Page 36 - MCMcKinney Digest Guide

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USE THIS HANDY REFERENCE! Write the name of each medicine you take, why you take it and when. Add new medicines as they are prescribed and mark o medicines if you no longer take them. Carry this handy reference with you to appointments and to the hospital. Keep your list updated, ask your healthcare professional(s) to assist you.
Medicines
Date & Reason Taken
Dose & When Taken
Time(s)
Example: Amoxicillin 250mg
5/12/16 Bladder Infection
1 capsule 3 times a day
9 a.m., 12 p.m., 6 p.m.
Physician:
Phone: Specialty:
Physician:
Phone: Specialty:
Over-The-Counter
o Cold & Flu o Allergy oNasal Spray o Aspirin
o Ibuprofen (Advil) o Tylenol
o Vitamins
o Diet Pills
o Antacid
o Sleep Aid
o Laxative
o Nausea/Diarrhea o Other
What are you allergic to?
List all meds, supplements or foods.
Describe symptoms
MEDICINE MINDER