxiety, irritability, mood changes, hunger, weakness or feeling jittery.
Changes in vision in patients with type 2 diabetes. Tell your healthcare provider if you have changes in vision during treatment with Zepbound.
Depression or thoughts of suicide. You should pay attention to changes in your mood, behaviors, feelings or thoughts. Call your healthcare provider right away if you have any mental changes that are new, worse, or worry you.
Common side effects. The most common side effects of Zepbound include nausea, diarrhea, vomiting, constipation, stomach (abdominal) pain, indigestion, injection site reactions, feeling tired, allergic reactions, belching, hair loss, and heartburn. These are not all the possible side effects of Zepbound. Talk to your healthcare provider about any side effect that bothers you or doesn’t go away.
Tell your healthcare provider if you have any side effects. You can report side effects at 1-800-FDA-1088 or www.fda.gov/medwatch.
Before using Zepbound. Your healthcare provider should show you how to use Zepbound before you use it for the first time. Tell your healthcare provider if you are taking medicines to treat diabetes including insulin or sulfonylureas which could increase your risk of low blood sugar. Talk to your healthcare provider about low blood sugar levels and how to manage them. If you take birth control pills by mouth, talk to your healthcare provider before you use Zepbound. Birth control pills may not work as well while using Zepbound. Your healthcare provider may recommend another type of birth control for 4 weeks after you start Zepbound and for 4 weeks after each increase in your dose of Zepbound.
Review these questions with your healthcare provider. Do you have other medical conditions, including problems with your pancreas or kidneys, or severe problems with your stomach, such as slowed emptying of your stomach (gastroparesis) or problems digesting food? Do you take diabetes medicines, such as insulin or sulfonylureas? Do you have a history of diabetic retinopathy? Do you take any other prescription medicines or over-the-counter drugs, vitamins, or herbal supplements? Are you pregnant, plan to become pregnant, breastfeeding, or plan to breastfeed? Zepbound may harm your unborn baby. Tell your healthcare provider if you become pregnant while using Zepbound. It is not known if Zepbound passes into your breast milk. You should talk with your healthcare provider about the best way to feed your baby while using Zepbound.
Pregnancy Exposure Registry. There will be a pregnancy exposure registry for women who have taken Zepbound during pregnancy. The purpose of this registry is to collect information about the health of you and your baby. Talk to your healthcare provider about how you can take part in this registry, or you may contact Lilly at 1-800-LillyRx (1-800-545-5979).
How to take. Read the Instructions for Use that come with Zepbound. Use Zepbound exactly as your healthcare provider says. Zepbound is injected under the skin (subcutaneously) of your stomach (abdomen), thigh, or upper arm. Use Zepbound 1 time each week, at any time of the day. Change (rotate) your injection site with each weekly injection. Do not use the same site for each injection. If you take too much Zepbound, call your healthcare provider, seek medical advice promptly, or contact a Poison Center expert right away at 1-800-222-1222.
Learn more. Zepbound is a prescription medicine. For more information, call 1-800-LillyRx (1-800-545-5979) or go to www.zepbound.lilly.com.
This summary provides basic information about Zepbound but does not include all information known about this medicine. Read the information that comes with your prescription each time your prescription is filled. This information does not take the place of talking with your healthcare provider. Be sure to talk to your healthcare provider about Zepbound and how to take it. Your healthcare provider is the best person to help you decide if Zepbound is right for you.
ZP CON CBS 08NOV2023
Zepbound® and its delivery device base are registered trademarks owned or licensed by Eli Lilly and Company, its subsidiaries, or affiliates.
14:42-14:45
[The Zepbound logo animates on screen.]
CAPTION: once weekly Zepbound® (tirzepatide) injection 0.5 mL 2.5 mg | 5 mg | 7.5 mg | 10 mg | 12.5 mg | 15 mg
visit zepbound.lilly.com
A Lilly Medicine
14:45-14:51
[The Lilly logo animates on screen.]
CAPTION: Lilly
A MEDICINE COMPANY
©Lilly USA, LLC 2024. All rights reserved.
Zepbound® and its delivery device base are registered trademarks owned or licensed by Eli Lilly and Company, its subsidiaries, or affiliates.
Getting started with the Zepbound vial
Gather supplies needed to give your injection. In addition to 1 single-dose vial, you will also need:
- 1 syringe and 1 needle, supplied separately (for example, use a 1 mL syringe and needle as recommended by your healthcare provider)
- 1 alcohol swab
- Gauze
- 1 sharps container for throwing away used needles and syringes
Preparing to inject Zepbound
Please read the full Instructions for Use included with your Zepbound vial.
- Remove the vial from the refrigerator.
- Check the vial label to make sure you have the right medicine and dose, and that it has not expired.
- Make sure the medicine:
- is not frozen
- is not cloudy
- is colorless to slightly yellow
- does not have particles
Always use a new syringe and needle for each injection to prevent infections and blocked needles. Do not reuse or share your syringes or needles with other people. You may give other people a serious infection or get a serious infection from them.
Wash your hands with soap and water.
Check the authenticity of your medicine
Click the button below to check the authenticity of your medicine and see what genuine Zepbound looks like.
Check authenticityAfter you inspect your vial, follow these steps to use Zepbound*:
- A person pulls off the cap of the Zepbound vial and wipes the stopper with an alcohol swab.
- The person places the needle on top of the syringe and turns until it’s tight and firmly attached. They remove the needle shield by pulling straight off.
- The person holds the syringe in one hand with needle pointing up. They pull down on the plunger with the other hand until the plunger tip reaches the syringe line indicating that 0.5 mL of air has been drawn into the syringe.
- The person pushes the needle through the rubber stopper of the vial and pushes the plunger all the way in.
- The person turns the vial and syringe upside down and makes sure that the tip of the needle is in the liquid. They slowly pull the plunger down until the plunger tip is past the 0.5-mL line. If there are air bubbles, they tap the syringe gently a few times to let any air bubbles rise to the top.
- The person slowly pushes the plunger up until the plunger tip reaches the 0.5-mL line.
- The person pulls the syringe out of the rubber stopper of the vial.
- An image of a body with highlights that demonstrate where Zepbound can be injected: on the stomach (abdomen), thigh, or back of upper arm. The person inserts the needle into their skin at the chosen injection site.
- The person pushes down on the plunger to inject the dose. They keep the needle in their skin for at least 5 seconds to make sure they have injected the full dose.
- The person pulls the needle out of their skin. They press the injection site with a piece of gauze or an alcohol swab. They do not recap the needle.
*These 10 steps are not the complete instructions for using Zepbound. Before starting Zepbound, your healthcare provider should show you how to inject Zepbound. Always inspect your medication prior to injection and read the full Instructions for Use included with Zepbound.
†Needle and syringe are not included with Zepbound. The needle and syringe recommended by your healthcare provider may look different than the needle and syringe shown.
‡Choose your injection site (for example, your stomach, thigh, or the back of your upper arm). You or another person can inject into your stomach area or thigh. Another person should give you the injection in the back of your upper arm.
§Change (rotate) your injection site with each weekly injection. You may use the same area of your body but be sure to choose a different injection site in that area. Do not use the same site for each injection.
Missing or changing your dosing schedule
Life happens and schedules change. So, if you want to change the day of the week you take your Zepbound dose, make sure there are at least 3 days (72 hours) between doses.
If you miss a dose of Zepbound, take it as soon as possible—within 4 days (96 hours) of your scheduled dosing. If more than 4 days have passed, skip the missed dose and take your next dose on your regularly scheduled day. Do not take 2 doses of Zepbound within 3 days (72 hours) of each other.
Pro tip: Set a reminder on your phone so you don't forget when to take Zepbound
Protect your medication
How to store Zepbound
- Store your Zepbound medication in the refrigerator between 36°F to 46°F (2°C to 8°C).
- If needed, each single-dose pen or single-dose vial can be stored at room temperature up to 86°F (30°C) for up to 21 days. If stored at room temperature, do not return it to the refrigerator.
- Discard if not used within 21 days after removing from the refrigerator.
- Do not freeze Zepbound, and do not use it if it has been frozen.
- Store Zepbound in the original carton to protect it from light.
- The Zepbound pen has glass parts. Handle it carefully. If you drop the pen on a hard surface, do not use it. Use a new pen for your injection.
- Throw away all opened Zepbound vials after use, even if there is medicine left in the vial.
- Keep Zepbound pens, vials, syringes, needles, and all medicines out of the reach of children.
Take Zepbound with you
You should store your Zepbound medication in the refrigerator between 36°F to 46°F (2°C to 8°C). If needed, you may store each single-dose pen or single-dose vial at room temperature up to 86°F (30°C) for up to 21 days. If stored at room temperature, do not return it to the refrigerator.
- Discard Zepbound if not used within 21 days after removing from the refrigerator.
- Do not freeze Zepbound, and do not use it if it has been frozen.
- Store Zepbound in the original carton to protect it from light.
Disposing your medication
Properly dispose of your used Zepbound
It is important to dispose of your used Zepbound materials safely. To do this, put your used Zepbound pen or needle and syringe in an FDA-cleared sharps disposal container right away after use. Do not throw away pens or needles and syringes in household trash. If you don't have an FDA-cleared sharps container, use a household container. Make sure it is made of heavy-duty plastic; can be closed with a tight-fitting, puncture-resistant lid, without sharps being able to come out; and it is upright, stable during use, leak-resistant, and properly labeled to warn of hazardous waste.
Keep Zepbound pens, vials, syringes, needles, and all medicines out of the reach of children. Do not recycle your sharps container. Follow your community guidelines for the right way to dispose of your sharps disposal container. For more information about safe sharps disposal, go to the FDA’s website at http://www.fda.gov/safesharpsdisposal.
Safe sharps containers:
FDA-cleared sharps container
Detergent bottles§
§Make sure these bottles are cleaned, emptied, and labeled before use.
Find the dose that’s right for you
With multiple options, you and your doctor can work together to find the once-weekly dose of Zepbound that fits your body's changing needs.
Zepbound dosing is increased gradually over time
You’ll begin treatment at a recommended 2.5-mg starting dose.ǁ After 4 weeks, your doctor will increase your dose to 5 mg.
After another 4 weeks, your doctor may keep you at the 5-mg dose or, if needed, increase the dosage in 2.5-mg increments after at least 4 weeks on the current dose.¶
Keep up with your plan
You’ll work with your doctor to follow this step-by-step dosing process to see what dose works best for you.
The Zepbound vial is available in the 2.5-mg and 5-mg doses. The Zepbound pen is available in the 2.5-mg, 5-mg, 7.5-mg, 10-mg, 12.5-mg, and 15-mg doses.
ǁ2.5 mg is the starting dose and is not intended for chronic weight management. The recommended maintenance doses are 5 mg, 10 mg, or 15 mg.
¶The maximum dose is 15 mg injected under the skin (subcutaneously) once weekly.
The starting dose is 2.5 mg once weekly. After 4 weeks, dose will be increased to 5 mg. Your dose can be increased in 2.5-mg increments after at least 4 weeks on the current dose. The maximum dosage is 15 mg once weekly.
Managing possible side effects
Talk to your doctor if you have any side effects that bother you or don't go away.
Everyone can have a different experience, but the most common side effects reported by people taking Zepbound were:
- Nausea
- Diarrhea
- Vomiting
- Constipation
- Stomach (abdominal) pain
- Indigestion
- Injection site reactions
- Fatigue
- Allergic reactions
- Belching
- Hair loss
- Heartburn
Side effects over time
In studies, most nausea, diarrhea, and vomiting occurred when people increased their dose—but the effects generally decreased over time.
In studies, gastrointestinal (GI) side effects were more common in people taking Zepbound than people taking placebo, and people taking Zepbound were more likely to stop treatment because of these side effects.
Select Safety Information
Zepbound can cause serious side effects, including:
Severe stomach problems. Stomach problems, sometimes severe, have been reported in people who use Zepbound. Tell your healthcare provider if you have stomach problems that are severe or will not go away.
Kidney problems (kidney failure). Diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration), which may cause kidney problems. It is important for you to drink fluids to help reduce your chance of dehydration.
See tips below for help with managing nausea.
Tips that may help with nausea
If you experience nausea, talk to your doctor. In the meantime, it may help to:
Eat smaller meals—try splitting 3 daily meals into 4 or more smaller ones
Stop eating when you feel full
Avoid fatty foods like butter or cheese
Try eating bland foods like toast, crackers, or rice
