Start with a table on paper, in a notes app, or in a spreadsheet. Give it nine columns: medication name, label strength, amount taken, route, usual timing, reason if known, prescriber, pharmacy, and last dose. “Route” means how you take it, such as by mouth, injection, inhaler, patch, or topical use. Copy label language instead of relying on memory.
Include medicines that may be easy to overlook: sleep aids, pain relievers, allergy products, cold remedies, stomach medicines, vitamins, minerals, herbal products, contraceptives, creams, drops, inhalers, patches, and medications used only when needed. Also note medications filled under a former name or held by a family member. Do not add a dose from memory unless you label it as unconfirmed. A photo of the current container can help preserve label details for discussion, but ask before sending health information electronically.
- Full medication name exactly as printed
- Strength or dose, followed by “unknown” if not confirmed
- Amount used and method of taking it, if known why it is prescribed or taken, and who prescribed or recommended it, with contact details only if you already have them