Zepbound vs Byetta

Quick Facts

  • Type: GLP-1/GIP vs GLP-1
  • FDA Approval: Zepbound (2023), Byetta (2005)
  • Frequency: Once weekly

Weight Loss Data

  • Zepbound: 15-20% in 72 weeks
  • Byetta: 2-6% in 30 weeks

Primary Uses

  • Weight Management
  • Obesity Treatment
  • Type 2 Diabetes

Medication Overview

Zepbound

GLP-1/GIP

Basic Information

  • Generic Name: tirzepatide
  • Manufacturer: Eli Lilly
  • FDA Approval: 2023

Key Benefits

  • Significant weight loss potential
  • Dual-action mechanism
  • Once-weekly dosing
  • Improved metabolic health

Byetta

GLP-1

Basic Information

  • Generic Name: exenatide
  • Manufacturer: AstraZeneca
  • FDA Approval: 2005

Key Benefits

  • Established safety profile
  • May reduce post-meal blood sugar spikes
  • Weight loss support
  • Long-term clinical experience

Dosing Information

Dosing DetailsZepboundByetta
Starting Dose2.5mg5mcg
Maintenance Dose5mg to 10mg10mcg
Maximum Dose15mg10mcg
ScheduleInject once weekly at any time of dayInject twice daily within 60 minutes before morning and evening meals
TitrationStart with 2.5mg for 4 weeks, then increase to 5mg. Can increase by 2.5mg every 4 weeksStart with 5mcg twice daily for at least one month before increasing to 10mcg twice daily

Side Effects

Zepbound

  • Nausea
  • Diarrhea
  • Decreased Appetite
  • Vomiting
  • Constipation
  • Indigestion

Byetta

  • Nausea
  • Vomiting
  • Diarrhea
  • Feeling Jittery
  • Dizziness
  • Headache

Practical Information

Zepbound

Storage & Handling

  • Storage: Refrigerate until first use, then can be stored at room temperature for up to 21 days
  • Needle Info: Comes with attached hidden needle

Insurance & Coverage

Variable coverage for weight management, often requires prior authorization

Clinical Results

  • Weight Loss: 15-20%
  • Study Duration: 72 weeks
  • Study: SURMOUNT-1 trial

Byetta

Storage & Handling

  • Storage: Refrigerate until first use, then can be stored at room temperature for up to 30 days
  • Needle Info: Requires separate pen needles

Insurance & Coverage

Generally covered for diabetes treatment

Clinical Results

  • Weight Loss: 2-6%
  • Study Duration: 30 weeks
  • Study: Original clinical trials

Medical Disclaimer: This comparison is for informational purposes only and should not replace professional medical advice. Always consult with your healthcare provider about which medication is right for you. Treatment decisions should be based on your individual medical needs and circumstances.

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