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Handy Reference: Medications You Are Currently Taking
List all medications you are currently taking, (prescription, over-the-counter and vitamin supplements) their name, strength and dosage. (Example: Haldol-25mg twice a day, Aspirin-12mg daily, Albuterol Inhaler as needed, Zyrtec-10mg as needed, Calcium)
Name of Medication
Date Started Taking
Dose (How Much)
When Taken
Reason For Taking
What are you allergic to? List any medications, supplements or foods.
Describe symptoms
Handy Reference: Medications You Need
To Take After Leaving The Hospital
Use this Medicine Minder to record the names, dosages and instructions for your medications you will need to take when you leave the hospital.
This is your
chance to ask your Doctor any questions about your medications. DON’T BE AFRAID TO ASK QUESTIONS UNTIL YOU UNDERSTAND!
Name Of Medication
Reason For Taking
Dose (How much)
When To Take It
How to Take It (on an empty stomach, with food, etc.)
YOUR MEDICINE MINDER