Zepbound vs Trulicity

Quick Facts

  • Type: GLP-1/GIP vs GLP-1
  • FDA Approval: Zepbound (2023), Trulicity (2014)
  • Frequency: Once weekly

Weight Loss Data

  • Zepbound: 15-20% in 72 weeks
  • Trulicity: 2-6% in 52 weeks

Primary Uses

  • Weight Management
  • Obesity Treatment
  • Type 2 Diabetes
  • Cardiovascular Risk Reduction

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

Trulicity

GLP-1

Basic Information

  • Generic Name: dulaglutide
  • Manufacturer: Eli Lilly
  • FDA Approval: 2014

Key Benefits

  • Once-weekly dosing
  • Ready-to-use pen
  • Cardiovascular benefits
  • No dose titration required for standard dose

Dosing Information

Dosing DetailsZepboundTrulicity
Starting Dose2.5mg0.75mg
Maintenance Dose5mg to 10mg1.5mg
Maximum Dose15mg4.5mg
ScheduleInject once weekly at any time of dayInject once weekly at any time of day
TitrationStart with 2.5mg for 4 weeks, then increase to 5mg. Can increase by 2.5mg every 4 weeksStart with 0.75mg, can increase to 1.5mg after 4 weeks if needed

Side Effects

Zepbound

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

Trulicity

  • Nausea
  • Diarrhea
  • Vomiting
  • Abdominal Pain
  • Decreased Appetite
  • Indigestion

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

Trulicity

Storage & Handling

  • Storage: Refrigerate until first use, then can be stored at room temperature for up to 14 days
  • Needle Info: Comes with attached hidden needle

Insurance & Coverage

Generally well-covered for diabetes treatment

Clinical Results

  • Weight Loss: 2-6%
  • Study Duration: 52 weeks
  • Study: AWARD clinical trial program

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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