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All the information youll see below is based on MHRA-approved prescribing guidance from June 2026

For Ozempic multi-dose pens, you should inspect the solution through the pen's viewing window before each injection

If 7.5 mg is working and you feel good, there is no clinical mandate to keep escalating

Contact your GP if: Cold sores do not improve within 10 days or appear to be worsening You experience frequent recurrent outbreaks (more than 6 per year) Lesions spread beyond the lip area or become unusually large You develop signs of secondary bacterial infection (increasing pain, purulent discharge, spreading redness, fever) You have a weakened immune system due to other medical conditions or medications You are pregnant or breastfeeding and develop cold sores Seek urgent medical attention if: You develop severe, widespread blistering or systemic symptoms (high fever, confusion, severe headache) Eye involvement occurs (pain, redness, vision changes, light sensitivity) this requires same-day ophthalmology assessment via A&E or NHS 111 You have difficulty swallowing or breathing due to oral lesions Signs of eczema herpeticum develop (widespread vesicular rash in patients with atopic eczema) attend A&E A baby under 6 weeks has a rash or has been exposed to a cold sore seek immediate medical advice Regarding Mounjaro specifically , inform your healthcare provider if you notice any unexpected patterns or concerns after starting treatment

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