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Study wrapper · #1020

Hypersensitivity Reaction to Tirzepatide With Demonstrated Tolerance to Semaglutide: A Case Report.

Nejat C, Lin R, Addo D, et al. Clinical case reports. 2026.

Editor's note

A single case report describing tirzepatide-specific hypersensitivity in a 25-year-old woman who later tolerated semaglutide after supervised testing. As an individual case, it cannot establish how common such reactions are, but it illustrates that hypersensitivity to one GLP-1-based agent does not necessarily extend to others in the class. The main value is in documenting a diagnostic approach using intradermal testing and supervised challenge.

Plain-language abstract

A single patient developed an allergic reaction (lip swelling and hives) after a higher dose of tirzepatide but tolerated semaglutide without problems. Skin testing confirmed the reaction was specific to tirzepatide.