Use this form to remind you when to take your medicines.
Post this sheet where you can see it, such as near your medicine cabinet or wherever you store your medicines. Bring it to your doctor appointments. And take it with you when you travel.
Name of medicine
Before breakfast
What time? ____
With breakfast
Before lunch
What time? ____
With lunch
Before dinner
What time? ____
With dinner
Before bedtime
What time? ____
At bedtime
During the nighttime
What time? _____
Current as of: March 1, 2023
Author: Healthwise Staff
Medical Review:
E. Gregory Thompson MD - Internal Medicine
Adam Husney MD - Family Medicine