diff --git a/src/lib/ai/safety/__tests__/outbound-screen.test.ts b/src/lib/ai/safety/__tests__/outbound-screen.test.ts
index 969fa964f..9860f0300 100644
--- a/src/lib/ai/safety/__tests__/outbound-screen.test.ts
+++ b/src/lib/ai/safety/__tests__/outbound-screen.test.ts
@@ -65,6 +65,28 @@ describe("screenModelOutput — dose-prescription, all six locales", () => {
   }
 });
 
+describe("screenModelOutput — a German change verb with its object", () => {
+  it.each([
+    "Erhöhe deine Dosis auf 2,4 mg pro Woche.",
+    "Steigere die Dosierung um 0,5 mg.",
+    "Reduziere deine Dosis auf 5 mg.",
+    "Senke die Tagesdosis auf 25 mg.",
+  ])("blocks %s", (text) => {
+    const d = screenModelOutput(text, "de", CONVERSATIONAL_CONTRACTS);
+    expect(d.block).toBe(true);
+    expect(d.reason).toBe("dose_prescription");
+  });
+
+  it("still passes a restatement that names the dose", () => {
+    const d = screenModelOutput(
+      "Deine Dosis liegt seit drei Wochen bei 7,5 mg.",
+      "de",
+      CONVERSATIONAL_CONTRACTS,
+    );
+    expect(d.block).toBe(false);
+  });
+});
+
 // ── risk-score fabrication ───────────────────────────────────────────────
 
 const RISK_VIOLATIONS: Record<Locale, string> = {
diff --git a/src/lib/ai/safety/outbound-screen.ts b/src/lib/ai/safety/outbound-screen.ts
index 1313aef36..f9a7e9896 100644
--- a/src/lib/ai/safety/outbound-screen.ts
+++ b/src/lib/ai/safety/outbound-screen.ts
@@ -75,6 +75,14 @@ const DOSE_UNIT =
  * "NIGDY nie zalecać konkretnej wartości") plus the standard clinical
  * titration verbs of each language.
  */
+/**
+ * The object a German change verb may carry before its target ("erhöhe
+ * deine Dosis auf 2,4 mg"). English allows "your dose" in the same slot;
+ * without it the German imperative with an object slipped through.
+ */
+const DE_DOSE_OBJECT =
+  "(?:\\s+(?:(?:deine|die|ihre|eure|seine)\\s+)?(?:dosis|dosierung|medikation|wochendosis|tagesdosis))?";
+
 const DOSE_PATTERNS: Record<Locale, readonly RegExp[]> = {
   en: [
     // step/move/increase/raise/bump/titrate/go up to|by N unit
@@ -99,11 +107,11 @@ const DOSE_PATTERNS: Record<Locale, readonly RegExp[]> = {
   ],
   de: [
     new RegExp(
-      `\\b(?:erhöh\\w*|steiger\\w*|setz\\w*\\s+(?:hoch|rauf)|geh\\w*\\s+(?:hoch|rauf))\\s+(?:auf|um)\\s+[\\d.,]+\\s*${DOSE_UNIT}\\b`,
+      `\\b(?:erhöh\\w*|steiger\\w*|setz\\w*\\s+(?:hoch|rauf)|geh\\w*\\s+(?:hoch|rauf))${DE_DOSE_OBJECT}\\s+(?:auf|um)\\s+[\\d.,]+\\s*${DOSE_UNIT}\\b`,
       "i",
     ),
     new RegExp(
-      `\\b(?:reduzier\\w*|senk\\w*|verringer\\w*|nimm\\s+(?:weniger|runter))\\s+(?:auf|um)\\s+[\\d.,]+\\s*${DOSE_UNIT}\\b`,
+      `\\b(?:reduzier\\w*|senk\\w*|verringer\\w*|nimm\\s+(?:weniger|runter))${DE_DOSE_OBJECT}\\s+(?:auf|um)\\s+[\\d.,]+\\s*${DOSE_UNIT}\\b`,
       "i",
     ),
     new RegExp(