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In use or removed from fridge: Single-dose auto-injector pens: up to 21 days at room temperature, below 86F (30C) KwikPen (multi-dose): up to 30 days at room temperature, below 86F (30C) Can you return tirzepatide to the fridge after room temperature storage

Compounded drugs are necessary if an FDA-approved drug is unavailable, when a patient needs customized dosing or is allergic to a certain dye and needs the medication to be made without it, according to the Congressional Research Service

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These may include: Nausea (most commonly reported, particularly during dose titration) Vomiting Diarrhea or constipation Decreased appetite Bloating or abdominal discomfort For many patients, these effects are most noticeable when starting or adjusting the dose, and they often improve over time