Examples of otoprotectants include, but are not limited to, PNU 37883, AM 92016, XE-991, linopirdine, Ro 04-5595, ()-1-(1,2-diphenylethyl)piperidine, ifenprodil, SYM 2206, FPL 64176, ZK 93423, m-chlorophenylbiguanide, 2-APB, MR 16728, d-tubocurarine, berbamine, E6 berbamine, hernandezine, and isotetrandrine
Washington D
Slower infusions may be used to improve comfort and tolerance, which increases clinician involvement
(2023, January 02)
TIER 0 (17mg total) $279 total for 8-10 week supply Monthly cost breakdown: $111-$139 based on weekly dose Recommended if using low (or micro) doses of 2mg/week or less TIER 1 (34mg total) $329 total for 8-10 week supply Monthly cost breakdown: $131-$164 based on weekly dose Recommended if new to treatment or for those on 2-4mg/week TIER 2 (51mg total) $389 total for 8-10 week supply Monthly cost breakdown: $155-$194 based on weekly dose Recommended for those on 5-6mg/week TIER 3 (102mg total) $459 total for 8-10 week supply Monthly cost breakdown: $183-$229 based on weekly dose Recommended for those on 7-12mg/week TIER 4 (136mg total) $519 total for 9-10 week supply Monthly cost breakdown: $207-$230 based on weekly dose Recommended for those on 13mg/week and up Strive Pharmacy - Tirzepatide/Glycine/B12 Injection Up to 90 days BUD

A safe, compliant pathway is to use licensed telehealth or in-person clinics that can evaluate your symptoms, confirm deficiency when appropriate, and prescribe an approved product