HealthRX.com · Printable side-effect diary
Mounjaro side effect diary for permanent risk questions
Use this sheet to record nausea, vomiting, diarrhea, belly pain, dehydration signs and other symptoms while taking Mounjaro, especially during dose changes. Bring it to your prescriber or pharmacist, or keep it at home.
Medicine and contact details
Copy these from your pharmacy label and medicine box. Write what you know.
Other medicines, including insulin or sulfonylureasList any diabetes medicines taken with Mounjaro
Daily symptom record
Write what you notice each day. Record any warning symptom the same day.
| Date | Nausea or vomiting | Diarrhea or constipation | Fluids taken | Belly pain or other notes |
|---|---|---|---|---|
Warning symptoms and records to bring
Check this list before each visit. Bring the completed log.
- Note any persistent or severe belly pain, and whether it spreads to the back.
- Note any lump in the neck, trouble swallowing, trouble breathing or hoarseness that lasts.
- Note any change in eyesight, since the label mentions diabetic retinopathy.
- Note any signs of dehydration, such as dizziness or very little urine.
- Write down any yellowing skin, pale stools or pain under the right ribs.
- Confirm the prescriber knows about any planned surgery or procedure.
- Bring the medicine box or pharmacy label showing the current strength.
Questions for your prescriber or pharmacist
- Which of my symptoms would mean I should contact you the same day?
- Will my kidney function be checked while I am having nausea or diarrhea?
- How does my family history affect whether Mounjaro is suitable for me?
- What tests, if any, do you recommend for thyroid changes, and why?
- Should my diabetes medicines be reviewed when my Mounjaro strength changes?
- What should I do if I have vomiting or diarrhea and cannot keep fluids down?
- Does my history of diabetic retinopathy need a change in eye checks?
- Who should I contact about side effects after hours?
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.