HealthRX.com · Printable symptom log
Zepbound injection site reaction stop record
Use this sheet to track skin reactions at Zepbound (tirzepatide) injection sites and bring the notes to your prescriber or pharmacist. It helps you decide with them whether a reaction needs to be discussed for stopping.
Medicine and injection details
Fill in before your visit. Keep one sheet per period you track.
Medicine name and formWrite Zepbound and the pen or vial type from the label
Prescriber name and phoneWho you would call about a reaction
Pharmacy name and phoneWhere you collect refills
Date you started ZepboundWrite the month and year
Usual injection sitesWrite abdomen, thigh or back of upper arm, and any you rotate
Known allergies or past reactionsList any drug, latex or ingredient reactions you have had before
Injection site reaction tracker
Record each injection and any change at the site. Note the site used and what you noticed.
| Date of injection | Site used | What the site looked like | Pain or itching | Other body changes noted |
|---|---|---|---|---|
Before the visit
Gather these items and bring them with this sheet.
- Bring your Zepbound pen or carton so the label is visible
- Bring your completed tracker for the full period
- Write the date each reaction first appeared
- Note any swelling of the face, lips or throat and when it happened
- Check with your pharmacist that the pen storage details match your label
- Note any skin pain that happens with light touch, such as clothing or a bed sheet
Questions to ask at the visit
- Does my injection site reaction count as a reason to stop Zepbound?
- Which signs would mean I should seek urgent medical care?
- Should I rotate my injection sites differently based on what I have noticed?
- Would a change in dose or timing be discussed if the reaction continues?
- Can you note this reaction in my record for future prescriptions?
- What should I do between visits if a reaction 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.