The rules
Three scenarios, three clear answers.
Inject as soon as you remember. Then go back to your regular day the following week. For example, if you usually inject on Monday and remember on Wednesday (2 days late), inject Wednesday and resume Monday next week.
Do not inject the missed dose. Wait for your next regular injection day and take your normal dose. Taking a late dose too close to your next scheduled dose could cause overlapping drug levels and worse side effects.
If you have missed 2 or more consecutive doses, your prescriber may want you to restart at a lower dose and re-titrate. Going straight back to a high dose after a break can cause severe nausea, vomiting, and GI distress.
Decision flow
Step through this to figure out what to do right now.
Count the days since your last scheduled dose. This determines your next step.
Take the missed dose immediately. Resume your regular schedule the following week. You do not need to adjust the dose.
Do not inject. Wait for your next regular injection day. Taking a late dose risks overlapping with your next dose and amplifying side effects.
You may need to re-titrate from a lower dose to avoid severe GI side effects when restarting.
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Last reviewed: April 2026