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Dose step 2 of 6

Zepbound 5 mg

You've just stepped up from 2.5 mg. Nausea and other stomach effects often flare for a few days after an increase, then settle on the same dose.

Clinician review pending Updated
Step
2 of 6
on the label
Timing
wk 5 to 8
fastest schedule
Length
4 weeks
minimum
Next step
7.5 mg
if prescribed

Where 5 mg sits on the ladder

What the label says

Zepbound 5 mg: First maintenance option on the label.

You've just stepped up from 2.5 mg. Nausea and other stomach effects often flare for a few days after an increase, then settle on the same dose.

Most common side effects on Zepbound

Side effectZepboundPlacebo
Nausea25% to 29%9%
Diarrhea19% to 23%7%
Constipation11% to 17%6%

Rates across all label doses, not this step alone. Pooled placebo-controlled weight-management trials in the Zepbound label (5 mg, 10 mg and 15 mg).

Is 5 mg a maintenance dose?

Yes. The label lists maintenance as 5 mg, 10 mg or 15 mg once weekly (10 mg or 15 mg for sleep apnea).

Common questions

How long do you stay on Zepbound 5 mg?

At least 4 weeks on the label before any increase. Many people stay longer.

What comes after Zepbound 5 mg?

The next label step is 7.5 mg, if your prescriber increases it.

Can you stay on Zepbound 5 mg longer?

Yes. Holding a dose longer is common when side effects need time to settle. Your prescriber decides.

Sources

  1. Zepbound prescribing information (FDA label on DailyMed)
  2. SURMOUNT-1 trial publication

Clinician review pending. Drafted from primary sources and waiting for sign-off by a licensed clinician (MD, DO or PharmD) before launch. Every number is checked against its source. Drug facts are re-checked quarterly, prices monthly and whenever a label changes. How we review · Report an error