Neuropathy associated with Mounjaro use

Posted by melindaheim @melindaheim, Oct 8, 2024

Has anyone had the experience of new or increased neuropathy associated with Mounjaro use?

Interested in more discussions like this? Go to the Neuropathy Support Group.

I joined just to add that I too have had neuropathy issues since Mounjaro. I even convinced myself I have MS. I was on semaglutide for 1.5 months, and I think I remember minor numbness in hands and tingling in one foot intermittently. But things really kicked up when I started Mounjaro 7 weeks ago. Extreme tingling and numbness all over but mostly my right leg. allodynia on my right thigh. Some back issues and numbness too. It is really bad the first few days after my injection and then it gets better as the week goes on. By the time it gets a little better it's time for the next injection. I am due for my next injection in 2 days but I won't take it.

I think dehydration from dieting and an uncomfortable bed also could have something to with my problems (I got a new bed right when I started mounjaro). But I also feel mounjaro is the main issue so I don't feel comfortable continuing.

REPLY

Just an update: I've been diagnosed with drug-induced peripheral neuropathy (DIPN) in my feet from tirzepatide (zepbound). Titrating down on the dosage and then switching to semaglutide has halted the progression, but my neurologist tells me that the initial damage is likely permanent -- fortunately, it's sensory, without pain. I've been on trazodone for migraines which worked well, but ultimately produced tingling and numbness in my arms, so perhaps I had a propensity in this direction. At any rate, it's a known, extremely low probabillity (< 0.4%) side effect.

For what it's worth, I was ultimately diagnosed by neurologist who works with cancer patients. For them, DIPN is a horse -- it occurs in 60% of chemotherapy patients, so they are familiar with it and know how to identify it. For any other neurologist, it's a zebra -- it's so unlikely that they rarely consider it. I was referred to oncology when my PN labs indicated MGUS. Turned out to be a temporary indicator of a prior infection, but it got me in the door to the right person for a diagnosis.

I'm old enough and have been on enough drugs over the years that sooner or later the odds were going to catch up with me, and I would be one of those people who actually turn out to have one of those extremely rare side effects. If we took seriously the possibility that we would be that person, we would probably never take any drugs, and would just die young and in pain from something that could have been treated. So most of the time, I'm just philosophical about losing this particular lottery. Some of the time, though, I can get a bit bitchy about it.

REPLY
@shaylad90

I joined just to add that I too have had neuropathy issues since Mounjaro. I even convinced myself I have MS. I was on semaglutide for 1.5 months, and I think I remember minor numbness in hands and tingling in one foot intermittently. But things really kicked up when I started Mounjaro 7 weeks ago. Extreme tingling and numbness all over but mostly my right leg. allodynia on my right thigh. Some back issues and numbness too. It is really bad the first few days after my injection and then it gets better as the week goes on. By the time it gets a little better it's time for the next injection. I am due for my next injection in 2 days but I won't take it.

I think dehydration from dieting and an uncomfortable bed also could have something to with my problems (I got a new bed right when I started mounjaro). But I also feel mounjaro is the main issue so I don't feel comfortable continuing.

Jump to this post

I was on *Liraglutide for 1.5 months not semaglutide

REPLY

I developed fasciculations and some right foot humming after 5 weeks of Semaglutide use last summer. I discontinued after the 6th week but the twitching did not. The small fasciculations were initially in my calves but eventually and sporadically involve my thighs, obliques and a little in my hands (with some action tremor). All the symptoms are quite mild and intermittent except for one calf. I can go days or a week without fasciculations apart from the one calf. I have no weakness or pain. I am hoping it eventually goes away but it does not seem to be progressing. My concerns about a connection to the medication have been brushed aside to date but I am not going to let it go in case something can be done.

REPLY
@gptach

Yes! Half my body has gone numb! I was hospitalized no answers. Forgot to take it on scheduled day numbness started receding. It didn’t click that’s what it was. I took the shot and the numbness was worse than ever stop taking it and I’m just going away but not gone. My right hand is incredibly bad and I’m an artist so this is really bad.

Jump to this post

This has happened to me too! I have been brushed off by doctors. So glad to know this could be part of my problem.

REPLY
@projfan

I found one case study reporting neuropathy from semaglutide, but that's it: https://pubmed.ncbi.nlm.nih.gov/39072425/. Doesn't mean it can't happen, but it would certainly be unexpected. My neuropathy started when I was ramping up on tirzepatide (zepbound) this summer, but I'm pretty sure that was coincidence rather than causation -- still working through the diagnostic process. Switching from tirzepatide to semaglutide next week, so it will be interesting to see if it has any impact. In my case, I suspect the neuropathy has been essentially latent for many years during which I've taken a ton of neurologically-active drugs for migraines, and emerged when I shifted to a multivitamin with a triggeringly-high dose of vitamin B6 (which happened at the same time as the tirzepatide ramp-up), and may or may not be being helped or hurt by the GLP-1RA at this point. But it's just the guess of someone who is not medically trained, so who knows?

Jump to this post

My sister (age 74) started Monjourno in Dec 2024 and now (May 2025) been diagnosed with CIPD autoimmune disorder

REPLY
@foz

My sister (age 74) started Monjourno in Dec 2024 and now (May 2025) been diagnosed with CIPD autoimmune disorder

Jump to this post

Cause and Effect? I think there must be a direct tie-in. She is using a walker for balance now and starts a 4-day infusion in 2 weeks.

Very sad and disturbing.

REPLY
@foz

My sister (age 74) started Monjourno in Dec 2024 and now (May 2025) been diagnosed with CIPD autoimmune disorder

Jump to this post

I was diagnosed with drug-induced peripheral neuropathy from the Zepbound. On the positive side, once I knew what was going on and switched to Ozempic, it stopped progressing.

REPLY
@projfan

I was diagnosed with drug-induced peripheral neuropathy from the Zepbound. On the positive side, once I knew what was going on and switched to Ozempic, it stopped progressing.

Jump to this post

Thank you for your reply. She took Monjourno obviously for a weight loss helper…so I’m prayerful that ceasing that med and getting the inflammation calmed down will let her get a better baseline for what to do next.

REPLY
@gptach

Yes! Half my body has gone numb! I was hospitalized no answers. Forgot to take it on scheduled day numbness started receding. It didn’t click that’s what it was. I took the shot and the numbness was worse than ever stop taking it and I’m just going away but not gone. My right hand is incredibly bad and I’m an artist so this is really bad.

Jump to this post

My hands went cold & numb. Stopped taking it on 1st day of June. No relief on 13th. Have doctor appointment on 27th, if no improvement by then and doctor has answers to relief, going to head to attorney and see what attorney says.

Praying for you to get relief 🙏.

REPLY
Please sign in or register to post a reply.