HealthRX.com · Printable restart record
Wegovy restart record after an acute illness
Note what the illness was, how long you were unwell, your last real injection and how many weekly doses you missed, then check your recovery and red-flag symptoms before agreeing a restart dose with your prescriber.
The illness
What it wasstomach bug, flu, COVID-19, other infection, procedure
First and last day you were unwell
Days with vomiting or diarrhea
Urgent care, ER or hospital stay?where and when
Tests done and resultskidney function, lipase, others, with dates
New medicines for the illnessantibiotics, anti-nausea medicine, others
Wegovy before you got sick
Weekly dose you were injecting (mg)
Still stepping up, or on a maintenance dose?
Date of the last injection you actually took
Weekly injections missed in a row since then
Weight before the illness and today
Recovery check before the restart call
- Eating and drinking normally again
- No vomiting or diarrhea now
- Passing urine as usual and not lightheaded on standing
- No stomach pain that is severe or will not go away
- Every medicine started during the illness is written above
- Insulin or sulfonylurea use flagged to the prescriber, if you take either
Label rules the restart plan should match
- One missed weekly injection: inject if the next dose is more than 2 days (48 hours) away; if less, skip it and keep your regular day.[1]
- 2 or more weekly injections missed in a row: restart escalation at a lower dose, to reduce stomach and bowel side effects.[1]
- Escalation steps last 4 weeks, and a step that is not tolerated can be held for 4 more weeks.[1]
- If vomiting, diarrhea or nausea return while stepping up, kidney function should be checked.[1]
- Insulin or a sulfonylurea taken with Wegovy raises the risk of low blood sugar.[1]
Do not restart on your own; get care now for
- Severe stomach pain that will not go away, with or without nausea or vomiting: stop Wegovy and call right away.[1]
- Upper stomach pain, fever, yellow skin or eyes, or clay-colored stools (possible gallbladder problem).[1]
- Vomiting or diarrhea that keeps you from holding down fluids: dehydration can cause kidney problems.[1]
Restart plan agreed with the prescriber
Restart dose (mg) and first injection date
Date of the next planned step-up
Changes to insulin or sulfonylurea, if any
Kidney check planned?date
Who to contact if symptoms return
Sources for the facts on this sheet
- Novo Nordisk, via DailyMed. Wegovy (semaglutide) injection, for subcutaneous use, and Wegovy (semaglutide) tablets, for oral use: prescribing information and Medication Guide. Effective 2026-06-18. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ee06186f-2aa3-4990-a760-757579d8f77b
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.