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Can I take painkillers while on Mounjaro?

Robbie Puddick
Written by

Robbie Puddick

Medically reviewed by

Fiona Moncrieff

3 min read
Last updated March 2025
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Jump to: Can I take painkillers with Mounjaro? | Common painkillers | Important considerations | How to take painkillers safely | Take home message

Most common painkillers, like paracetamol and ibuprofen, can be safely taken alongside Mounjaro (tirzepatide) as they don’t have significant interactions with Mounjaro.

However, there are timing considerations, as Mounjaro affects how quickly your body absorbs oral medications.

Understanding these factors can help you manage pain effectively while continuing your treatment.

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Can I take painkillers with Mounjaro?

Mounjaro is compatible with most common painkillers. Research has shown that the overall exposure to paracetamol isn’t influenced by tirzepatide (the drug in Mounjaro), and no dose adjustments are typically necessary.

The three main types of painkillers you might consider are:

  • Paracetamol (acetaminophen) – generally considered the safest option
  • Ibuprofen and other NSAIDs – usually safe but require more careful consideration
  • Aspirin – typically safe in standard doses, though specific research with Mounjaro is limited

Understanding common painkillers with Mounjaro

Paracetamol

Paracetamol is often the first-choice painkiller when you’re taking Mounjaro. Clinical data shows no significant interactions between the two medications, making it a reliable option for managing mild to moderate pain.

The standard dosing remains the same – up to 1000mg every 4-6 hours, not exceeding 4000mg in 24 hours.

Ibuprofen and NSAIDs

Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can typically be used while taking Mounjaro.

However, there are some important considerations:

  • Take with food to reduce stomach irritation
  • Standard dosing of 200-400mg every 4-6 hours
  • Don’t exceed 1200mg in 24 hours unless directed by your healthcare provider
  • Be particularly mindful if you experience any digestive side effects from Mounjaro

Aspirin

While specific research on aspirin and Mounjaro interactions is limited, standard doses (75-300mg daily) are generally considered safe. Higher doses should be discussed with your healthcare provider.

Considerations when taking painkillers

Timing matters

Mounjaro slows your digestion, affecting how quickly oral medications, including painkillers, are absorbed.

Consider these timing strategies:

  • Take painkillers at least 2 hours before your Mounjaro injection
  • If needed after injection, understand they might take longer to work
  • Space doses evenly throughout the day

Watch for overlapping side effects

Both Mounjaro and some painkillers can affect your digestive system.

Pay attention to:

  • Any increase in nausea or stomach discomfort
  • Changes in digestion or bowel habits
  • Signs of stomach irritation

How to take painkillers safely with Mounjaro

  1. Start with the lowest effective dose of any painkiller
  2. Consider trying paracetamol first, as it’s generally the gentlest option
  3. Take with food if using NSAIDs like ibuprofen
  4. Monitor for any new or worsening side effects
  5. Keep track of timing and dosage to ensure you don’t exceed daily limits

When to contact your healthcare provider

Seek medical advice if you experience:

  • Severe stomach pain or persistent nausea
  • Signs of allergic reactions
  • Unusual bleeding or bruising
  • Significant changes in blood sugar levels
  • Pain that doesn’t improve with over-the-counter medications

Take home message

While most common painkillers can be taken safely with Mounjaro, it’s important to be mindful of timing and potential digestive effects.

Start with paracetamol when possible, and always follow recommended dosing guidelines.

If you need regular pain relief while taking Mounjaro, discuss this with your healthcare provider to develop the most appropriate pain management strategy for your situation.

Second Nature’s medication programme

Second Nature provides Mounjaro as part of our weight-loss programme.

Why should you choose Second Nature over other providers, assuming you’re eligible?

For peace of mind.

Second Nature has worked with the NHS for over 6 years, providing weight-loss programmes across the UK.

While our Mounjaro weight-loss programme is private and not currently used by the NHS, we’ve built the programme focusing on scientific evidence, patient safety, and data security.

We hope that our 6+ years of working with the NHS and building a track record of effective weight-loss results will give you peace of mind to give us a try.

Please note: We generally recommend speaking with your GP/doctor before you start taking any new medication like Mounjaro. If you do sign up for Second Nature's Mounjaro programme, then we'll also send your GP a letter to let them know you've started a medication-supported weight-loss journey.

Medication-assisted weight loss with a future focus

Start with Mounjaro, transition to habit-based health with our support

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