Short answer: The Soliqua 100/33 label says to resume your once-daily schedule with the next scheduled dose. Do not take an extra dose or increase the dose to make up for the missed one. Soliqua is taken within the hour before the first meal of the day, so a missed morning dose waits until the next morning.
| Situation | What the label says |
|---|---|
| Schedule | Once daily, within 1 hour before the first meal (2.1) |
| Missed a dose | Resume with the next scheduled dose (2.4) |
| Extra dose | Do not take an extra dose or increase the dose (2.4) |
| Most per day | 60 units (2.1) |
| Several days missed | No specific rule in the label |
Section 2.4 says patients who miss a dose should resume the once-daily schedule with the next scheduled dose, and should not take an extra dose or increase the dose to make up for it. The Medication Guide puts it as: take your next scheduled dose at your regular time.
Example: you usually inject before breakfast at 7 a.m. and realize at lunch that you forgot. Under the label you would not inject at lunch; you would take your usual dose before breakfast the next morning.
Section 2.1 says Soliqua is injected once a day within the hour before the first meal of the day. It contains lixisenatide, a GLP-1 with a short half-life of about 3 hours (section 12.3), which works mainly on the meal that follows the dose.
The Soliqua label does not say what to do after several missed days. That is a question for your prescriber.
Soliqua is dosed from 15 to 60 units (section 2.1). Do not change the number of units on your own after a gap.
This page summarizes FDA labeling. It is not personalized medical advice; confirm what to do with your prescriber or pharmacist.