Arthritis Medication List Template
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Arthritis Medication List
Prepared by: [Your Name]
Patient Information
Patient Name | James Smith |
Date of Birth | January 1, 1970 |
Address | 123 Main Street, Anytown, USA |
Phone Number | (555) 123-4567 |
Emergency Contact | Jane Smith (Spouse), (555) 987-6543 |
Medication List
Medication 1:
Drug Name | Humira (adalimumab) |
|---|---|
Indications | Rheumatoid arthritis |
Dosage | 40 mg subcutaneously every other week |
Side Effects | Injection site reactions, upper respiratory infections |
Administration Instructions | Administer as a subcutaneous injection |
Monitoring Requirements | Monitor for infections and signs of allergic reactions |
Medication 2:
Drug Name | Celebrex (celecoxib) |
|---|---|
Indications | Osteoarthritis |
Dosage | 100 mg orally twice daily |
Side Effects | Dizziness, stomach upset |
Administration Instructions | Take in the morning and evening |
Monitoring Requirements | Monitor renal function annually |
Instructions for Caregivers
Ensure medications are taken as prescribed.
Monitor for any adverse reactions or changes in condition.
Contact healthcare provider if any concerns arise.
Contact Information
For any questions or concerns regarding this medication list, please contact [Your Name] at [Your Company Email] or call [Your Company Number].
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