Prescribed Medication Information Sheet

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Prescribed Medication Information Sheet Medication Name

Date prescribed

Prescribing Doctor

Why do I need it?

When should I take it? How much should I take? How long do I keep using it? What should I avoid while using it? What side effects should I report if they happen? What should I do if I miss a dose? How will I know if the medication is working?

Filling in this medication sheet will help you keep track of your prescribed medications, and any questions or concerns you might have about the medication itself.

Medication misuse When you have an illness, your body may use or handle drugs differently. Therefore:  You should understand as much as possible about what you are taking, that is, the name, when you should be taking it, and how many at a time  Be aware that any pill can have side-effects, either when taken alone, or with other pills  You should therefore make sure that all your doctors are aware of everything that you are taking, whether it is a prescription drug, something over the counter not needing a prescription, a vitamin, or a herbal or natural product.  Take all your pills exactly as they were prescribed (check the pill container instructions) When visiting the doctor, dentist, or pharmacist:  Bring a complete list of all medicines and pills that you are taking.  Talk to your doctors and pharmacist about food or medicine allergies or other medical problems that could affect your ability to take certain medications.  Ask your doctor or pharmacist what to expect from drugs you are prescribed. But remember that while all medical products have some possible risk, such risks are usually small. If your doctor has prescribed something it is because the benefits are greater than the risks.  If you’re in recovery from drug addiction, make sure your doctors know.  Ask the doctor, medical staff or pharmacist to give you written advice or directions that you can review as often as necessary.

At home: 

Carefully follow directions or warnings on all medications, including over the counter drugs and supplements. If labels are hard to read, ask your pharmacist to use large type or have someone type or write directions on a slip of paper and tape it to the medicine bottle.



Try to use the same pharmacy for all your prescriptions. This allows your pharmacist to know what you are taking and alert you to potential side effects or negative drug interactions.



Refer to your pharmacist when you have questions about your medicines.



Keep track of side effects and let the doctor or pharmacist know if you experience unexplained symptoms or changes in the way you feel.

 Consider using a daily or weekly medication dispenser to reduce the likelihood of misuse. 

Don’t share your medicines with your friends or family members. It is also illegal to give prescription medicine to another person.



If dealing with your medicines becomes confusing, ask someone to help you. If a family member or friend is not available, many communities have home health aides or visiting nurses who can help.