HealthRX.com · Printable symptom log
Ozempic bowel-change log by dose week
Record each day's stools, fluids and warning signs against the week of your current Ozempic step, so the pattern the page describes (worse after a step-up, easing at a steady dose, or not easing) is visible when you call the prescriber.
Your dose history
Date Ozempic started
Current dose (mg) and the date of the last increase
Metformin or other medicines that loosen stools
Gallbladder removed, or IBS with diarrhea?
Daily record
One line a day. Count stools, and note anything on the red-flag list.
| Date | Weeks since last dose increase | Loose stools (number) | Blood or black stool? | Fluids drunk | Dizzy on standing or dark urine? | Remedy taken |
|---|---|---|---|---|---|---|
What the Ozempic label reports
- Most reports of nausea, vomiting or diarrhea came during dose escalation.[1]
- In placebo-controlled trials, diarrhea was reported by 8.5% on 0.5 mg and 8.8% on 1 mg, against 1.9% on placebo.[1]
- 3.1% on 0.5 mg and 3.8% on 1 mg stopped treatment because of stomach side effects, against 0.4% on placebo.[1]
- Severe stomach side effects were reported in 0.4% on 0.5 mg and 0.8% on 1 mg, and in none on placebo.[1]
- Diarrhea, nausea and vomiting can cause dehydration, which can harm the kidneys.[1]
Call your provider right away
- Diarrhea, nausea or vomiting that does not go away.[1]
- Stomach problems that are severe or will not go away.[1]
For the call
- Should I stay on this dose longer before the next increase?
- Could metformin or another medicine be adding to this?
- Which antidiarrheal can I use with my other medicines, and for how long?
- When should my kidney function be checked if this continues?
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.