Compounded Tirzepatide Dosage Calculator

Calculate appropriate compounded tirzepatide dosages, titration schedules, and treatment requirements based on patient-specific factors and clinical guidelines.

Enter patient's weight in kilograms
Enter current weekly dose (0 if treatment-naive)

How to Use This Calculator

  1. Enter the patient's weight in kilograms
  2. Select the treatment indication (Type 2 Diabetes or Weight Management)
  3. Enter the current dose if the patient is already on treatment
  4. Select the target dose based on treatment goals
  5. Choose the compounding concentration available
  6. Select the patient's renal function status
  7. Adjust treatment duration using the slider
  8. Check if the patient has GI sensitivity for slower titration

Formula Used

Dose Volume (mL) = Target Dose (mg) ÷ Concentration (mg/mL)
Titration Interval = Standard Interval × GI Factor

Where:

  • Target Dose = Selected therapeutic dose (5mg, 10mg, or 15mg)
  • Concentration = Compounded formulation strength (5mg/mL, 10mg/mL, or 15mg/mL)
  • Standard Interval = 4 weeks for normal titration
  • GI Factor = 1.0 for normal patients, 1.5 for patients with GI sensitivity

Example Calculation

Real-World Scenario:

A 75kg patient with Type 2 Diabetes is starting tirzepatide treatment. The patient has normal renal function and no GI sensitivity. The target dose is 10mg using a 5mg/mL compounded formulation.

Given:

  • Patient Weight = 75 kg
  • Indication = Type 2 Diabetes
  • Current Dose = 0 mg (treatment-naive)
  • Target Dose = 10 mg
  • Concentration = 5 mg/mL
  • Renal Function = Normal
  • GI Sensitivity = No

Calculation:

Starting dose = 2.5 mg
Starting volume = 2.5 mg ÷ 5 mg/mL = 0.5 mL
Titration schedule:
- Weeks 1-4: 2.5 mg (0.5 mL)
- Weeks 5-8: 5 mg (1.0 mL)
- Weeks 9-12: 7.5 mg (1.5 mL)
- Weeks 13+: 10 mg (2.0 mL)

Result: Patient will reach target dose of 10mg (2.0 mL) by week 13 with standard 4-week titration intervals.

Why This Calculation Matters

Practical Applications

  • Prevents dosing errors in compounded formulations
  • Optimizes titration schedules for individual patients
  • Helps manage medication costs by calculating exact volumes
  • Supports clinical decision-making for special populations

Key Benefits

  • Reduces gastrointestinal side effects through proper titration
  • Improves medication adherence with clear dosing schedules
  • Enhances treatment outcomes with personalized dosing
  • Provides guidance for patients with renal impairment

Common Mistakes & Tips

Increasing the dose too quickly can lead to significant gastrointestinal side effects. Always follow the recommended 4-week titration intervals, or longer for patients with GI sensitivity. Never increase by more than 2.5mg at each titration step.

Confusing different concentrations can lead to significant dosing errors. Always double-check that you're using the correct concentration when calculating injection volumes. For example, 5mg from a 5mg/mL solution is 1.0mL, but 5mg from a 10mg/mL solution is only 0.5mL.

While tirzepatide doesn't require dose adjustment for renal impairment, patients with severe renal dysfunction may be more susceptible to GI side effects. Consider slower titration and closer monitoring in these patients, especially when initiating therapy or increasing doses.

Frequently Asked Questions

Tirzepatide is administered once weekly, on the same day each week. It can be taken at any time of day, with or without food. If a dose is missed and it's less than 4 days until the next scheduled dose, skip the missed dose and resume the regular schedule. If it's more than 4 days, administer the missed dose as soon as possible and then resume the regular schedule.

FDA-approved tirzepatide (Mounjaro® for diabetes, Zepbound® for weight loss) comes in pre-filled pens with specific doses (2.5mg, 5mg, 7.5mg, 10mg, 12.5mg, 15mg). Compounded tirzepatide is prepared by compounding pharmacies and may offer different concentrations and volumes. Compounded versions may be more accessible during shortages but are not FDA-approved for safety and efficacy.

Tirzepatide should be stored in the refrigerator (2°C to 8°C) until first use. After first use, it can be stored at room temperature (below 30°C) or in the refrigerator for up to 21 days. Do not freeze tirzepatide and protect it from light. Always check the specific storage recommendations provided with your compounded formulation, as they may vary.

References & Disclaimer

Medical Disclaimer

This calculator provides estimates based on clinical guidelines for tirzepatide dosing. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider before making any decisions about medication dosing. The information provided here is for educational purposes only.

References

Accuracy Notice

This calculator follows standard titration protocols for tirzepatide based on current clinical guidelines. Individual patient factors may require adjustments to the recommended dosing schedule. Healthcare providers should use their clinical judgment when determining appropriate dosing for individual patients, especially those with comorbidities or taking multiple medications.

About the Author

Kumaravel Madhavan

Web developer and data researcher creating accurate, easy-to-use calculators across health, finance, education, and construction and more. Works with subject-matter experts to ensure formulas meet trusted standards like WHO, NIH, and ISO.

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