HealthRX.com · Printable medication review sheet
Wegovy and liraglutide switch planner
Plan a move between weekly Wegovy and daily liraglutide: the last dose of the old medicine, the new label's first dose and step-up pace, the different pens, and an eight-week log of stomach symptoms and weight to bring to follow-up.
The switch
DirectionWegovy to liraglutide, or liraglutide to Wegovy
Reasonsupply, cost, coverage, side effects, not enough response
Current dose and how long I have been on it
Last dose of the current medicinedate and time
First dose of the new medicinedate and dose agreed with my prescriber
Pen I will use and who showed me how
What the two current labels say
- Wegovy injection starts at 0.25 mg once weekly for weeks 1 to 4, then 0.5 mg (weeks 5 to 8), 1 mg (weeks 9 to 12) and 1.7 mg (weeks 13 to 16), reaching the maintenance dose from week 17.[1]
- Saxenda (liraglutide 3 mg) starts at 0.6 mg daily for one week, then 1.2, 1.8 and 2.4 mg in weeks 2 to 4, and 3 mg daily from week 5.[2]
- Saxenda: if more than 3 days have passed since the last dose, restart at 0.6 mg daily and step up again.[2]
- Neither medicine is meant to be combined with another GLP-1 receptor agonist: both labels say so.[1]
- Saxenda uses a multi-dose pen; pen needles are not included, and the pen in use is thrown away after 30 days.[2]
- Wegovy injection comes in single-dose pens at every strength.[1]
First eight weeks on the new medicine
| Week | Dose | Nausea or vomiting (0 to 10) | Bowel changes | Weight | Notes for follow-up |
|---|---|---|---|---|---|
| 1 | |||||
| 2 | |||||
| 3 | |||||
| 4 | |||||
| 5 | |||||
| 6 | |||||
| 7 | |||||
| 8 |
Call your healthcare provider right away
- Severe pain in your stomach area that will not go away, with or without nausea or vomiting: both Medication Guides say to stop the medicine and call right away.[1]
To settle with the prescriber before the switch
- On what date should my first dose of the new medicine be, given my last dose of the old one?
- Do I start the new medicine at its lowest label dose?
- Which pen needles do I need for liraglutide, and how is the dose dialed?
- Does my plan cover the new medicine, and is prior authorization needed?
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
- Novo Nordisk, via DailyMed. Saxenda (liraglutide) injection, for subcutaneous use: prescribing information and Medication Guide. Effective 2026-02-25. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=3946d389-0926-4f77-a708-0acb8153b143
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.