HealthRX.com · Printable medication review sheet
Starting Ozempic at 50 to 64: medicine list, low-sugar plan and dose-step record
Fill this in with your prescriber before the first dose and update it at each dose step: the medicines that change Ozempic's risks, your latest kidney and A1c results, the plan for a sulfonylurea or insulin, and how each step went.
Where you start
Number of prescription medicines you take
Sulfonylurea or insulin: name and doseglipizide, glimepiride, basal insulin
Latest eGFR (and urine albumin, if done) with date
Latest A1c with date
Blood pressure medicines, including any diuretic
Oral estradiol, warfarin or levothyroxine?
Medicines to look at again before each dose increase
- Sulfonylurea (glipizide, glimepiride): has the dose been reviewed?
- Insulin: has the dose been reviewed?
- SGLT2 inhibitor (empagliflozin, dapagliflozin)
- Diuretic (water pill)
- Warfarin or levothyroxine
- Oral estradiol or other hormone therapy
Each dose step
| Date started | Dose (mg) | Weeks at this dose | Nausea or vomiting (none, mild, limiting) | Lowest glucose reading | Next step agreed |
|---|---|---|---|---|---|
What the Ozempic label says
- One schedule for all adults: 0.25 mg weekly for 4 weeks, then 0.5 mg; any increase to 1 mg, then 2 mg, comes after at least 4 weeks on the current dose.[1]
- With a sulfonylurea, documented symptomatic low blood sugar occurred in 17.3% (0.5 mg) and 24.4% (1 mg); the label advises considering a lower sulfonylurea or insulin dose when Ozempic is started.[1]
- No dose adjustment is recommended for kidney impairment, but kidney function should be monitored if side effects could cause fluid loss, especially when starting or increasing the dose.[1]
- The heart-outcome trial behind the cardiovascular indication enrolled adults aged 50 or older with established heart, vessel or kidney disease or heart failure, or 60 or older with risk factors.[1]
- Low blood sugar may be more likely when Ozempic is used with a sulfonylurea or insulin; the Medication Guide says to talk with your provider before starting about low blood sugar and how to manage it.[1]
Tell or call your healthcare provider right away
- Nausea, vomiting or diarrhea that does not go away: fluid loss can cause kidney problems (tell your provider right away).[1]
- Severe stomach pain that will not go away, with or without vomiting (stop Ozempic and call right away).[1]
For the prescriber
- Given my other medicines, should each dose step last longer than 4 weeks?
- Should my sulfonylurea or insulin dose change before the first Ozempic dose?
- How often should I check my glucose during the first 8 weeks?
- When will my kidney function and A1c be rechecked?
- Is 0.5 mg enough for my goals, or is a higher dose worth trying?
Sources for the facts on this sheet
- Novo Nordisk, via DailyMed. Ozempic (semaglutide) injection, for subcutaneous use: prescribing information and Medication Guide. Effective 2026-06-01. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=adec4fd2-6858-4c99-91d4-531f5f2a2d79
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.