HealthRX.com · Printable question sheet
Young adult Mounjaro start sheet: dose steps, birth control and pregnancy plans
Bring this to the visit where Mounjaro is started or increased. It records each dose step and date, how you prevent pregnancy, any pregnancy plans, and the habits this page flags for people in their twenties, with the label's own rules and warning signs beside them.
This prescription
Reason it was prescribedtype 2 diabetes, or the reason your prescriber gives
Start date and starting dose
Earliest date for the first increaseat least 4 weeks after the start
Birth control you rely on nowpill, patch, ring, IUD, implant, injection, condoms, none
Pregnancy plans in the next year
Alcohol in a typical week
Past eating disorder, or eating very little on purpose
From the current Mounjaro label
- Treatment starts at 2.5 mg once a week; increases are 2.5 mg at a time, after at least 4 weeks on the current dose.[1]
- The top weekly dose is 15 mg for adults and 10 mg for pediatric patients.[1]
- If you use a birth control pill, switch to a non-oral method or add a barrier method for 4 weeks after starting and for 4 weeks after each increase.[1]
- Tell your prescriber if you are pregnant or intend to become pregnant.[1]
Act now, not at the next visit
- Severe stomach pain that will not go away, with or without vomiting: stop Mounjaro and call your healthcare provider right away.[1]
- Nausea, vomiting or diarrhea that does not go away: tell your healthcare provider right away.[1]
Dose steps
| Date | Weekly dose (mg) | Weeks on this dose | Pill backup or non-oral method until | How that week went |
|---|---|---|---|---|
Questions for the prescriber
- Is 5 mg or 7.5 mg likely to be enough for my goal, or do we plan to go higher?
- Which birth control would let me skip the pill backup weeks?
- If I decide to try for a pregnancy, when should Mounjaro stop, and what happens to my diabetes treatment?
- Are any baseline checks, such as nutrition or bone health, worth doing at my age?
- How does alcohol fit with this treatment?
- Who do I contact if I cannot keep fluids down?
Sources for the facts on this sheet
- Eli Lilly and Company, via DailyMed. Mounjaro (tirzepatide) injection, for subcutaneous use: prescribing information and Medication Guide. Effective 2026-08-27. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d2d7da5d-ad07-4228-955f-cf7e355c8cc0
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.