HealthRX.com · Printable medication review sheet
Numbness medication and supplement review to bring to your clinician
List every medicine, peptide and supplement with its source, dose and start date, describe the numbness pattern, and tick the cause groups that apply. A clinician can then match the timeline to the pattern. Do not stop or start anything on the strength of this sheet.
Everything you take
Include peptides from any source, over-the-counter products, vitamins and anything you stopped in the last few months.
| Product (exact name, maker or pharmacy) | Amount and how often | Route | Start date | Changed before the numbness began? |
|---|---|---|---|---|
The numbness pattern
Whereone side, both sides, one patch near an injection, feet first
When it began and how fastsudden, over hours to days, over weeks
Spreading or stable?
Weakness, balance, speech or vision changes?
Burning, pain from light touch, or skin sensitivity?
Cause groups that apply to me
- Cancer treatment, now or in the past
- HIV medicines
- Heart or blood pressure medicines
- Antibiotics or other infection treatment
- Seizure medicines
- Medicines for autoimmune disease
- Alcohol-dependence treatment
- Vitamin B6 in any supplement
- Metformin, or a known low B12
- Diabetes or prediabetes
- A GLP-1 medicine such as semaglutide
From official sources
- NINDS lists drugs for cancer, HIV/AIDS, heart or blood pressure, infections, autoimmune disease, seizures and alcohol dependence among occasional causes of neuropathy.[1]
- Vitamin B12 deficiency and too much vitamin B6 are the best-known vitamin causes.[1]
- The Wegovy label groups paresthesia, burning, sensitive skin and pain of skin under dysesthesia.[2]
- Talk with a doctor before stopping any medicine.[1]
Go to a hospital or call 911 instead
- Weakness or being unable to move, along with the numbness or tingling.[3]
- Slurred speech, a change in vision, or difficulty walking.[3]
Sources for the facts on this sheet
- National Institute of Neurological Disorders and Stroke. Peripheral Neuropathy. Accessed 2026-10-18. https://www.ninds.nih.gov/health-information/disorders/peripheral-neuropathy
- Novo Nordisk, via DailyMed. Wegovy (semaglutide) injection, for subcutaneous use, and Wegovy (semaglutide) tablets, for oral use: prescribing information and Medication Guide. Effective 2026-06-18. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ee06186f-2aa3-4990-a760-757579d8f77b
- U.S. National Library of Medicine. Numbness and tingling: MedlinePlus Medical Encyclopedia. Accessed 2026-10-18. https://medlineplus.gov/ency/article/003206.htm
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.