GLP-1 Overdose: Symptoms, What to Do, and Emergency Care
GLP-1 overdose guide: symptoms of taking too much semaglutide or tirzepatide, what to do, and when to seek emergency care.
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If you suspect a GLP-1 overdose, call 911 or go to the nearest emergency room immediately. You can also call Poison Control at 1-800-222-1222.
Symptoms of GLP-1 overdose
| Symptom | Severity | Onset |
|---|---|---|
| Severe persistent nausea | Moderate-Severe | 1-6 hours |
| Repeated vomiting | Severe | 2-8 hours |
| Severe diarrhea | Moderate-Severe | 4-12 hours |
| Dehydration | Severe | 6-24 hours |
| Severe abdominal pain | Severe (possible pancreatitis) | 6-24 hours |
| Hypoglycemia (low blood sugar) | Moderate-Severe | 1-6 hours |
| Rapid heartbeat | Moderate | 2-12 hours |
| Confusion or fainting | Severe | 6-24 hours |
What to do immediately
- Do not take any more medication
- Call Poison Control: 1-800-222-1222 (US)
- Stay hydrated: Sip small amounts of water or electrolyte solution
- Monitor symptoms: Watch for severe vomiting, abdominal pain, dizziness
- Go to the ER if: You cannot keep fluids down, have severe abdominal pain, feel confused or faint
- Bring your medication: Take the pen/vial to the ER so they know exactly what you took
- Contact your provider: Inform your prescribing provider as soon as possible
Have questions about your GLP-1 dosing?
A US-licensed provider can help you understand your medication schedule and prevent dosing errors.
Talk to a providerHow overdose is treated in the ER
- IV fluids: To treat dehydration from vomiting and diarrhea
- Anti-nausea medication: Ondansetron (Zofran) IV to control vomiting
- Blood sugar monitoring: Regular glucose checks, dextrose IV if hypoglycemic
- Pancreatitis evaluation: Blood tests (lipase, amylase) and possibly CT scan
- Kidney function monitoring: Blood tests for creatinine and BUN
- Observation: Typically 6-24 hours; longer if complications
- Cardiac monitoring: ECG to check for arrhythmias
How to prevent GLP-1 overdose
- Use a weekly pill organizer or alarm to track injections
- Never take two doses to make up for a missed one (see our missed dose guide)
- Store medication in its original labeled container
- Keep a medication log or use a tracking app
- Do not share pens with others
- Check the dose on the pen before each injection
- Keep medication away from children
- Review your dosing schedule at every provider visit
Related guides
- Missed Dose Guide
- GLP-1 Dosage Guide
- GLP-1 Titration Schedule
- GLP-1 Vomiting Guide
- GLP-1 Nausea Remedies
- GLP-1 and Dehydration
- GLP-1 Drug Interactions
- GLP-1 Side Effects Complete Guide
Medical disclaimer: If you suspect a medication overdose, call 911 or Poison Control (1-800-222-1222) immediately. This content is for informational purposes only and is not a substitute for emergency medical care.
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