Approved uses in Sweden
Mounjaro (tirzepatide) is approved by EMA and the Swedish Medical Products Agency for:
- Treatment of type 2 diabetes in adults, on its own or in combination with other diabetes medicines.
- Long-term weight management in adults, alongside a reduced-calorie diet and increased physical activity.
BMI criteria for the weight-management indication
The official criteria for weight management are:
- BMI ≥30 kg/m² (obesity), without a requirement for an associated condition.
- BMI ≥27 kg/m² (overweight), combined with at least one weight-related health condition.
Weight-related conditions that may support treatment at BMI 27–30
- Type 2 diabetes or prediabetes
- Hypertension (high blood pressure)
- Dyslipidaemia (abnormal blood lipids)
- Obstructive sleep apnoea (Swedish)
- Cardiovascular disease
- Metabolic syndrome
- Metabolic dysfunction-associated steatotic liver disease (MASLD) (Swedish)
What doctors consider beyond BMI
Doctors always make an overall assessment that also considers:
- Medical history: previous illnesses, operations and medication
- Previous weight-loss attempts: nutrition, exercise, other medicines and surgery
- Mental health: eating disorders, depression and anxiety
- Motivation and expectations: realistic goals and readiness for long-term treatment
- Ability to combine treatment with nutrition and physical activity
Contraindications and important warnings
The EU product information lists allergy to tirzepatide or its other ingredients as a contraindication. The doctor also needs to discuss pregnancy, breastfeeding and other risk factors.
- Allergy to the active substance or other ingredients.
- Pregnancy: treatment should not be used during pregnancy.
- Breastfeeding: always discuss this with a doctor before treatment.
- MTC or MEN 2: these are risk flags in our preliminary check, but are not listed as contraindications in the EU product information.
The preliminary check does not replace the doctor's individual assessment.
Precautions and individual assessment
Treatment requires particular assessment in people with:
- Previous pancreatitis or ongoing gastrointestinal disease
- Gallbladder disease or gallstones
- Severely impaired kidney or liver function
- Active or untreated diabetic retinopathy (with type 2 diabetes)
- A history of an eating disorder
- Use of insulin or sulphonylureas (risk of hypoglycaemia)
Age limits
The weight-management approval applies to adults aged 18 and over. For type 2 diabetes, the EU approval also covers children from age 10. That is a separate indication, and our weight-loss programme treats adults. For older people, the doctor must assess health and associated conditions individually.
Pregnancy and fertility
Tirzepatide should not be used during pregnancy. Breastfeeding requires a separate discussion with a doctor. Women who could become pregnant should use effective contraception during treatment. Discuss contraception, other medicines and any plans for pregnancy with a doctor.
What does Vikt's assessment involve?
When you send a preliminary request:
- You provide your contact details and preferred option. The booking form does not collect health information.
- We review your request and normally respond within one business day.
- We confirm a time for your first doctor's appointment, by video or in person in Gothenburg, and send you a link to pay the first month. The doctor carries out the medical assessment at the appointment.
- A licensed doctor always makes the final assessment and issues any prescription.
What if the indication is not met?
If your BMI or health profile does not meet the approved criteria, medical GLP-1 treatment is normally not appropriate. Other options that may be discussed include:
- Lifestyle-based weight management and nutrition guidance
- Structured exercise and behavioural support
- Follow-up of underlying conditions where appropriate (e.g. insulin resistance or PCOS)
- Reassessment if your health changes
Further reading
- How does Mounjaro work? (Swedish) — mechanism of action
- Mounjaro side effects (Swedish) — common and serious side effects
- Mounjaro price — cost per four weeks
- Mounjaro vs Wegovy — comparison




