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西新宿今野クリニック・内科・発熱外来・脳神経内科・整形外科

For Those Seeking Mounjaro in Shinjuku and Nishi-Shinjuku

For those seeking a Mounjaro prescription in Shinjuku or Nishi-Shinjuku. Nishi-Shinjuku Konno Clinic is a 3-minute walk from Nishi-Shinjuku Station on the Tokyo Metro Marunouchi Line. You can visit without an appointment, but we cannot prescribe it if the doctor determines that it is unsuitable for you. For reception hours and other information, please see our Information for First-Time Patients.

Register online for your first visit

If this is your first visit, you can register here.

Please note

Mounjaro prescribed for weight loss at our clinic is self-pay treatment and is not covered by Japanese public health insurance. As this use differs from the indication approved in Japan, the doctor explains the expected benefits and risks, obtains your consent and decides whether to prescribe it.

What is Mounjaro?

Mounjaro is a once-weekly subcutaneous injection containing tirzepatide. It acts on both GIP and GLP-1 receptors. In Japan, it is approved for type 2 diabetes; its use for weight loss differs from its approved indication. For diabetes care, please also see our Diabetes Information.

For those seeking Mounjaro in Shinjuku or Nishi-Shinjuku

During the consultation, we review your goals, body build, medical history, current health and medications. Mounjaro is not suitable for everyone, and treatment does not guarantee results or a particular amount of weight loss. Depending on the assessment, we may suggest another approach. You can also discuss general health concerns with our Internal Medicine department.

Mounjaro fees at our clinic

ItemFee (tax included)
Mounjaro 2.5 mg, 4 pens (4 weeks)¥15,000
Consultation fee¥1,000
Total if prescribed¥16,000

This treatment is entirely self-pay and is not covered by insurance. The consultation fee is payable even if the consultation does not result in a prescription.

Steps before a Mounjaro prescription

  1. Reception: You can visit without an appointment. Please come during clinic hours.
  2. Medical interview and examination: We review your health, medical history, medications and treatment goals.
  3. Explanation and consent: We explain self-pay treatment, off-label use, costs and possible side effects.
  4. Prescription: The doctor prescribes only if it is appropriate. A prescription may be possible on the day of your first visit, but it is not guaranteed.
  5. Follow-up: We review your health, side effects and use of the medicine. The doctor advises each patient on how often to return.

How to use Mounjaro

It is usually injected under the skin once a week. At our clinic, the doctor explains how to use the 2.5 mg dose listed on this page. Follow the doctor’s instructions and do not change the frequency or interval between doses on your own.

Main side effects and precautions

Gastrointestinal symptoms such as nausea, vomiting, diarrhea, constipation, abdominal pain and reduced appetite may occur. Persistent vomiting or diarrhea may lead to dehydration or kidney problems. Combining it with diabetes medicines, particularly insulin or sulfonylureas, may increase the risk of low blood sugar.

Seek medical advice promptly

Persistent, severe abdominal pain with vomiting may indicate acute pancreatitis. Stop using the medicine and seek medical advice promptly if you have symptoms such as severe abdominal pain, persistent vomiting, inability to drink fluids, reduced urine output or clouded consciousness.

Who cannot use Mounjaro or needs careful assessment?

Mounjaro must not be used by people with a history of hypersensitivity to tirzepatide or its additives, among others. Please also tell the doctor if any of the following apply to you.

  • You are pregnant, may be pregnant or wish to become pregnant
  • You are breastfeeding
  • You have a history of pancreatitis
  • You have severe gastrointestinal problems or delayed stomach emptying, such as gastroparesis
  • You have a history of gallstones, cholecystitis or other biliary tract disease
  • You have a history of bowel obstruction or severe constipation
  • You have diabetic retinopathy or kidney problems
  • You use insulin, sulfonylureas or other diabetes medicines
  • You have been prescribed a GLP-1 receptor agonist, Zepbound or tirzepatide at another clinic

The difference between Mounjaro and Zepbound

Both contain tirzepatide, but their approved indications in Japan differ. Mounjaro is approved for type 2 diabetes, while Zepbound is approved for obesity that meets certain criteria. They are not used together because they contain the same active ingredient.

Self-pay treatment and use outside the approved indication

Required information for self-pay treatment
  • Treatment: Tirzepatide (Mounjaro 2.5 mg) is injected under the skin once a week.
  • Fees: Four 2.5 mg pens cost ¥15,000 (tax included), plus a ¥1,000 consultation fee (tax included). This treatment is entirely self-pay.
  • Main side effects and risks: Nausea, vomiting, diarrhea, constipation, abdominal pain, reduced appetite, low blood sugar, dehydration, kidney problems, acute pancreatitis, biliary tract disease, bowel obstruction and anaphylaxis, among others.
  • Use outside the approved indication: Mounjaro is approved in Japan for type 2 diabetes. Its use for weight loss at our clinic differs from its approved indication.
  • Sourcing: Our clinic purchases Mounjaro Subcutaneous Injection 2.5 mg ATEOS (マンジャロ皮下注2.5mgアテオス) from Toho Yakuhin (東邦薬品).
  • Adverse drug reaction relief scheme: Health damage resulting from use outside the approved indication may, in principle, fall outside the coverage of the scheme.

For the latest safety information, see PMDA’s Mounjaro product information.

Overseas approval and safety information: In the United States, Zepbound, which contains the same active ingredient, is approved for weight management in adults meeting certain criteria. The FDA reports thyroid C-cell tumors in animal studies; effects in humans are unknown. Overseas approval does not mean that Mounjaro is approved for weight loss in Japan. US FDA information

Frequently asked questions

Can I visit without an appointment?

Yes, you can visit without an appointment. Please come during reception hours. There may be a wait depending on how busy the clinic is.

Can I receive a prescription on my first visit?

A prescription may be possible on the day of your first visit if the doctor examines you and determines it is appropriate. Same-day prescribing is not guaranteed for everyone.

Is it covered by insurance?

Mounjaro prescribed for weight loss is self-pay treatment and is not covered by Japanese public health insurance.

How much does it cost?

Four Mounjaro 2.5 mg pens cost ¥15,000 (tax included), and the consultation fee is ¥1,000 (tax included).

What side effects can Mounjaro cause?

Gastrointestinal symptoms include nausea, vomiting, diarrhea, constipation and abdominal pain. Serious side effects such as acute pancreatitis can also occur, although rarely. Please seek advice promptly if you notice anything unusual.

What is the difference between Mounjaro and Zepbound?

Both contain tirzepatide, but their approved indications in Japan differ. Mounjaro is approved for type 2 diabetes, and Zepbound is approved for obesity that meets certain criteria. They are not used together.

Can it be combined with other GLP-1 receptor agonists?

Combining them is not recommended. Always tell the doctor about any injections or oral medicines you are using.

How far is the clinic from Nishi-Shinjuku Station?

It is a 3-minute walk from Nishi-Shinjuku Station on the Tokyo Metro Marunouchi Line. It is not a 3-minute walk from Shinjuku Station.

Access to Nishi-Shinjuku Konno Clinic

Our clinic is at 7-21-7 Nishi-Shinjuku, Shinjuku-ku, Tokyo, a 3-minute walk from Nishi-Shinjuku Station. For directions from the station exit and a map, see our Access page.