Free tool

Missed GLP-1 Dose Calculator: Ozempic, Wegovy, Mounjaro, Zepbound

Take a late Mounjaro or Zepbound shot within 4 days, or 96 hours (Zepbound prescribing information, section 2.3), and a late Ozempic shot within 5 days (Ozempic prescribing information, section 2.1). Take a late Wegovy shot if your next dose is more than 2 days away (Wegovy prescribing information, section 2.4). Past the window, this missed GLP‑1 dose calculator says to skip it and never to double up.

Which medicine is your shot?US labels. In the UK? ·

If a dose of Wegovy tablets is missed, the label says to skip it and take the next dose the following day.

  1. When was your last shot?The date, and the time if you know it.
  2. Your usual shot daySet from your last shot. Change it if that shot was early or late.

Take it or skip it

Add your last shot to see whether to take it or skip it, and until when.

Choose your medicine and add your last shot to see whether to take it or skip it.

A woman looks at a wall calendar with one day circled in red, an injection pen and a clock on the table below.

How to use this calculator

  1. Choose Mounjaro or Zepbound, Ozempic, or Wegovy injection. The checker reads the US labels; tap "In the UK?" to use the UK rules instead.
  2. Enter the date and time of your last shot, or say you don’t know the time, and check your usual shot day. The checker reads the time now from your device.
  3. Read the verdict and its deadline to the hour, and your next dose on your usual day. To move your shot day for good, pick the new day and the checker says whether it works yet.
  4. If two or more doses have passed, the checker shows the dates, how much of your last dose is left in the half-life model, and what your label says, in a note you can print. Add the next dose to your calendar.

The checker assumes your next dose is due 7 days after the one you missed. If you have moved your injection day recently, your Wegovy window may be shorter than it shows.

The rule for each medication

Each weekly injection has its own missed-dose rule and its own minimum gap between two doses, set in section 2 of the US labels for Zepbound, Mounjaro, Ozempic and Wegovy.

Medication Take the missed dose when Past that Minimum gap between two doses
Mounjaro or Zepbound (tirzepatide) Within 4 days (96 hours) of the missed dose Skip it; inject on your usual day At least 3 days (72 hours)
Ozempic (semaglutide) Within 5 days of the missed dose Skip it; inject on your usual day At least 2 days (more than 48 hours)
Wegovy (semaglutide) Your next dose is more than 2 days (48 hours) away Skip it; inject on your usual day At least 2 days (Medication Guide)

The checker reads each window to the hour. These are its answers at the edges, on a regular 7-day week.

Time since your usual injection Mounjaro or Zepbound Ozempic Wegovy
96 hours (4 days) Take it Take it Take it
97 hours Skip it Take it Take it
119 hours Skip it Take it Take it
120 hours (5 days) Skip it Take it Skip it
121 hours Skip it Skip it Skip it
168 hours (7 days) One dose today One dose today One dose today

At exactly 5 days late, your next Wegovy dose is exactly 48 hours away. The label wording covers neither "more than" nor "less than" 2 days, so the checker says skip.

Pensday keeps the date of every shot, which gives you the hours since your last dose before you decide.

How the checker counts the Wegovy window

A woman walks across a long arched bridge lined with five red lamps.

On a regular week the US Wegovy rule closes at 7 − 2 = 5 days late, the same point as the Ozempic rule, and that is what the checker uses. If your next dose is due sooner, for example 5 days after the missed one because you are moving your injection day, count back 2 days from that date yourself, which closes the window at 5 − 2 = 3 days late. The UK Wegovy SmPC counts forward from the missed dose and allows 5 days (Wegovy SmPC, section 4.2); missed-dose rules by brand sets the US and UK wording side by side.

What a late dose does to your level

A hand in a red sleeve pours liquid into a tall glass cylinder whose level has dropped low.

A late shot lets the level fall further before it goes in. Tirzepatide’s half-life is about 5 days (Mounjaro prescribing information, section 12.3), so a dose taken 2 days late follows 9 days of decay instead of 7. Just before that late shot, about 29% of the level after your last dose is left (0.5 to the power 9 ÷ 5), against 38% on schedule. The GLP‑1 plotter draws the on-schedule weekly curve those percentages come from.

More than one missed dose

For two or more missed doses the checker shows what each label says and dates your last dose. After 2 or more missed doses in a row, the US Wegovy label says to restart the dose escalation at a lower dose (Wegovy prescribing information, section 2.4). The Ozempic, Mounjaro and Zepbound labels have no rule for several missed doses. Once you restart, the dose titration planner dates the steps back up.

Questions

Frequently asked questions

  1. Is the 4-day window counted in days or hours?

    In hours. The Mounjaro and Zepbound labels give it as 4 days (96 hours) after the missed dose (Zepbound prescribing information, section 2.3), so a shot due Sunday at 8 a.m. can be taken until Thursday at 8 a.m.

  2. Can I take two doses in one week to catch up?

    No. Every label says to skip a dose that is past its window, and two tirzepatide doses must be at least 3 days (72 hours) apart (Mounjaro prescribing information, section 2.1). On Ozempic the minimum is more than 48 hours (Ozempic prescribing information, section 2.1).

  3. What if I am exactly one week late?

    Your next scheduled dose is due that day. Take that one dose and leave out the missed one, as the skip rule on each label says (Zepbound prescribing information, section 2.3).

  4. Does the checker work for a compounded semaglutide or tirzepatide vial?

    It applies the US or UK label rules for the branded weekly injections. A compounded product comes with its own directions from the pharmacy that made it, so check those first.

  5. Does the checker work for Wegovy tablets?

    No. It covers the weekly injections only. The rule for a missed Wegovy tablet is to skip it and take the next one the following day (Wegovy prescribing information, section 2.4).

  6. Should I go back to my old day after taking a late dose?

    Yes. The Ozempic, Mounjaro and Zepbound labels say that whether you take the late dose or skip it, you then resume your regular weekly schedule (Mounjaro prescribing information, section 2.1). To change your day for good, keep at least the minimum gap in the table above; choosing the new day is discussed in when to inject Ozempic.

Sources

Results are estimates from the published figures in these sources. They are not a measurement or medical advice.

Pensday is a tracking app. It does not give medical advice; talk to your prescriber about your dose.

Pensday is not affiliated with Novo Nordisk or Eli Lilly. Ozempic, Wegovy, Rybelsus, Saxenda and Victoza are trademarks of Novo Nordisk A/S. Mounjaro, Zepbound and Trulicity are trademarks of Eli Lilly and Company.

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Pensday’s Shots tab: tirzepatide 7.5 mg, a 9-week streak, the next dose in 6 days and 12 hours with a Log shot button, and the injection sites.