In Canada, shortages have occasionally occurred. Patients sometimes wonder if they can use the Yellow Pen (1 mg) to deliver smaller doses.
Here is a quick reference guide to the Ozempic click chart Canada:
Note: The 0.25 mg and 0.5 mg doses come from the same red pen in Canada. The pen is labeled 0.5 mg, but it can deliver 0.25 mg by counting clicks. ozempic click chart canada
There are no intermediate "clicks" that allow the user to stop halfway. If a user requires a dose between 0.25 and 0.5 mg, they cannot achieve this with a single pen. They would theoretically require a complex regimen of alternating doses (e.g., 0.25 mg one week, 0.5 mg the next), but they cannot dial "1.5 clicks."
To ensure the correct dose is administered based on the chart above, follow this procedure: In Canada, shortages have occasionally occurred
| Treatment Week | Prescribed Dose | Number of Clicks (from 0) | Pen Required | | :--- | :--- | :--- | :--- | | | 0.25 mg | 1 Click | Blue Pen | | Weeks 5+ | 0.5 mg | 2 Clicks | Blue Pen | | Maintenance | 1.0 mg | 1 Click | Yellow Pen |
| Pen Colour | Strength | Total Volume | Total mg | Standard Doses | | :--- | :--- | :--- | :--- | :--- | | | 0.25 mg / dose | 1.5 mL | 2 mg total | 0.25 mg (starter) | | Red (also used for 0.5 mg) | 0.5 mg / dose | 1.5 mL | 2 mg total | 0.5 mg (maintenance) | | Blue | 1.0 mg / dose | 3.0 mL | 4 mg total | 1.0 mg | | Green (newer in Canada) | 2.0 mg / dose | 3.0 mL | 8 mg total | 2.0 mg | The pen is labeled 0
The Canadian prescribing information dictates the following standard escalation path. These are the "locked" positions the pen naturally stops at:
| Desired Dose | Clicks Required | Window shows | | :--- | :--- | :--- | | 0.25 mg | 9 clicks | Between 0 and 0.5 | | 0.5 mg | 18 clicks | 0.5 | | 0.75 mg | 27 clicks | Between 0.5 and 1.0 | | 1.0 mg | 36 clicks (full turn) | 1.0 |
A significant number of patients in Canada struggle with the gastrointestinal side effects (nausea, vomiting) associated with the jump from 0.25 mg to 0.5 mg. Consequently, patients and clinicians sometimes calculate fractional doses based on the mechanical movement of the dial.
⚠️ on a blue or green pen. The maximum clicks is 36. Turning further can break the pen.