Compounded tirzepatide is a medication used to manage weight in patients with obesity. It is a relatively new drug that has been approved by the FDA for use in adults. However, there is some confusion regarding the storage requirements of compounded tirzepatide. Specifically, many people wonder whether or not the medication needs to be refrigerated.
Table of Contents

Tirzepatide is a peptide-based medication that is administered subcutaneously. It is used to help patients manage their weight by reducing appetite and increasing feelings of fullness. Compounded tirzepatide is a form of the medication that is prepared by a compounding pharmacy. This type of medication is often customized to meet the specific needs of individual patients, such as adjusting the dosage or eliminating certain ingredients. However, it is important to note that compounded medications may have different storage requirements than their commercial counterparts.
Understanding Tirzepatide

Tirzepatide is a medication that is FDA approved for the treatment of type 2 diabetes mellitus. It is an injectable medication that works as a dual agonist for both glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptors. Tirzepatide is designed to help control blood sugar levels and promote weight loss in individuals with type 2 diabetes.
GLP-1 receptor agonists like tirzepatide work by mimicking the effects of the natural hormone GLP-1, which is produced in the intestines in response to food intake. GLP-1 helps to stimulate insulin secretion and reduce glucagon production, which can help to lower blood sugar levels. GLP-1 receptor agonists also slow down the rate at which food is emptied from the stomach, which can help to reduce appetite and promote weight loss.
GIP is another hormone that is produced in the intestines in response to food intake. GIP helps to stimulate insulin secretion and promote fat storage. Tirzepatide works as a dual agonist for both GIP and GLP-1 receptors to provide a more potent effect on blood sugar control and weight loss.
Tirzepatide is typically used as a second-line diabetes medication for individuals who are unable to control their blood sugar levels with other treatments such as metformin or sulfonylureas. It is administered as a subcutaneous injection once a week.
There is no need to refrigerate compounded tirzepatide as long as it is stored at room temperature and used within the recommended timeframe. However, it is important to follow the instructions provided by the compounding pharmacy to ensure the medication remains stable and effective.
Related Posts:
Administration and Dosage

Tirzepatide is a subcutaneous injection medication used to treat type 2 diabetes. Compounded tirzepatide must be administered according to the prescribing physician’s instructions.
The recommended starting dose for tirzepatide is 2.5 mg subcutaneously once a week. After four weeks, the dosage should be increased to 5 mg subcutaneously once a week. For additional glycemic control, the dosage can be increased in 2.5 mg increments after at least four weeks on the current dose. The maximum dose of tirzepatide is 15 mg subcutaneously once a week.
It is essential to follow proper injection technique when administering tirzepatide. The medication should be injected subcutaneously into the abdomen, thigh, or upper arm. It is important to rotate injection sites to avoid lipodystrophy or other injection site reactions.
Compounded tirzepatide does not require refrigeration and should be stored at room temperature. However, it is crucial to follow the storage instructions provided by the compounding pharmacy.
Patients should be advised to check their blood sugar levels regularly, especially before and after meals and at bedtime. They should also follow a special meal plan provided by their physician.
If a dose of tirzepatide is missed, it should be administered as soon as possible. However, if it is almost time for the next scheduled dose, the missed dose should be skipped. Patients should not take a double dose to make up for a missed dose.
In conclusion, tirzepatide is a subcutaneous injection medication used to treat type 2 diabetes. Compounded tirzepatide should be administered according to the prescribing physician’s instructions and proper injection technique should be followed. The medication does not require refrigeration and should be stored at room temperature. Patients should check their blood sugar levels regularly and follow a special meal plan provided by their physician.
Storage Guidelines

Tirzepatide is a medication that is used to treat type 2 diabetes and obesity. Compounded tirzepatide is a form of the medication that is prepared by a compounding pharmacy. Patients who are prescribed compounded tirzepatide may wonder how to store the medication properly.
According to the compounding pharmacy, compounded tirzepatide should be stored in the freezer. Patients should keep the medication frozen until they are ready to use it. Before using the medication, patients should let it thaw for one hour at room temperature.
It is important to note that compounded tirzepatide should not be stored in the refrigerator. Unlike other forms of tirzepatide, which can be stored in the refrigerator, compounded tirzepatide must be kept frozen.
Patients should also be aware that once compounded tirzepatide has been thawed, it cannot be refrozen. This means that patients should only thaw the amount of medication that they need for their next dose.
In summary, patients who are prescribed compounded tirzepatide should store the medication in the freezer until they are ready to use it. They should let it thaw for one hour at room temperature before using it. Patients should never store compounded tirzepatide in the refrigerator, and they should only thaw the amount of medication that they need for their next dose.
Potential Side Effects

Compounded tirzepatide may cause side effects in some patients. Common side effects include nausea, vomiting, diarrhea, stomach pain, headache, and constipation. These side effects are usually mild and go away on their own within a few days. However, if they persist or become severe, patients should contact their healthcare provider.
Other potential side effects of tirzepatide include blurred vision, weakness, irritability, hunger, and itching. Patients who experience any of these symptoms should contact their healthcare provider immediately.
In rare cases, tirzepatide may cause more serious side effects. These include hoarseness, trouble breathing, and vision changes. Patients who experience any of these symptoms should seek immediate medical attention.
It is important to note that tirzepatide may affect appetite, and patients should monitor their food intake while taking this medication. If patients experience significant changes in appetite or weight, they should contact their healthcare provider.
Overall, tirzepatide is generally well-tolerated, and most patients do not experience any significant side effects. However, patients should be aware of the potential side effects and contact their healthcare provider if they have any concerns.
Interactions with Other Medicines

Tirzepatide can interact with other medicines, including sulfonylureas, birth control pills, and other prescription and over-the-counter drugs. It is important to inform your doctor or pharmacist about all the medications you are taking before starting tirzepatide.
According to Drugs.com, there are 307 drugs known to interact with tirzepatide, including 2 major, 304 moderate, and 1 minor interactions. Some of the major interactions include insulin, which can increase the risk of hypoglycemia, and diuretics, which can reduce the effectiveness of tirzepatide.
Sulfonylureas, a type of diabetes medication, can also increase the risk of hypoglycemia when taken with tirzepatide. Your doctor may need to adjust your dosage or monitor your blood sugar levels more closely if you take these drugs together.
Birth control pills can also interact with tirzepatide. Hormonal contraceptives can increase the risk of blood clots, and tirzepatide may increase the risk further. Your doctor may recommend using a non-hormonal form of birth control, such as a condom or diaphragm, while taking tirzepatide.
It is important to note that this is not a complete list of all the drugs that can interact with tirzepatide. Always inform your healthcare provider about all the medications you are taking to avoid any potential interactions or adverse effects.
Precautions and Warnings

Compounded tirzepatide is a medication that requires careful handling and storage. It is important to follow the instructions provided by the pharmacist to ensure the medication remains effective and safe to use. Below are some precautions and warnings to consider when using compounded tirzepatide:
- Pregnant or breastfeeding women should consult with their healthcare provider before using compounded tirzepatide. The effects of the medication on the fetus or nursing infant are not yet known.
- If you experience a lump or swelling in your neck, trouble swallowing or breathing, hoarseness, or other symptoms related to your thyroid gland, contact your healthcare provider immediately. Tirzepatide has been associated with an increased risk of thyroid cancer in animal studiesIf you experience stomach pain, confusion, headache, or other symptoms related to diabetic retinopathy, contact your healthcare provider immediately. Tirzepatide may cause an increased risk of this condition.If you experience an allergic reaction, such as rash, itching, swelling, or difficulty breathing, stop using the medication and seek medical attention immediately.
- If you have a gallbladder problem, such as gallstones or inflammation, talk to your healthcare provider before using tirzepatide. The medication may increase the risk of gallbladder-related complications.
It is important to store compounded tirzepatide properly to ensure its effectiveness and safety. The medication should be kept refrigerated between 2°C to 8°C (36°F to 46°F) until use. Once the medication has been prepared, it should be used within the timeframe specified by the pharmacist. Do not use expired medication or medication that has been stored improperly.
In summary, compounded tirzepatide is a medication that requires careful handling and storage. Pregnant or breastfeeding women, individuals with thyroid or gallbladder problems, and those experiencing symptoms related to diabetic retinopathy should consult with their healthcare provider before using the medication. Proper storage and handling of the medication are essential to ensure its effectiveness and safety.
Emergency Situations

In case of an emergency, it is important to be prepared. Patients using tirzepatide should wear a medical identification (ID) bracelet or neck chain at all times. This will alert emergency responders that the patient has diabetes and is taking tirzepatide.
If a patient experiences symptoms of hypoglycemia (low blood sugar), they should follow their healthcare provider’s instructions for treating it. If symptoms persist or the patient is unable to treat themselves, they should seek medical attention immediately.
In the case of an overdose, the patient should seek medical attention immediately. Symptoms of an overdose may include severe nausea, vomiting, and diarrhea. Healthcare providers may need to administer supportive care, such as intravenous fluids, to manage symptoms.
It is important to note that tirzepatide should not be used to treat diabetic ketoacidosis, a potentially life-threatening condition that occurs when the body produces high levels of ketones. Patients who experience symptoms of diabetic ketoacidosis, such as excessive thirst, frequent urination, and confusion, should seek medical attention immediately.
Overall, patients using tirzepatide should be aware of the potential risks associated with emergency situations and should follow their healthcare provider’s instructions for managing them.
Effect on Blood Sugar Levels

Tirzepatide is an injectable medication that is used to lower blood sugar levels in adults with type 2 diabetes. When used as directed, it can help patients maintain healthy blood sugar levels and reduce the risk of complications associated with high blood sugar.
Tirzepatide works by stimulating the release of insulin, a hormone that helps to regulate blood sugar levels. It also helps to slow the absorption of sugar into the bloodstream, which can help to prevent spikes in blood sugar levels after meals.
It is important to note that tirzepatide is not a weight-loss medication and should not be used for this purpose. It is also not recommended for use in patients with type 1 diabetes or those with a history of pancreatitis.
When starting tirzepatide, it is important to monitor blood sugar levels regularly, especially before and after meals and at bedtime. This can help to ensure that blood sugar levels remain within a healthy range and that the medication is working as intended.
In some cases, tirzepatide can cause low blood sugar levels (hypoglycemia), especially if taken in combination with other diabetes medications. Symptoms of low blood sugar can include sweating, shaking, confusion, and fainting. Patients should be aware of these symptoms and take steps to prevent low blood sugar, such as eating regular meals and snacks and adjusting medication doses as needed.
Overall, tirzepatide can be an effective tool for managing blood sugar levels in patients with type 2 diabetes. However, it is important to work closely with a healthcare provider to ensure that the medication is being used safely and effectively.
Cost and Availability

Compounded tirzepatide is not a FDA-approved medication, so it may not be covered by insurance plans and can be expensive. The cost of compounded tirzepatide varies depending on the pharmacy and the location. According to our research, the cost of compounded tirzepatide can range from $200 to $500 per month.
Availability of compounded tirzepatide can also be limited as it is not widely prescribed by doctors. Patients may need to find a compounding pharmacy that can make the medication and may need to order it in advance.
It is important to note that the cost and availability of compounded tirzepatide may change over time and may depend on individual circumstances such as insurance coverage and location.
Related Posts:
Frequently Asked Questions

What is the recommended storage method for compounded tirzepatide?
Compounded tirzepatide should be stored in a refrigerator at a temperature between 2°C to 8°C (36°F to 46°F). It should be kept in its original packaging and protected from light and freezing. Do not use tirzepatide that has been frozen or exposed to temperatures outside of the recommended range.
Is it safe to take unrefrigerated tirzepatide?
No, it is not safe to take unrefrigerated tirzepatide. Compounded tirzepatide should be stored in a refrigerator to maintain its stability and effectiveness. If tirzepatide has been left unrefrigerated for an extended period of time, it should be discarded and a new dose obtained.
What are the possible side effects of compounded tirzepatide?
Some common side effects of tirzepatide include nausea, vomiting, diarrhea, abdominal pain, decreased appetite, and injection site reactions. More serious side effects may include pancreatitis, kidney problems, and allergic reactions. If any side effects are experienced, it is important to contact a healthcare provider immediately.
How do you properly administer compounded tirzepatide?
Compounded tirzepatide is administered by subcutaneous injection once a week. The injection should be given in the abdomen, thigh, or upper arm. It is important to rotate injection sites to prevent injection site reactions. The injection should not be given into a vein or muscle.
What is the typical dosage for compounded tirzepatide?
The typical starting dose for compounded tirzepatide is 2.5 mg once a week. The dose may be increased to 5 mg once a week after four weeks of treatment if additional glycemic control is needed. The maximum dose is 15 mg once a week.
Are there any potential drug interactions with compounded tirzepatide?
Compounded tirzepatide may interact with other medications, including insulin and sulfonylureas. Healthcare providers should be informed of all medications being taken before starting tirzepatide. It is important to monitor blood sugar levels closely when taking tirzepatide with other diabetes medications.