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Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Tirzepatide (Mounjaro) Pharmacology Podcast

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Education, Health & Fitness, Medicine

5716 Ratings

🗓️ 12 January 2023

⏱️ 16 minutes

🧾️ Download transcript

Summary

On this episode I discuss the pharmacology of tirzepatide. I'm appreciative of Derek Borkowski who operates Pyrls for providing a free PDF of the 2023 ADA Diabetes Guidelines when you subscribe for an account at Pyrls.com/rlp - Tirzepatide makes its first appearance in the diabetes guidelines for its ability to promote weight loss.



Tirzepatide is a combination GIP and GLP-1 agonist that is currently indicated for diabetes with reductions of A1C in the range of about 2 points.



Much like GLP-1 agonists, tirzepatide can cause GI upset and other gastrointestinal adverse effects like diarrhea.



Tirzepatide doesn't have a large number of drug interactions which is nice. Corticosteroids can counteract its blood sugar-lowering effects while sulfonylureas and insulin may significantly increase the risk for hypoglycemia.

Transcript

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0:00.0

Hey all, welcome back to the Real Life Pharmacology podcast. I'm your host, Eric Christensen.

0:05.1

Thank you so much for listening today. Go check out Real Life Pharmacology.com. Get your free 31-page

0:11.2

PDF on the top 200 drugs. Simply an email to subscribe to our mailing list. We'll get you access to that.

0:18.4

So a great resource, great refresher if you're taking

0:21.7

port exams, going through pharmacology courses, or just looking for that little clinical

0:27.0

refresher. So again, real-life pharmacology.com, sign up for the free Top 200 study guide.

0:34.5

All right, the drug of the day today is TIRS appetite.

0:44.4

Brand name of this medication is Monjaro. I have heard pronounced a few different ways, but I believe that is the correct pronunciation. This is a newer diabetes agent. So more specifically, used

0:53.1

for type 2 diabetes, its classification is

0:57.4

glucose-dependent insulinotropic polypeptide. That is commonly abbreviated as GIP, and it is a

1:09.5

combination with a glucagon-like peptide receptor agonist.

1:15.1

So that is GLP-1.

1:17.2

So I've talked about GLP-1s extensively in previous podcasts,

1:22.3

semi-glutide, Lyraglutide, I believe I've covered those for sure.

1:27.6

So you can go back and get a little bit more depth with that.

1:31.2

There are quite a few similarities.

1:34.2

And as far as the adverse effect profile,

1:36.3

which I'll discuss coming up here,

1:38.4

it is very, very similar to the gLP ones

1:43.3

as far as adverse effect profile.

1:45.7

So mechanistically, what do these two things do?

1:51.1

So ultimately you're going to end up with increased glucose-dependent insulin release.

...

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