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Tirzepatide

Mounjaro, Zepbound, LY3298176

Quick Stats
Studies 183
Trials 100
Score 3
2025 pubmed

GLP-1 agonist-associated presentations to unscheduled care: An opportunistic pilot study.

Thomas. Oliver O; Coulson. James Michael JM

Key Findings

  • 79% of unscheduled care visits were linked to GLP‑1 or GIP/GLP‑1 agonist use
  • The majority (51/56) of cases involved tirzepatide
  • Higher presentation rates were seen in the lowest and highest socioeconomic quintiles and among patients with co‑existing depression

Practical Outcomes

  • If you’re using tirzepatide or similar drugs, be proactive about monitoring for nausea, dehydration, or other acute symptoms that could send you to the ER. Consider slower dose escalation and have a plan for managing side‑effects, especially if you have depression or live in a high‑risk socioeconomic environment. This study highlights the need for more robust safety data, so stay tuned for larger studies.

Summary

A small pilot study found that most emergency department visits among people taking GLP‑1 or GIP/GLP‑1 drugs, especially tirzepatide, were actually caused by the medication itself. The risk was higher in the poorest and richest neighborhoods and in folks who also have depression. This suggests you should watch for side‑effects and be ready to manage them, especially if you have mood issues or live in a high‑risk area.

Abstract

The impact of GLP-1 or GIP/GLP-1 receptor agonist use on unscheduled care is not well-described. We conducted a prospective, observational study using opportunistic screening by clinicians as a first step to understanding the effect of GLP-1 or GIP/GLP-1 agonists on Emergency Department presentations and to guide future studies. Data were collected from April to August 2025 at a single centre for any nontrauma adult patient who self-reported GLP-1 or GIP/GLP-1 agonist exposure. Fifty-six cases were identified, 51 reported tirzepatide use, three subcutaneous semaglutide, one oral semaglutide and one dulaglutide. In 79% of cases (CI95% 66% to 88%), the presenting features were due to GLP-1 or agonist use. Presentations were greatest in the lowest and highest deprivation quintiles and a significant number had coexisting depression. There is a need for formal observational studies to assess the impact of GLP-1 or GIP/GLP-1 agonists on unscheduled care and explore these tentative associations.

Study Information

Provider

pubmed

Year

2025

Date

2025-11-08T00:00:00.000Z

DOI

10.1002/bcp.70335

References

11