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HealthRX.com · Printable symptom log

Mounjaro nausea review: dose history and weekly symptom record

Fill this in for the weeks before a review of nausea that has not settled: each dose step and its date, nausea and vomiting days, fluids, weight, and anything you tried for it. Label figures to raise at the same visit, and the warning signs that cannot wait for it, are printed alongside.

Companion to “Mounjaro Nausea That Won't Go Away: When to Worry and What to Do” · healthrx.com/side-effects-mounjaro-nausea/when-it-doesnt-resolve · Facts checked 2026-10-18

Dose history

Use injection dates from your records, not prescription dates.

Current dose and the date you started it
Each earlier dose step and its start date
Any step taken sooner than planned?
Injection day
Diabetes medicines taken with Mounjaroinsulin, a sulfonylurea, metformin

Weekly record

Week startingDoseDays with nauseaTimes vomitedWeightFluids on most daysMedicine or diet change tried

From the Mounjaro label

  • Dosing starts at 2.5 mg weekly; increases are in 2.5 mg steps after at least 4 weeks on the current dose.[1]
  • Most nausea, vomiting and diarrhea in the trials came during dose escalation and decreased over time.[1]
  • Acute gallbladder disease was reported by 0.6% of Mounjaro-treated patients and 0% on placebo in placebo-controlled trials.[1]
  • Mounjaro slows stomach emptying, which can change how oral medicines are absorbed.[1]
  • With insulin or a sulfonylurea, the risk of low blood sugar rises, which matters on days you cannot eat.[1]

Call now rather than waiting for the review

  • Severe or persistent stomach pain, sometimes spreading to the back, with or without vomiting: possible pancreatitis.[1]
  • Upper stomach pain, fever, yellowing of the skin or eyes, or clay-colored stools: possible gallbladder problem.[1]
  • Nausea, vomiting or diarrhea that does not go away: tell your healthcare provider right away.[1]

To settle at the review

  1. Was any of my dose steps quicker than the label's minimum interval?
  2. Would stepping back to the last dose I tolerated, then increasing more slowly, make sense?
  3. Is an anti-nausea medicine appropriate for me, and which one?
  4. Do I need tests for my gallbladder, pancreas or stomach emptying?
  5. If I stop Mounjaro, what will control my blood sugar instead?
Sources for the facts on this sheet
  1. 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

This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.