Oral Tirzepatide Drops Product Guide

Oral Tirzepatide Drops contain only 2 main ingredients: Tirzepatide and SubMagna SL HMW, a state-of-the-art suspension base that allows this medication to be safely and reliably absorbed through the lining of the mouth.

The information presented here is only applicable for non-diabetics who have been prescribed Oral Tirzepatide Drops after their AgelessRx prescriber deemed it appropriate.

Quick tips

Here are some simple steps to help you get the most from each dose:

  • Try taking your dose 30 minutes before your first meal of the day
  • For the best results, take on an empty stomach
  • Drink water before taking your dose
  • Let the medication sit under your tongue for as long as possible before swallowing
  • Do not eat anything for at least 30 minutes after taking your dose

Follow these tips to ensure that Oral Tirzepatide Drops are properly absorbed, so you can experience the best possible benefits while minimizing side effects.

Getting started

When you first receive your Oral Tirzepatide Drops, ensure proper storage guidelines to maintain the quality of the solution.

Follow the instructions for properly drawing and administering Oral Tirzepatide Drops.

Always dose according to your doctor-guided titration schedule.

Storage

Your Oral Tirzepatide Drops solution is room temperature stable. To maintain the utmost quality, store your bottle(s) between 68°F and 77°F, and away from heat sources and direct sunlight. Keep out of reach of children and pets.

Upon receiving your Oral Tirzepatide Drops, check the temperature of the bottle with the back of your hand. If it feels hot to the touch, please contact us immediately.

You may safely travel with Oral Tirzepatide Drops, so long as the above conditions are met. Though Oral Tirzepatide Drops are stable at room temperature, you should still take care to store your prescription as you would any other medication.

Drawing and administering Oral Tirzepatide Drops

How to draw your solution

Before you draw your Oral Tirzepatide Drops solution, unscrew the lid of the prescription bottle and attach the seal adapter to the top of the bottle. Confirm the adapter is in place before moving on. Be sure to reseal the cap, shake the bottle well, and check that the oral syringe is clean and dry before proceeding.

Next, insert the tip of the syringe into the top of the bottle. When it’s securely in place, flip the bottle and syringe over, and hold together tightly at your eye level.

Then, slowly pull the plunger back to draw up your dose. Don’t stop until the black line on the plunger stops at the exact measurement for your dose. If there are bubbles in the oral syringe, you can gently flick the side of the syringe to release the air bubbles.

When you’ve drawn your dose, flip the bottle upright and carefully remove the syringe without touching the plunger.

Insert syringe into bottle
Turn upside-down and draw solution

How to measure units on your syringe

Each large line on your oral syringe represents increments of 0.1ml. Each small line indicates an increment of 0.01ml.

Before getting started, check to see how many milliliters (ml) are in your dose. If your dose calls for 0.2ml, simply pull back on the plunger until the black line stops at the 0.2ml line. The level of solution in the syringe should also match this amount.

If your prescribed dose is not clearly labeled on the syringe, pay close attention to the markers between the large lines when drawing up your dose. There may be even smaller measurement lines on the syringe that are more difficult to see. Count these carefully as you draw up your dose to ensure the most accurate measurement.

12 units on syringe
20 units on syringe

How to administer your solution

Oral Tirzepatide Drops are delivered sublingually, or underneath the tongue.

To administer your solution, touch the tip of your tongue to the roof of your mouth, then carefully hold the tip of the oral syringe under your tongue at a downward angle. It’s okay to let the tip of the oral syringe touch your tongue.

Slowly press all the way down on the plunger until all the solution is administered, then hold the tip of the syringe under your tongue for an additional 5-10 seconds to catch any excess solution.

Avoid swallowing for as long as possible to ensure the solution is properly absorbed—at least 90 seconds. The solution will usually dissolve and disperse on its own. Do not eat anything or drink anything for at least 30 minutes after taking your dose.

Oral Tirzepatide Drops titration schedule

Oral Tirzepatide Drops is always prescribed with a doctor-guided titration schedule to gradually introduce the medication to your body. This way, you have the best opportunity to experience the greatest benefits possible while reducing side effects.

Your titration plan is determined by your AgelessRx prescriber based on your unique medical history. Unless you are specifically prescribed otherwise, your Oral Tirzepatide Drops titration schedule will proceed as follows:

WeekDoseSolution StrengthFrequency
Weeks 1-40.3ml20mg/mlOnce daily
Weeks 5-80.4ml20mg/mlOnce daily
Weeks 9+0.5ml20mg/mlOnce daily

For the first month of dosing (weeks 1-4), your daily dose will be 0.3ml as your body adjusts to the medication.

For weeks 5-8, you will slowly increase your dose to 0.4ml, as tolerated.

Starting at week 9, you will increase your daily dose to 0.5ml, which will remain your daily dose for the duration of your prescription.

Always follow the titration schedule provided by your AgelessRx prescriber, even if it differs from the standard titration protocol above.

If you forget your titration schedule, you can always check your prescription bottle or your AgelessRx portal.

If you miss a dose of Oral Tirzepatide Drops, you can skip that dose and take it the next day. Never take more than your prescribed dose. If more than 2 weeks have passed since your last dose, please contact your prescriber for further guidance: you may be asked to restart your titration.

If you feel you are not meeting your health goals on your prescribed dose, contact your prescriber to see if changing your target dose is right for you.

Common side effects

Oral Tirzepatide Drops has not been evaluated by the FDA, but contains Tirzepatide as the primary active ingredient. Tirzepatide-based medications reviewed by the FDA have the following side effects: nausea, diarrhea, vomiting, constipation, abdominal (stomach) pain, headache, fatigue, dyspepsia (indigestion), dizziness, abdominal distension, eructation (belching), hypoglycemia (low blood sugar) in patients with type 2 diabetes, flatulence (gas buildup), gastroenteritis (an intestinal infection) and gastroesophageal reflux disease (a type of digestive disorder).  

Common side effects normally go away on their own within a few days or up to 2-3 weeks. If you find that any side effects persist for longer than this or get worse over time, stop taking Oral Tirzepatide Drops and contact your prescriber as soon as possible.

To help prevent side effects from occurring or persisting, try the following:

  • Eat slower and at more regular intervals throughout the day
  • Try to take Oral Tirzepatide Drops at around the same time each day
  • Drink water before taking your dose
  • Avoid fried, greasy foods in favor of healthier, low-fat options

Dehydration may also be an indirect side effect of Oral Tirzepatide Drops for those experiencing vomiting and diarrhea. If you do experience these side effects, make sure that you are drinking plenty of water and fluids with electrolytes to avoid dehydration.

For some patients, taking probiotics may help reduce gastrointestinal side effects, but results may vary. Ginger and peppermint oil may also help to reduce gastrointestinal side effects.
This is only a summary of potential side effects and how to address them. For more information, please reference the Mayo Clinic’s Tirzepatide resources, or ask your prescriber.

Fatigue & muscle loss

A common side effect of any weight loss strategy is fatigue and muscle loss, which may occur as a result of less food intake. As a result, the body has less energy from food (fatigue) and begins pulling energy from reserves stored in fat and muscle (muscle loss).

If you do experience fatigue, rest assured that it should go away on its own as your body adjusts to the medication and changes in your diet.

Maintaining muscle mass with Tirzepatide requires a careful balance of diet, exercise, and protein intake. Try to eat a moderate amount of protein every day without over-consuming, and exercise at least 3-5 times per week, or 150 minutes per week. Resistance training and strength training are particularly effective for preventing muscle loss with Tirzepatide.

Serious side effects

Tirzepatide has been associated with the following rare but serious side effects.

  • Thyroid C-cell tumors
  • Diabetic retinopathy
  • Hypoglycemia
  • Kidney problems
  • Gallbladder problems
  • Pancreatitis
  • Worsening of mood

Your AgelessRx prescriber will weigh these potential risks against your unique medical history when considering a prescription. If you have been approved for an Oral Tirzepatide Drops prescription, your prescriber has determined that it is unlikely that you are at risk for these serious side effects.

For a full list of potential warning signs for these conditions, please see the Mayo Clinic’s Tirzepatide resources.

Important safety information

Oral Tirzepatide Drops should not be used by anyone who has a personal or family history of medullary thyroid carcinoma (MTC), multiple endocrine neoplasia syndrome 2 (MEN2), or pancreatitis. 

The FDA is currently evaluating whether GLP-1 medications may increase the risk of suicidal thoughts or actions. Though the FDA has found no evidence supporting this risk, patients with a history of suicidal thoughts should not take Oral Tirzepatide Drops.

Do not use Oral Tirzepatide Drops if you are pregnant or breastfeeding, or planning to become pregnant or breastfeed.

SubMagna SL HMW is an anhydrous base developed by a professional compounding group, PCCA. SubMagna contains polyethylene glycol (PEG) ingredients such as PEG-32 stearate, and traces of coconut oil and monkfruit extract. Please read the full list of SubMagna SL HMW ingredients before getting started. If you are allergic or sensitive to PEG products, coconut, or monkfruit, please inform your AgelessRx prescriber or consider other treatment alternatives

Though rare, allergic reactions to Tirzepatide are possible. If you notice any shortness of breath or swelling around your face, tongue, or throat after using Oral Tirzepatide Drops, stop use immediately and contact emergency services right away.

As with any prescription medicine, the dose prescribed is for you and you alone. Do not, under any circumstances, allow anyone else to use your Oral Tirzepatide Drops.

FAQs

How do Oral Tirzepatide Drops work?

Oral Tirzepatide Drops is prepared with a state-of-the-art base known as SubMagna SL HMW that allows the medication to be absorbed under the tongue, instead of through tablet form or injection.

Tirzepatide is a medication that has a high molecular weight (HMW). In short, this means Tirzepatide requires special preparations to be properly and safely absorbed at therapeutic levels. When combined with SubMagna SL HMW, Tirzepatide forms an emulsion when exposed to saliva, improving the solubility of the medication and allowing it to be absorbed into the bloodstream through the mucosal tissue of the mouth.

How can I improve the absorption of Oral Tirzepatide Drops?

Try to plan your dose of Oral Tirzepatide Drops so that you always take it 30 minutes before your first meal of the day. Here’s why:

Eating or drinking anything (except water) within 30 minutes of taking Oral Tirzepatide Drops can interfere with how well it’s absorbed from underneath your tongue.

Even though you’re bypassing digestion by taking Tirzepatide sublingually, timing your breakfast 30 minutes after your dose helps you establish a steady routine, so your body has the best chance to get used to the medication. This can help reduce side effects, as well.

When you’ve taken your dose, you should ideally avoid swallowing for as long as possible; 90 seconds is the absolute minimum, but you can wait longer if you are comfortable.

How much weight will I lose?

How much weight you lose with Oral Tirzepatide Drops depends on your unique medical history, your dose, and how long you take it. As with any form of Tirzepatide, you should take Oral Tirzepatide Drops over an extended period of at least 6-12 months to experience the most optimal benefits.

Oral Tirzepatide Drops is a novel treatment that has not been approved or reviewed by the FDA. The current medical literature around Oral Tirzepatide Drops is similarly sparse. However, medical experts estimate that the typical target dose for Oral Tirzepatide Drops may match the efficacy of Tirzepatide injections at 5mg per week (which some clinical trials estimate as 20% of total body weight lost in 72 weeks).

Oral Tirzepatide Drops are not absorbed as effectively as injections. Further, our partner pharmacies compound Oral Tirzepatide Drops with SubMagna SL HMW as a base to improve absorption by an estimated 25-35%. Still, it is possible that the maximum dose of Oral Tirzepatide Drops may not be potent enough for some patients to achieve maximum weight loss. If you feel you’re not getting your expected results, contact your prescriber to understand what solutions are available to you.

Additional resources