However, generic versions have not yet been approved by the FDA, so they are not available for prescription in the US at this time

Red flag symptoms requiring urgent medical attention include: Severe dehydration signs : dizziness, confusion, reduced urine output, dark concentrated urine, dry mucous membranes, or rapid heartbeat (call 999 if confusion, collapse or severe symptoms develop) Diabetic ketoacidosis (DKA) symptoms : excessive thirst accompanied by nausea, vomiting, abdominal pain, fruity-smelling breath, or rapid breathing (seek urgent care via NHS 111 or A&E, particularly if also taking SGLT2 inhibitors which can increase DKA risk) Acute kidney injury indicators : significantly reduced urination, swelling in legs or ankles, persistent fatigue, or confusion Pancreatitis symptoms : severe persistent abdominal pain radiating to the back, often accompanied by nausea and vomiting (tirzepatide should be discontinued immediately and urgent medical assessment sought) Patients should also seek advice if thirst is accompanied by unexplained weight loss , fever, or symptoms suggesting infection, as these may indicate concurrent illness requiring investigation

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