Find your medication below. There is no general rule here worth learning — the leaflets disagree with each other, and two of them are not even answering the same question.
| Medication | What its leaflet says |
|---|---|
| Mounjaro | Take it as soon as you remember if it has been four days or less since it was due. More than four days, skip it and take the next one on your usual day. |
| Zepbound | Take it as soon as you remember if it has been four days or less since it was due. More than four days, skip it and take the next one on your usual day. |
| Wegovy | Take it now if your next dose is more than two days away. If it is less than two days away, skip it and stay on your schedule. |
| Ozempic | Take it as soon as you remember if it has been five days or less, then count your week from that day. More than five days, skip it and keep your original day. |
| Trulicity | Take it if there are at least three days until your next dose. Fewer than three, skip it and take the next one as planned. |
| Saxenda | Skip it and take the next one at your usual time. Never double up, and if you miss more than three days in a row your dose may need restarting lower — ask your prescriber. |
| Victoza | Skip it and take the next one at your usual time. Never double up, and if you miss more than three days in a row your dose may need restarting lower — ask your prescriber. |
| Rybelsus | Skip it and take the next one tomorrow at the usual time. Do not take two tablets in a day to catch up. |
The trap: Ozempic and Wegovy are the same drug and different rules
Both are semaglutide, and people switch between them or ask a friend on the other one. But they ask you to measure from opposite ends:
- Ozempic counts forward from the dose you missed. Five days or less, take it — and your week now runs from that day.
- Wegovy counts backward from your next dose. More than two days away, take the missed one — and your schedule does not move.
Those produce different answers on the same Thursday. If you take only one thing from this page, take that.
Never double up
No GLP-1 leaflet allows two doses to catch up, and the side effects of these medications scale with the dose — a double is the reliable way to spend a day being very unwell for no benefit at all. If you have missed enough that doubling feels tempting, that is the point at which to ask your prescriber rather than improvise.
The daily ones have no window
Saxenda, Victoza and Rybelsus have no catch-up dose. Skip the one you missed and take the next at its usual time.
There is a second thing to know about the daily injections, though: tolerance to the side effects fades. Missing more than about three days in a row can mean restarting at a lower dose and titrating back up, because picking up where you left off is how a week of nausea starts. That is a decision for your prescriber, and it is worth a phone call rather than a guess.
Two missed in a row is a different conversation
One missed dose is an ordinary thing that these leaflets are written to handle. Two or more consecutive missed doses on a weekly medication is not — you may need to step back down and titrate up again, and that is not something to work out from a table on a website.
