Patient Medication List

Prepared by: [Your Name]

Hospital: [Your Company Name]

Introduction:

A Patient Medication List is a critical tool for healthcare providers to ensure safe and effective management of a patient's medications. It includes detailed information about each medication prescribed, facilitating communication and reducing the risk of medication errors.

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Patient Information:

• Name: Elizabeth Mabel

• Date of Birth: January 1, 1980

• Contact Information: [email protected]

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Medication Details:

Medication Name	Dosage (Strength)	Frequency	Route
Lisinopril	10 mg	Once daily	Oral
Metformin	500 mg	Twice daily with meals	Oral
Atorvastatin	20 mg	Once daily at bedtime	Oral
Aspirin	81 mg	Once daily	Oral
Levothyroxine	75 mcg	Once daily on empty stomach	Oral
Vitamin D	1000 IU	Once daily	Oral

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Prescribing Doctor:

• Dr. Emily Smith, MD

Start Date:

Medication Name	Start Date
Lisinopril	January 1, 2020
Metformin	March 15, 2010
Atorvastatin	October 5, 2015
Aspirin	February 20, 2018
Levothyroxine	May 10, 2012
Vitamin D	Ongoing

Purpose/Indication:

Medication Name	Purpose/Indication
Lisinopril	Hypertension
Metformin	Type 2 diabetes
Atorvastatin	Hyperlipidemia
Aspirin	Cardiovascular protection
Levothyroxine	Hypothyroidism
Vitamin D	Vitamin D deficiency

Special Instructions:

• Levothyroxine: Take on an empty stomach

• Vitamin D: Take with food

Pharmacy Information:

Pharmacy Name	Contact Information
Maplewood Pharmacy	Phone: 555-987-6543 Address: 456 Oak Avenue, Maplewood, USA

Allergies/Side Effects:

• None known

Additional Notes:

• Patient is compliant with medications.

• Please review annually or as medications change.

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