[Missed dose · Saxenda]

I missed my Saxenda dose. What should I do?

liraglutide injection · Once daily injection · Label checked

Short answer: Skip it. The Saxenda label says to resume the once-daily schedule with the next scheduled dose and not to take an extra or larger dose to make up. If more than 3 days have passed since your last dose, the label says to restart at 0.6 mg daily and follow the dose escalation schedule again.

What does the Saxenda label say about missed doses?

From the FDA label on DailyMed. Numbers in brackets are label section numbers.
SituationWhat the label says
ScheduleOnce daily, any time of day (2.1)
Missed one doseTake the next scheduled dose; no extra dose (2.1)
Double up?No extra or increased dose to make up (2.1)
More than 3 days since last doseRestart at 0.6 mg daily and follow the escalation schedule (2.1)

What if I missed one Saxenda dose?

Section 2.1 of the Saxenda prescribing information says that if a dose is missed, resume the once-daily regimen as prescribed with the next scheduled dose. The Patient Information says: just take your next daily dose as usual on the following day.

Can I take two Saxenda doses the next day?

No. Section 2.1 says not to give an extra dose or increase the dose to make up for the missed dose.

What if I missed more than 3 days of Saxenda?

Section 2.1 says that if more than 3 days have passed since the last dose, restart Saxenda at 0.6 mg daily and follow the dose escalation schedule in Table 1 of the label, to reduce the risk of stomach side effects that come with restarting.

The Patient Information tells patients who miss 3 days or more to call their healthcare provider about how to restart.

Can I change the time of day I take Saxenda?

Saxenda can be injected at any time of day without regard to meals, and section 2.1 says no dose adjustment is needed if you change the injection site or timing.

This page summarizes FDA labeling. It is not personalized medical advice; confirm what to do with your prescriber or pharmacist.

Missed-dose rules for other medicines

Frequently asked questions

What happens if I miss a day of Saxenda?+
Section 2.1 says to take your next daily dose as usual and not to take an extra dose.
I missed Saxenda for 4 days. What does the label say?+
More than 3 days since the last dose means restarting at 0.6 mg daily and following the escalation schedule again (section 2.1). Contact your provider.
How long does liraglutide stay in your system?+
Liraglutide has an elimination half-life of about 13 hours, so it clears much faster than weekly GLP-1s.