HealthRX.com · Printable side-effect diary
Zepbound constipation side effect diary
Use this diary to track bowel changes while taking Zepbound, then bring it to your prescriber or pharmacist. It records your dose history, stool changes, laxative use and warning signs named in the article.
Your medicine details
Fill in before your first entry.
Current Zepbound strengthCopy from your pen or prescription label
Date of most recent dose change
Day of the week you inject
Other medicines or supplementsInclude any laxatives or fiber products
Diabetes statusWrite yes, no or not sure
Daily bowel tracking
Record each day or each week. Note any red flag signs in the last column.
| Date | Bowel movements | Hard or lumpy stool | Straining or pain | Laxative used | Red flag signs |
|---|---|---|---|---|---|
Before your visit
- Bring this completed diary to the appointment
- Write the date of your most recent dose change
- List every laxative or fiber product you have tried
- Confirm the label directions for any laxative you use
- Note any bleeding, constant belly pain, vomiting or fever to raise at once
- Check with your pharmacist about any new over-the-counter product
Questions to ask
- Is constipation common at my current strength?
- Could my symptoms relate to a recent dose change?
- Should I track my symptoms for a set period before we decide?
- Which laxatives are suitable for me to discuss with you?
- What symptoms should prompt me to call the office right away?
- Would a dose review be an option if side effects continue?
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.