Free Discharge Medication List Template

Discharge Medication List

Name patien
Date of birth
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This list contains a comprehensive record of a patient's discharge medication details, including medication names, dosages, frequencies, special instructions, and additional notes. It serves as a vital tool for transitioning patient care from the hospital to home or to another healthcare facility, ensuring the safety and continuity of the patient’s treatment regimen.

Patient Information

Patient Name	Date of Birth	Medical Record Number	Discharge Date
John Doe	January 15, 1985	MRN789012	February 28, 2024

Medication Details:

Medication Name	Dosage	Frequency	Special Instructions
Acetaminophen	500mg	Every 6 hours	Take with plenty of water
Omeprazole	20mg	Once daily before breakfast	Take on an empty stomach
Levothyroxine	100mcg	Once daily before breakfast	Take on an empty stomach
Ibuprofen	400mg	Every 8 hours	Take with food
Metformin	1000mg	Twice daily with meals	Monitor blood sugar levels

Notes

List of additional reminders:

Allergies, if any, must always be kept in mind before the administration of any medication.
These are the default instructions, and deviations, if any, should be practiced under medical guidance only.
It is essential to maintain the order of the medications, as detailed.
Medications must be stored under recommended conditions to preserve their efficacy.
In case of any health complications, immediately contact the healthcare provider.

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