Mounjaro vs. Trulicity

Published on 
March 18, 2025
Virta Team

Mounjaro and Trulicity are injectable GLP-1 agonists for type 2 diabetes, but Mounjaro, a dual GIP and GLP-1 agonist, provides superior HbA1c reductions and enhanced weight loss. Both are used off-label for weight management, though Mounjaro’s results are more pronounced. Side effects, including nausea, overlap, though Mounjaro’s dual mechanism may elevate the risk of thyroid tumors. Mounjaro costs $1,135/month, compared to Trulicity’s $875/month. Neither drug currently faces shortages.

How Mounjaro Works

Enhances the effects of both incretin hormones. GIP improves insulin sensitivity and enhances fat metabolism, while GLP-1 reduces appetite, delays gastric emptying, and promotes insulin secretion, making it effective for blood sugar control and weight loss.

Common Side Effects

Nausea, vomiting, diarrhea, decreased appetite, and indigestion

Serious Potential Side Effects

Pancreatitis, thyroid tumors (potential risk), gallbladder issues, kidney problems, and serious allergic reactions

How Trulicity Works

Slows gastric emptying, reduces appetite, and enhances feelings of fullness, leading to lower calorie intake. It also stimulates insulin release and reduces glucagon secretion, improving blood sugar control.

Common Side Effects

Nausea, diarrhea, vomiting, fatigue, and decreased appetite.

Serious Potential Side Effects

Pancreatitis, thyroid tumors (potential risk), gallbladder issues, kidney problems, and serious allergic reactions

Brand Name

Mounjaro
Trulicity

Generic Name

Tirzepatide
Dulaglutide

Overview

Dual GIP and GLP-1 receptor agonist for type 2 diabetes management, showing promise in significant weight loss through appetite regulation and enhanced insulin sensitivity.
GLP-1 receptor agonist for type 2 diabetes that helps regulate blood sugar levels and may contribute to modest weight loss by slowing digestion and reducing appetite. Also used for cardiovascular event risk reduction in patients with type 2 diabetes and established cardiovascular disease or multiple cardiovascular risk factors.

Year Approved

2022
2014

Category

Dual GIP and GLP-1
GLP-1

Indicated for

Type 2 diabetes management
Type 2 diabetes management; reducing risk of major cardiovascular events in adults with type 2 diabetes, known cardiovascular disease, or multiple cardiovascular risk factors

Administration type

Injectable
Injectable

Also used (but not approved) for

Weight Management
Weight Management

Frequency

Once / week
Once / week

Typical dose range

2.5–15 mg
0.75–4.5 mg

Average cost per month

$1,135
$875

Availability

No current shortages
No current shortages