Semaglutide & Tirzepatide Injection Instructions

(1) Select Your Injection Site

(2) Wash your hands with soap and water & keep a sterile work area

(3) Clean Selected Injection Site

(4) Pinch A Fold Of Skin For Easy Injection

(5) Insert Pre-Drawn Needle Into Site & Begin Injecting

(6) Remove Needle & Dispose Into Sharps Container

(7) Clean Site With Alcohol Wipe & Cover As Needed

How long does it take for semaglutide or tirzepatide to start working?

Before taking a semaglutide or tirzepatide injection:

tell your doctor and pharmacist if you are allergic to semaglutide (Rybelsus, Ozempic, Wegovy), albiglutide (Tanzeum; no longer available in the US), dulaglutide (Trulicity), exenatide (Bydureon, Byetta), liraglutide (Saxenda, Victoza), lixisenatide (Adlyxin, in Soliqua), any other medications, or any of the ingredients in semaglutide or tirzepatide injections.

Ask your provider for a list of the ingredients.

Tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. It is especially important to tell your doctor about all the medications you take by mouth because semaglutide or tirzepatide may change the way your body absorbs these medications.

Tell your doctor if you have or have ever had pancreatitis (inflammation of the pancreas), diabetic retinopathy (damage to the eyes caused by diabetes), gallbladder disease, or kidney disease. Also tell your doctor if you have recently had diarrhea, nausea, or vomiting or if you cannot drink liquids by mouth, which may cause dehydration (loss of a large amount of body fluids).

Tell your doctor if you plan to become pregnant. Your doctor may tell you to stop using semaglutide or tirzepatide injections for 2 months before a planned pregnancy.

Tell your doctor if you are pregnant or are breastfeeding. If you become pregnant while using any of our medication, call your doctor.

Ask your doctor what to do if there is a large change in your diet, exercise, or weight; or if you get sick, develop an infection or fever, experience unusual stress, or are injured. These changes and conditions can affect your blood sugar and the amount of medication injection you may need.

You should know that your mental health may change in unexpected ways and you may become suicidal (thinking about harming or killing yourself or planning or trying to do so) while you are using semaglutide or tirzepatide injections for weight loss. You, your family, or your caregiver should call your doctor right away if you experience any of the following symptoms: depression; talking or thinking about wanting to hurt yourself or end your life; withdrawing from friends and family; preoccupation with death and dying; or any other unusual changes in behavior or mood.

Be sure that your family or caregiver knows which symptoms may be serious so they can call the doctor if you are unable to seek treatment on your own.

What time of day should I take my medication?

Does injecting semaglutide or tirzepatide hurt?

What special dietary instructions should I follow?

What should I do if I forget a dose?

If you are using semaglutide or tirzepatide, inject the missed dose as soon as you remember it. However, if more than 5 days passed since the missed dose, skip the missed dose and continue your regular dosing schedule. Do not inject a double dose to make up for a missed one.

If the next dose is more than 2 days away (48 hours), use the missed dose as soon as possible.

If you miss a dose of medication and the next scheduled dose is less than 2 days away (48 hours), skip the missed dose and continue your regular dosing schedule.

If you miss a dose of medication for more than 2 weeks, call your provider.

What side effects can I expect with semaglutide or tirzepatide?

Tell your doctor if any of these symptoms are severe or do not go away: nausea, vomiting, diarrhea, abdominal pain, constipation, heartburn, burping.

Some side effects can be serious. If you experience any of these symptoms call your doctor immediately or get emergency medical treatment: ongoing pain that begins in the upper left or middle of the stomach but may spread to the back, with or without vomiting; rash; itching; swelling of the eyes, face, mouth, tongue, or throat; or difficulty breathing or swallowing; decreased urination; or swelling of legs, ankles, or feet; vision changes; fainting or dizziness; pain in upper stomach; yellowing of skin or eyes; fever; or clay-colored stools; rapid heartbeat; dizziness, light-headedness, sweating, confusion or drowsiness, headache, blurred vision, slurred speech, shakiness, fast heartbeat, anxiety or irritability or mood changes, hunger, weakness, or feeling jittery.

Your medication may cause other side effects. Call your doctor if you have any unusual problems while using this medication.

If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (https://www.fda.gov/Safety/MedWatch) or by phone (1-800-332-1088).

What should I know about storage and disposal of this medication?

Keep this medication in the container it came in and out of reach of children. Store it away from light and heat, with the pen cap on.

Store unused full syringes in the refrigerator (36°F to 46°F [2°C to 8°C]) but do not place them near the refrigerator cooling element. Once a syringe is ready for use you can store it at room temperature (59°F to 86°F [15°C to 30°C]) or in the refrigerator.

Do not freeze. Do not use semaglutide if it has been frozen.

When traveling, syringes that are ready for use can be stored at room temperature (59°F to 86°F [15°C to 30°C]) (not in a car glove compartment or other hot place). Make sure you use the medication as perscribed by the physician as there is a limited shelf-life for the medication - even if stored in the refrigerator.

It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away and out of their sight and reach. https://www.upandaway.org

Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA's Safe Disposal of Medicines website (https://goo.gl/c4Rm4p) for more information if you do not have access to a take-back program.

In case of emergency/overdose:

Other important things to remember:

Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.

It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

How often should I administer the Accelerator™ or other supplement/vitamin subcutaneous injections?

Why should I take the Accelerator™ injections?

How to Administer Subcutaneous Injections

Includes semaglutide, tirzepatide, Revitalizer (glutathione), Rejuvenator (NAD+ / nicotinamide adenine dinucleotide), Amplifier (branch amino acids), Defender (vitamin C), Energizer (B12 + B-Complex), Booster (vitamin B12), or Trimmer / Accelerator (Vitamin B12 & Lipotropic Enzymes)