Free Home Medication List Template
Home Medication List
Overview
The Home Medication List is a comprehensive document that tracks medications an individual is currently on or has been previously prescribed. It is a significant tool useful in personal references, medical appointments, emergencies, hospitalizations, and aids in preventing potential medication errors. It enhances communication between healthcare providers ensuring a coordinated and safe treatment plan for the patient.
Medication Details
|
Medication Name |
Dosage |
Frequency |
Prescribing Physician |
Special Instructions/Notes |
|---|---|---|---|---|
|
Lisinopril |
10 mg |
Once daily |
Dr. Smith |
Take with food |
|
Metformin |
500 mg |
Twice daily |
Dr. Johnson |
Take with breakfast and dinner |
|
Atorvastatin |
20 mg |
Once daily |
Dr. Anderson |
Take at bedtime |
|
Albuterol |
Inhaler: 2 puffs |
As needed |
Dr. Brown |
Use as rescue inhaler for asthma |
|
Omeprazole |
20 mg |
Once daily |
Dr. Lee |
Take before breakfast |
|
Sertraline |
50 mg |
Once daily |
Dr. Martinez |
Take in the morning |
|
Aspirin |
81 mg |
Once daily |
Dr. Wilson |
Take with food |
|
Insulin (Lantus) |
20 units |
Once daily |
Dr. Taylor |
Inject before bedtime |
|
Furosemide |
40 mg |
Once daily |
Dr. White |
Take in the morning |
|
Gabapentin |
300 mg |
Three times daily |
Dr. Garcia |
Take with meals |
Reminders
-
The Home Medication List should be regularly updated to reflect changes in medication, dosage, or frequency.
-
The List should be readily available at all times and particularly during medical appointments or emergencies.
-
Healthcare professionals, family members, or caregivers can assist with compiling and maintaining the List.
-
Regularly refer to the List to prevent missed doses or potential medication errors.
-
Use the List to facilitate communication between healthcare providers and ensure coordinated care.
