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Master List of Medicines

Table of Contents


Overview

List each medicine that you take. Be sure to include over-the-counter medicines, herbs, vitamins, and other natural health products.

Use this as a guide when you fill out the chart.

Keep this master list of medicines up to date. Review it with your doctor at each visit. At the bottom, list medicines that you're allergic to or that you've stopped for other reasons.

Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Allergies to medicines
Use the chart below to list all medicines, both prescription and over-the-counter, that you are allergic to.

Medicine name

Type of reaction, such as a rash or breathing difficulties
























Credits for Master List of Medicines

Current as of: June 6, 2022

Author: Healthwise Staff
Medical Review:
E. Gregory Thompson MD - Internal Medicine
Adam Husney MD - Family Medicine


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