HealthRX.com · Printable medication review sheet
Ozempic and progesterone HRT review sheet
Use this sheet before a visit to list your Ozempic and progesterone details, gather your packaging, and write questions for your prescriber or pharmacist about whether the two medicines have been checked together.
Your medicines
Copy details from the pen label and the progesterone box or leaflet.
Ozempic strength as printedWrite the strength shown on the pen label
Ozempic weekly injection dayWrite the day you usually inject
Progesterone product nameFor example Prometrium or the name on a vaginal product box
Progesterone routeWrite by mouth or vaginal, as prescribed
Progesterone usual timingWrite when you usually take it, as directed on the label
Prescriber for each medicineWrite name and phone for each
Things to gather before the visit
- Bring the Ozempic pen and the progesterone box or bottle
- Bring the patient information leaflets for both medicines
- List every other prescription, over the counter medicine and supplement you take
- Note any allergies, including peanut allergy
- Write which pharmacy fills each medicine
- Confirm whether you use oral or vaginal progesterone with your prescriber
- Check with your insurer whether both medicines are covered on your plan
Questions to ask your prescriber or pharmacist
- Has either label been checked for an interaction between Ozempic and progesterone?
- Does the delayed stomach emptying from Ozempic matter for my oral progesterone?
- Would a vaginal progesterone product change anything for me?
- Should I change when I take my progesterone while on Ozempic?
- Could the drowsiness or dizziness from progesterone add to Ozempic side effects?
- Does my weight change affect the progesterone dose I was given?
- Which symptoms should I report to you straight away?
- Who should I call if I have questions between visits?
Symptom and dosing tracker
Write what you notice and when. Bring this log to your visit.
| Date | Medicine and route | Dizziness or drowsiness | Stomach or other changes |
|---|---|---|---|
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.