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Printable label reference · Tirzepatide

Zepbound dosage chart

Zepbound starts at 2.5 mg once weekly. Its adult maximum is 15 mg once weekly. This chart reports the label, not a personal dosing plan. A clinician decides which dose suits a person.

Dose steps and minimum intervals

The label prints the 2.5 mg start and the move to 5 mg after 4 weeks. After that, it allows 2.5 mg increases after at least 4 weeks on the current dose, but it does not print one fixed calendar.

Source: Zepbound prescribing information, dosage and administration

Zepbound label dosage chart, in milligrams once weekly
Weekly doseLabel intervalRole and limits
2.5 mgWeeks 1 through 4Starting dose. Not a maintenance dose
5 mgAfter 4 weeksMaintenance option. Further increases depend on treatment response and tolerability.
7.5 mgAfter at least 4 weeks on 5 mgIntermediate step. Further increases depend on treatment response and tolerability.
10 mgAfter at least 4 weeks on 7.5 mgMaintenance option. Further increases depend on treatment response and tolerability.
12.5 mgAfter at least 4 weeks on 10 mgIntermediate step. Further increases depend on treatment response and tolerability.
15 mgAfter at least 4 weeks on 12.5 mgMaintenance option. Further increases depend on treatment response and tolerability.

Where the label allows a dose to stay

The label names 5 mg, 10 mg and 15 mg as the maintenance dosages for weight reduction, and 10 mg or 15 mg for sleep apnea. 7.5 mg and 12.5 mg appear only as steps on the way up.

Both approved uses are written for adults. The label sets no dose for anyone under 18.

A missed week

The label says a missed dose can be given within 4 days, which is 96 hours. Past 4 days it says to skip that week and go back to the usual day.

Changing the weekly day

The label allows the weekly day to move as long as two doses stay at least 3 days, or 72 hours, apart.