Acts on two hormone receptors, GIP and GLP-1.
Mounjaro in Spain: what to know
Mounjaro (tirzepatide) is a prescription-only weekly injection for weight management. Here is what the official information says, and how a doctor decides whether it suits you.

One injection a week, at any time of day, with or without food.
Six strengths are sold in Spain. Treatment starts at 2.5 mg and goes up step by step.
Each KwikPen holds 4 weekly doses. Needles are not included.
€39weight consultation · medication not included
What Mounjaro is
A prescription-only medicine made by Eli Lilly, used with a reduced-calorie diet and more physical activity.
Influences appetite regulation, says the official leaflet.
Any time of day, with or without food.
2.5 to 15 mg per dose. Prescription only.
Is Mounjaro right for you?
For weight management, Mounjaro is approved for adults with a BMI of 30 or more, or 27 or more with a weight-related condition. Find your band, then take the pre-test.
| BMI | Category | Mounjaro |
|---|---|---|
| Below 18.5 | Underweight | Outside the criteria |
| 18.5–24.9 | Normal weight | Outside the criteria |
| 25.0–29.9 | Pre-obesity (overweight) | From 27, with a weight-related condition |
| 30.0–34.9 | Obesity class I | Approved range |
| 35.0–39.9 | Obesity class II | Approved range |
| 40 and above | Obesity class III | Approved range |
BMI categories for adults: WHO Europe. Approved criteria: EMA product information.

How the Mounjaro dose works
Mounjaro is injected once a week. It starts low and is increased step by step, with at least 4 weeks on each dose. Your doctor decides whether and when to increase it. Tap a step.
Using the pen
- Missed
- +1
- +2
- +3
- +4
- +5
- +6
- Next
Take it within 4 days After that, skip it
Missed a dose
4 days to take a missed dose
Take it as soon as possible within 4 days. If more than 4 days have passed, skip it and take the next dose on your usual day.
- Dose
- +1
- +2
- +3
- +4
- +5
- +6
- +7
Too soon Next dose possible
Change the day
3 days minimum between two doses
You can change your injection day, as long as there are at least 3 days between two doses.

Where to inject
Abdomen or thigh
Under the skin of the abdomen or thigh, or the back of the upper arm if someone else injects. Any time of day, with or without food. Change the injection site each week.
- Abdomen
- Thigh
- Back of the upper arm, only if someone else injects

- Week 1
- Week 2
- Week 3
- Week 4
The pen
4 doses in each KwikPen
Each KwikPen holds 4 weekly doses. Needles are not included.
How to use the KwikPen, step by step
Day 1 is the first use. Each dot is one day.
Storage
30 days after first use
Keep unopened pens in the fridge (2–8 °C), never frozen. After first use, the KwikPen keeps for 30 days in the fridge or below 30 °C, then must be discarded.
Pregnancy
1 month stop before a planned pregnancy
Mounjaro should not be used during pregnancy. Contraception is recommended, and treatment should be stopped at least 1 month before a planned pregnancy. According to the current official information, Mounjaro could be considered during breastfeeding. Discuss it with the doctor.
Is this normal?
Tap a part of the body to see what the official patient leaflet says. The doctor goes through side effects with you before you start.

Face and throat
Get medical help
Swelling or trouble breathing
Breathing problems, or rapid swelling of the lips, tongue or throat, can be a severe allergic reaction. Get medical help straight away.
In an emergency, call 112Upper belly and back
Get medical help
Severe belly pain that won’t go away
Severe pain in the stomach and back that does not go away can be a sign of an inflamed pancreas (acute pancreatitis). See a doctor immediately.
In an emergency, call 112Stomach and gut
Very common
may affect more than 1 in 10 people
The leaflet says these are usually not severe, and that nausea, diarrhoea and vomiting are most common when starting and decrease over time. Drink plenty of fluids to avoid dehydration, as the leaflet advises.
How the consultation works
- Book a weight consultation
Video or telephone, in English, Monday to Friday 09:00–17:00. €39.
- A medical review
The doctor goes through your history, current medication and goals, and whether Mounjaro may be appropriate.
- A clear decision
If treatment is appropriate, an e-prescription is sent by email for any pharmacy in Spain. Medication is paid at the pharmacy. A prescription is never guaranteed.

Based on the official EMA product information for Mounjaro and Wegovy and the Spanish medicines agency database, AEMPS CIMA. This page is general information, not medical advice: whether a medicine is appropriate for you is decided by a doctor after an assessment.
Pick a time that suits you.
Times are shown in Spain time. No membership and no subscription. Emergency? Call 112.
Questions about Mounjaro
112 for emergencies. English Doctor is not an emergency service.
Is Mounjaro available in Spain?
Yes. According to the Spanish medicines agency (AEMPS CIMA), Mounjaro is marketed in Spain as the KwikPen, in strengths from 2.5 mg to 15 mg per dose. It needs a prescription.
Can I get Mounjaro without a consultation?
No. Mounjaro is a prescription-only medicine. A doctor assesses your history, current medication and goals, and decides whether it is appropriate. A prescription is never guaranteed.
How often is Mounjaro injected?
Once a week, at any time of day, with or without food. The starting dose is 2.5 mg, increased to 5 mg after 4 weeks.
What if I miss a dose of Mounjaro?
Take it as soon as possible within 4 days. If more than 4 days have passed, skip it and take the next dose on your usual day.
How long does a Mounjaro KwikPen last?
Each KwikPen holds 4 weekly doses. After first use it keeps for 30 days, in the fridge or below 30 °C, and must then be discarded.
How much does the consultation cost?
A weight consultation with English Doctor costs €39. The medication is not included and is paid separately at the pharmacy. See Mounjaro pharmacy prices by dose.