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Pocket Medication List

Pocket Medication List

Patient Name:

[YOUR NAME]

Date:

[CURRENT DATE]

Overview

This list contains all necessary information regarding personal medication details, dosages, frequency, and their purpose. Additionally, it includes emergency contact information. This pocket list should be kept in an accessible location for emergency purposes.

Medication Details

Medication Details

Notes

Medication Name

Ibuprofen

Dosage

200mg

Frequency

Every 6 hours

Purpose

Pain relief

Medication Name

Dosage

Frequency

Purpose

Medicine 1

2 mg

Once daily

Heart disease

Medicine 2

1 pill

Twice daily

Diabetes

Allergies Details:

Allergies

Medicines

Known Allergies

Penicillin

Allergic Reactions

Rash

Medical Conditions Details:

Medical Conditions

Notes

Existing Medical Conditions

Hypertension

Special Instructions

Take with food

Emergency Contact Information

Primary Physician

Emergency Contact

Emergency Phone Number

Dr. Smith

John Doe

123-456-7890

Notes:

  • Please ensure this Pocket Medication List is kept in an easily accessible location, such as a wallet or purse, in case of emergencies.

  • Always keep your physician and emergency contact informed about any changes in your medication or health condition.

  • It's also a good idea to share this list with a trusted family member or friend.

  • If medication dosage or frequency changes, update this list immediately to avoid any confusion.

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