FDA label ladder
Tirzepatide FDA label ladder to 15 mg: published ladder and modeled levels
Short answer
Tirzepatide FDA label ladder to 15 mg: 2.5/5/7.5/10/12.5/15 mg weekly, 4 weeks per step (DailyMed, Aug 28, 2026). The final 15 mg step begins in week 21. With t½ 5 days and R = 1.6101, the modeled amount peaks at 21.46 mg-eq. As published, not a recommendation; as of Oct 19, 2026.
- Weeks per step
- 4 6 steps
- Final step
- 15 mg from week 21
- Modeled peak
- 21.46 mg-eq
- Accumulation R
- 1.6101 t½ 5 d
- Weekly dose (published steps)
- Modeled amount (mg-eq)
- Stable window
| Weeks | Weekly dose | First week starts |
|---|---|---|
| 1–4 | 2.5 mg | Jan 5, 2026 |
| 5–8 | 5 mg | Feb 2, 2026 |
| 9–12 | 7.5 mg | Mar 2, 2026 |
| 13–16 | 10 mg | Mar 30, 2026 |
| 17–20 | 12.5 mg | Apr 27, 2026 |
| 21 onward | 15 mg | May 25, 2026 |
Weekly modeled amounts
Download CSV
32 weeks. Highlighted rows start a new dose step. Model details: model card.
| Week | Starts | Dose mg | Peak | Trough | Average |
|---|---|---|---|---|---|
| 1 | Jan 5, 2026 | 2.5 | 2.176 | 0 | 1.506 |
| 2 | Jan 12, 2026 | 2.5 | 3.043 | 0.989 | 2.171 |
| 3 | Jan 19, 2026 | 2.5 | 3.375 | 1.363 | 2.422 |
| 4 | Jan 26, 2026 | 2.5 | 3.501 | 1.505 | 2.518 |
| 5 | Feb 2, 2026 | 5 | 5.718 | 1.559 | 4.06 |
| 6 | Feb 9, 2026 | 5 | 6.609 | 2.568 | 4.738 |
| 7 | Feb 16, 2026 | 5 | 6.948 | 2.951 | 4.995 |
| 8 | Feb 23, 2026 | 5 | 7.077 | 3.095 | 5.093 |
| 9 | Mar 2, 2026 | 7.5 | 9.292 | 3.15 | 6.636 |
| 10 | Mar 9, 2026 | 7.5 | 10.187 | 4.16 | 7.314 |
| 11 | Mar 16, 2026 | 7.5 | 10.525 | 4.542 | 7.571 |
| 12 | Mar 23, 2026 | 7.5 | 10.654 | 4.687 | 7.669 |
| 13 | Mar 30, 2026 | 10 | 12.87 | 4.742 | 9.212 |
| 14 | Apr 6, 2026 | 10 | 13.764 | 5.752 | 9.89 |
| 15 | Apr 13, 2026 | 10 | 14.103 | 6.134 | 10.147 |
| 16 | Apr 20, 2026 | 10 | 14.232 | 6.279 | 10.245 |
| 17 | Apr 27, 2026 | 12.5 | 16.447 | 6.334 | 11.788 |
| 18 | May 4, 2026 | 12.5 | 17.341 | 7.344 | 12.466 |
| 19 | May 11, 2026 | 12.5 | 17.68 | 7.726 | 12.723 |
| 20 | May 18, 2026 | 12.5 | 17.81 | 7.871 | 12.821 |
| 21 | May 25, 2026 | 15 | 20.025 | 7.926 | 14.364 |
| 22 | Jun 1, 2026 | 15 | 20.919 | 8.936 | 15.042 |
| 23 | Jun 8, 2026 | 15 | 21.258 | 9.318 | 15.3 |
| 24 | Jun 15, 2026 | 15 | 21.387 | 9.463 | 15.397 |
| 25 | Jun 22, 2026 | 15 | 21.436 | 9.518 | 15.434 |
| 26 | Jun 29, 2026 | 15 | 21.455 | 9.539 | 15.448 |
| 27 | Jul 6, 2026 | 15 | 21.462 | 9.547 | 15.453 |
| 28 | Jul 13, 2026 | 15 | 21.464 | 9.55 | 15.455 |
| 29 | Jul 20, 2026 | — | 10.003 | 3.812 | 6.42 |
| 30 | Jul 27, 2026 | — | 3.79 | 1.445 | 2.433 |
| 31 | Aug 3, 2026 | — | 1.436 | 0.547 | 0.922 |
| 32 | Aug 10, 2026 | — | 0.544 | 0.207 | 0.349 |
The label sets a minimum of 4 weeks per step; maintenance can be 5, 10 or 15 mg (Zepbound). The plot holds each step exactly 4 weeks.
Sources
- ZEPBOUND (tirzepatide) injection, for subcutaneous use - Full Prescribing Information, Medication Guide and Instructions for Use (DailyMed SPL set ID 487cd7e7-434c-4925-99fa-aa80b1cc776b, version 40). U.S. National Library of Medicine (DailyMed) / Eli Lilly and Company, Aug 28, 2026. Accessed Oct 19, 2026.
- MOUNJARO (tirzepatide) injection, for subcutaneous use - Full Prescribing Information, Medication Guide and Instructions for Use (DailyMed SPL set ID d2d7da5d-ad07-4228-955f-cf7e355c8cc0, version 40). U.S. National Library of Medicine (DailyMed) / Eli Lilly and Company, Aug 27, 2026. Accessed Oct 19, 2026.