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Saxenda

Missed a Saxenda dose? Here is what to do

A daily injection — the label keeps this simple

Last reviewed: September 2026

Saxenda is injected once a day. The FDA label says that if you miss a dose, you take your next daily dose as usual on the following day — you do not take an extra dose and you do not increase the next one to make up for it. If three days or more have passed since your last dose, the label says to call your prescriber, because Saxenda is restarted at 0.6 mg and stepped back up.

The rules

Three scenarios, three clear answers.

You missed one daily dose

Take your next dose as usual

The Medication Guide says to take your next daily dose as usual on the following day. There is no catch-up dose and no adjustment — you simply pick the routine back up.

Three days or more without a dose

Call your prescriber

The Medication Guide says to call your healthcare provider to talk about how to restart. The prescribing information says that if more than 3 days have passed since the last dose, Saxenda is reinitiated at 0.6 mg daily and the weekly escalation schedule is followed again, to reduce the gastrointestinal side effects that come with restarting.

Any missed dose

Never double up

The label is explicit: do not administer an extra dose and do not increase the dose on the following day to make up for a missed dose.

Decision flow

Step through this to figure out what to do right now.

1
When did you last inject?
Count the days

The label draws its line at 3 days. Everything under that is handled the same way.

2
Less than 3 days since your last dose?
Take your next dose as usual

Inject your normal dose at your normal time on the following day. Do not add an extra dose and do not increase the dose.

3
Three days or more since your last dose?
Call your prescriber before restarting

The label restarts Saxenda at 0.6 mg daily and works back up through the weekly escalation schedule.

Never take an extra Saxenda dose

The FDA label says not to administer an extra dose and not to increase the dose on the following day to make up for a missed dose. If you also take insulin or a sulfonylurea for type 2 diabetes, the label separately flags an increased risk of hypoglycaemia with Saxenda, including severe hypoglycaemia, and says the risk may be lowered by reducing the dose of those medicines.

Common questions

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