HealthRX.com · Printable restart record
Trulicity stop-and-restart worksheet
Bring this to the appointment where restarting is discussed: when and why you stopped, what changed while you were off, the label rules that still apply, the symptoms that rule out waiting, and the restart plan you agree.
When you stopped
Date of your last Trulicity injection
Dose at that injection (mg)
How long you had been on that dose
Weeks off Trulicity so far
Main reason you stopped
Tick all that apply and add details on the line below.
- Nausea, vomiting or diarrhea
- Cost, a formulary change or lost coverage
- Needle worry, or a pen that did not deliver
- Felt it had stopped working at my dose
- Pancreatitis, a serious allergic reaction or gallbladder trouble
- Pregnancy, or planning a pregnancy
- Something else
What changed while you were off
Latest HbA1c and its date
Weight now, and change since stopping
Diabetes medicines started or changednote any insulin or sulfonylurea
Label rules that still apply
- Adults start on 0.75 mg once a week; after 4 weeks the dose may rise to 1.5 mg, then by 1.5 mg after at least 4 weeks on each dose, to a 4.5 mg maximum.[1]
- One missed dose can still be taken if at least 3 days (72 hours) remain before the next scheduled dose.[1]
- Your injection day can move as long as the last dose was 3 or more days earlier.[1]
- If you use insulin or a sulfonylurea, the label says to consider lowering its dose when Trulicity is started.[1]
Stop Trulicity and get help right away for
- Stomach-area pain that is severe and does not go away, with or without nausea or vomiting.[1]
- Swelling of the face, lips, tongue or throat, or difficulty breathing or swallowing.[1]
Restart plan agreed with your prescriber
Restart dose (mg) and first injection date
Earliest date for the next step up
Changes to other diabetes medicines
When to check glucose, and who to call about side effects
Sources for the facts on this sheet
- Eli Lilly and Company, via DailyMed. Trulicity (dulaglutide) injection, for subcutaneous use: prescribing information. Effective 2026-06-16. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=463050bd-2b1c-40f5-b3c3-0a04bb433309
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.