Medication Chart
Prescription Medications
| | | | |
|Start |Name of Medicine |Prescribed By |Dose |
|Date |Brand name | |(mg, units, puffs, drops) |
| |Generic name too if available | | |
|Antacids |Laxatives | | |
|Aspirin/other pain, headache, |Sleeping pills | | |
|or fever | | | |
|Cold/cough medicines |Vitamins, minerals | | |
|Diet pills |Others (list below): | | |
| | | | |
Developed by the Massachusetts Coalition for the Prevention of Medical Errors
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