Ozempic Tracker App: Shots & Step-ups | Dose Track
[Tracker · Ozempic]

Ozempic tracker: every shot, step-up and side effect

Semaglutide · weekly pen · Checked

Dose Track reminds you on your Ozempic shot day, logs each weekly injection with its site, and counts down the doses left in your pen. When your prescriber moves you up a step, you record the new dose from that date and the history keeps every earlier step.

What is the Ozempic schedule?

Per the FDA label (2.2), Ozempic starts at 0.25 mg once weekly for 4 weeks, then 0.5 mg once weekly. If more glycemic control is needed, the label's schedule allows 1 mg after at least 4 weeks on 0.5 mg, then 2 mg after at least 4 weeks on 1 mg. The maximum recommended dosage is 2 mg once weekly.

From the FDA label for Ozempic, section 2.2.
WhenDose on the labelLabel note
Weeks 1–40.25 mg once weeklyInitiation dosage; the label says to follow the escalation to reduce the risk of gastrointestinal adverse reactions
Weeks 5–80.5 mg once weeklyIncrease after 4 weeks on 0.25 mg; 0.5 mg is also one of the label maintenance dosages
Weeks 9–12 (earliest)1 mg once weeklyOnly if additional glycemic control is needed, after at least 4 weeks on 0.5 mg; 1 mg is the label maintenance dosage for type 2 diabetes with chronic kidney disease
Week 13 onward (earliest)2 mg once weeklyOnly if additional glycemic control is needed, after at least 4 weeks on 1 mg; maximum recommended dosage

In Dose Track you set Ozempic to weekly on your shot day and enter the dose you are on. Each later step (0.5 mg, 1 mg, 2 mg) is recorded as a dose change from the day it starts, so the log shows how long you spent at each dose.

What form does Ozempic come in?

Ozempic comes in multi-dose pens that are set to fixed doses, plus single-dose prefilled syringes. There is nothing to mix and no syringe units to work out. What matters for tracking is which pen you have, because each one holds a set number of doses.

From the FDA label for Ozempic, sections 3; 16.
ProductDose per injectionDoses per pen / packContents
Single-patient-use pen0.25 mg or 0.5 mg4 doses of 0.25 mg and 2 doses of 0.5 mg, or 4 doses of 0.5 mg (carton: 1 pen, 6 NovoFine Plus needles)2 mg/3 mL (0.68 mg/mL)
Single-patient-use pen1 mg4 doses of 1 mg (carton: 1 pen, 4 NovoFine Plus needles)4 mg/3 mL (1.34 mg/mL)
Single-patient-use pen2 mg4 doses of 2 mg (carton: 1 pen, 4 NovoFine Plus needles)8 mg/3 mL (2.68 mg/mL)
Single-dose prefilled syringe0.25 mg1 dose per syringe (carton: 4 syringes)0.25 mg/0.5 mL
Single-dose prefilled syringe0.5 mg1 dose per syringe (carton: 4 syringes)0.5 mg/0.5 mL
Single-dose prefilled syringe1 mg1 dose per syringe (carton: 4 syringes)1 mg/0.5 mL

What should you track on Ozempic?

Each row is something worth writing down for Ozempic, why it matters for this medicine, and what Dose Track does with it.

What to track on Ozempic and how Dose Track handles it.
What to trackWhy it mattersIn Dose Track
Shot dayThe label gives Ozempic on the same day each week. The day can move as long as two doses are at least 2 days (more than 48 hours) apart (2.1).A weekly reminder on your day. If you log on a different day, the app asks whether it was a one-off or your new shot day.
Dose stepThe label starts at 0.25 mg for 4 weeks, then 0.5 mg, with steps to 1 mg and 2 mg only after at least 4 weeks on the dose before (2.2).Record each new dose from the date it starts. Earlier doses keep their amounts, so you can see weeks on each step.
Doses left in the penThe 2 mg/3 mL pen gives 4 doses of 0.5 mg (or 4 of 0.25 mg and 2 of 0.5 mg); the 1 mg and 2 mg pens give 4 doses each (3, 16).Dose Track knows the Ozempic pen sizes from the label. Add your pen and each logged shot takes a dose off, with a run-out date and an order-by date.
Injection siteThe label says to use a different site each week within the same region: abdomen, thigh or upper arm (2.1).Each shot is logged with its site, and the app suggests the next one and warns if you pick one used too recently.
Side effectsNausea, vomiting, diarrhea, abdominal pain and constipation are the label's most common reactions, mostly during dose escalation (6.1).Log side effects with a severity and see them against the dose step you were on.
Blood sugar labsOzempic is labeled for type 2 diabetes, so HbA1c is the number your prescriber watches.Upload a lab report as a photo or PDF and HbA1c is read out and added next to your doses. You can set your own target range.

Which side effects does the Ozempic label list?

Adverse reactions reported in ≥5% of Ozempic-treated patients and more often than placebo, pool of 2 placebo-controlled trials in type 2 diabetes (label Table 1). Section 6.1, Table 1.
ReactionPlacebo (N=262)Ozempic 0.5 mg (N=260)Ozempic 1 mg (N=261)
Nausea6.1%15.8%20.3%
Vomiting2.3%5%9.2%
Diarrhea1.9%8.5%8.8%
Abdominal pain4.6%7.3%5.7%
Constipation1.5%5%3.1%

Per the label, the majority of reports of nausea, vomiting, and/or diarrhea occurred during dose escalation. Gastrointestinal adverse reactions overall occurred in 15.3% (placebo), 32.7% (0.5 mg), and 36.4% (1 mg); in the 1 mg vs 2 mg trial they occurred in 30.8% (1 mg) and 34% (2 mg) (6.1).

Dose Track has quick picks for the side effects people on GLP-1 medicines log most: nausea, constipation, diarrhea, reflux or heartburn, tiredness, low appetite, injection-site reaction and headache. You can type in anything else, set how bad it was, and see it next to the dose and the dose step you were on.

Ozempic side effects from the FDA label

What if you miss a Ozempic dose?

Per the label, a missed dose is given as soon as possible within 5 days after the missed dose; if more than 5 days have passed, the missed dose is skipped and the next dose is given on the regularly scheduled day, after which the regular once-weekly schedule resumes. (2.1) Missed an Ozempic dose.

In Dose Track a missed dose stands out in your history, so you can see the gap and count from the right day.

More about Ozempic on Dose Track

Dose Track is a tracking app, not medical advice. It records what you and your prescriber decide; it does not recommend doses. Check any dose change with your prescriber.

Frequently asked questions

Can Dose Track count how many doses are left in my Ozempic pen?+
Yes. The app has the Ozempic pen sizes from the FDA label: the 2 mg/3 mL pen (0.25 mg and 0.5 mg doses), the 4 mg/3 mL pen (1 mg doses) and the 8 mg/3 mL pen (2 mg doses). Each logged shot takes one dose off the pen in use.
Will Dose Track remind me when to move up to the next Ozempic dose?+
Dose Track does not decide when to step up; that is up to your prescriber. When you move up, you record the new dose from the day it starts, and the log keeps every earlier step so you can see how long you were on each one.
What happens if I change my Ozempic shot day?+
Log the dose on the new day. The app asks whether it was a one-time dose or whether your schedule should move to this day. The Ozempic label allows a new day as long as doses are at least 2 days apart.
Can I track Ozempic and weight together?+
Yes. Log your weight in the app, or connect Apple Health on iPhone or Health Connect on Android, and weight shows next to your doses and dose changes.

Other GLP-1 trackers

Sources: the FDA label for Ozempic (semaglutide), revised 5/2026; numbers in brackets are label section numbers. Read on DailyMed or the guides linked above; app features checked against the current app.

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