Free Arthritis Medication List Template
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].
