Comparison

Tirzepatide vs CagriSema

Comprehensive side-by-side comparison of mechanisms, dosing, side effects, and research

Tirzepatide

Also: Mounjaro, Zepbound

FDA Approved

A dual GIP/GLP-1 receptor agonist representing the next generation of incretin-based therapies. Shows superior weight loss compared to semaglutide in head-to-head trials.

Weight LossFDA Approved
CagriSema

Also: Semaglutide + Cagrilintide

Clinical Trials

A combination of semaglutide and cagrilintide (amylin analog) in development. Aims to provide superior weight loss through dual mechanisms.

Weight LossHuman Trials

Key Comparison Insights

  • Tirzepatide is FDA approved, while CagriSema remains in research stages.
  • Both peptides belong to the Weight Loss category, suggesting similar primary applications.
  • Tirzepatide has stronger research evidence (FDA Approved) compared to CagriSema (Human Trials).

Detailed Comparison

AttributeTirzepatideCagriSema
CategoryWeight LossWeight Loss
FDA StatusFDA ApprovedNot FDA Approved
Clinical Status
Pre
I
II
III
IV
FDA
Pre
I
II
III
IV
FDA
Mechanism of ActionTirzepatide activates both GLP-1 and GIP receptors, providing synergistic effects on appetite suppression, insulin secretion, and metabolic regulation. The dual mechanism enhances glucose-dependent insulin release while reducing glucagon and slowing gastric emptying.Combines GLP-1 receptor agonism (semaglutide) with amylin receptor agonism (cagrilintide). Amylin adds satiety signaling and slows gastric emptying through different pathways than GLP-1.
Common Dosing
5-15 mg weekly (after titration)
Once weekly
Limited community data available
See research protocols
AdministrationSubcutaneous injection weeklySubcutaneous injection weekly
Typical DurationLong-term / chronic useLong-term use expected
Best Time to TakeMorning, same day each weekBefore bed or morning (fasted)
Possible Side Effects
May vary by individual
  • Nausea
  • Diarrhea
  • Vomiting
  • Constipation
  • Decreased appetite
  • +7 more
  • Nausea
  • Vomiting
  • Diarrhea
  • Constipation
  • GI events (72-80% vs 34-40% placebo)
  • +2 more
Research SummarySURMOUNT trials showed average weight loss of 20-26% body weight. SURPASS-2 showed superior A1C reduction compared to semaglutide. Demonstrates significant improvements in cardiovascular risk factors including blood pressure and lipids.Phase 2 trials showed up to 17.1% weight loss at 32 weeks, potentially superior to semaglutide alone. Phase 3 trials (REDEFINE program) ongoing for obesity and diabetes.

Frequently Asked Questions: Tirzepatide vs CagriSema

What is the difference between Tirzepatide and CagriSema?

Tirzepatide is a weight loss peptide that a dual gip/glp-1 receptor agonist representing the next generation of incretin-based therapies. shows superior weight loss compared to semaglutide in head-to-head trials. CagriSema is a weight loss peptide that a combination of semaglutide and cagrilintide (amylin analog) in development. aims to provide superior weight loss through dual mechanisms. The main differences lie in their mechanisms of action and clinical applications.

Which is better, Tirzepatide or CagriSema?

Neither is universally "better" - the choice depends on your specific goals. Tirzepatide is typically used for weight loss purposes, while CagriSema is used for weight loss. Always consult with a healthcare provider to determine which may be appropriate for your situation.

Can Tirzepatide and CagriSema be used together?

Some peptide protocols combine multiple compounds for synergistic effects. However, using Tirzepatide and CagriSema together should only be considered under medical supervision, as both compounds have their own side effect profiles and potential interactions. Research on their combined use may be limited.

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Educational Information Only

This comparison of Tirzepatide and CagriSema is for educational purposes only. Neither this comparison nor any information on this site constitutes medical advice. Always consult with qualified healthcare providers before making decisions about peptides or other substances.