HealthRX.com · Printable symptom log
Gallbladder attack record while taking Mounjaro
Log each episode of upper-right belly pain with how long it lasted and what came with it, keep imaging and blood-test results on the same sheet, and bring it to the visit where watching and surgery are weighed. The urgent signs and the label's own instruction are printed at the bottom.
Mounjaro and gallbladder background
Current Mounjaro dose and date of the last increase
Date of the first attack
Number of attacks so far
Ever told you had sludge or gallstones?when, and on which scan
Parent, brother or sister with gallstones?
One line per attack
Write it down the same day, while the timing is fresh.
| Date and start time | How long the pain lasted | After a meal? Which? | Fever or chills | Yellow skin or eyes | Urine or stool color change | Vomiting | What you did |
|---|---|---|---|---|---|---|---|
Results to copy in
Ultrasound date and report wordingstones, sludge, wall thickening, bile duct size
HIDA scan result, if one was done
Liver tests and lipasedate and values
Who reviewed the results, and what they advised
What the label, NIDDK and the trial report
- In Mounjaro's pooled placebo-controlled trials in adults, acute gallbladder disease (gallstones, biliary colic and gallbladder removal) was reported by 0.6% on Mounjaro and 0% on placebo.[1]
- When gallstones are suspected, the label calls for gallbladder diagnostic studies and follow-up.[1]
- NIDDK: once you have had one gallbladder attack, more are likely; attacks often follow heavy meals and come in the evening or at night.[2]
- In the C-GALL trial, 29.5% of adults assigned to watchful waiting had surgery within 24 months, against 70.5% of those assigned to surgery.[3]
Do not wait for the next appointment
- During or after an attack, any of: pain lasting several hours, nausea and vomiting, fever or chills, yellow skin or eyes, tea-colored urine or light-colored stools. NIDDK says to see a doctor right away.[2]
- Upper stomach pain, fever, yellowing of the skin or eyes, or clay-colored stools: the Mounjaro Medication Guide says to tell your healthcare provider right away.[1]
To ask at the visit
- Do the images show stones, sludge or neither, and is the gallbladder wall or bile duct involved?
- Is my pattern one you would keep watching, or one for a surgeon?
- Which blood tests should be repeated, and when?
- Should my Mounjaro dose stay the same while this is sorted out?
- If surgery is planned, what do the surgical and anesthesia teams need to know about Mounjaro?
Sources for the facts on this sheet
- Eli Lilly and Company, via DailyMed. Mounjaro (tirzepatide) injection, for subcutaneous use: prescribing information and Medication Guide. Effective 2026-08-27. https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=d2d7da5d-ad07-4228-955f-cf7e355c8cc0
- National Institute of Diabetes and Digestive and Kidney Diseases. Symptoms & Causes of Gallstones. Accessed 2026-10-19. https://www.niddk.nih.gov/health-information/digestive-diseases/gallstones/symptoms-causes
- Innes K, Ahmed I, Hudson J, et al. Laparoscopic cholecystectomy versus conservative management for adults with uncomplicated symptomatic gallstones: the C-GALL RCT. Health Technol Assess 2024. PMID 38943314. https://pubmed.ncbi.nlm.nih.gov/38943314/
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.