HealthRX.com · Printable symptom log
Zepbound illness diary and message builder
Log each day of the illness until you feel well, then use the checklist to write one clear message to whoever prescribes your Zepbound. The diary shows recovery in numbers (times you vomited, fluids kept down, temperature), which is more useful to the prescriber than a single good day.
Your Zepbound routine
Strength and date of the last injection you took
Usual injection day
Device and strength you have at homesingle-dose pen, vial or KwikPen
Other medicines, especially insulin or a sulfonylurea
Daily diary while unwell
| Date | Times vomited | Loose stools | Fluids kept down | Eating | Temperature | Belly pain: none, mild, severe | Seen by anyone? |
|---|---|---|---|---|---|---|---|
Label points worth quoting in the message
- Vomiting, diarrhea and nausea can cause dehydration, which can lead to kidney problems.[1]
- The label asks prescribers to monitor kidney function when side effects could cause fluid loss.[1]
- Taking insulin or a sulfonylurea with Zepbound raises the risk of low blood sugar.[1]
- In the weight trials, severe stomach and bowel reactions affected 1.7% to 3.1% of patients across doses, against 1% on placebo.[1]
- Anyone planning a procedure for you should be told that you take Zepbound.[1]
Put these in the message
- Last dose strength and date
- How many scheduled injections you missed
- Which symptoms remain and when they last happened
- What you can eat and drink today
- Where you were seen, and any test results
- Any medicine started, stopped or changed
- The question: when, and at what dose, should I restart?
Skip the message and get care now for
- Fluids will not stay down: the dehydration can lead to kidney problems.[1]
- Belly pain that is severe or keeps going, sometimes into the back.[1]
- A swollen face, lips, tongue or throat, or difficulty breathing.[1]
Reply from the prescriber
Resume on (date) at (dose)
Name of the person who confirmed it
When to check in, and what would change the plan
Sources for the facts on this sheet
- Eli Lilly and Company, via DailyMed. Zepbound (tirzepatide) injection, for subcutaneous use: prescribing information and Medication Guide. Effective 2026-08-28. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=487cd7e7-434c-4925-99fa-aa80b1cc776b
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.