Medicine Chart for HF Management - American Heart Association

Medicine Chart

for HF Management

Name

Name of Medicine Lisinopril (ACE inhibitor)

Color pink

What's It For heart failure

Dose 1 pill (5mg)

How Often and What Time

once a day

Prescribing Doctor

Dr. Jones

Date

Pharmacy Number

650-555-1234

Special Instructions Refill Date

take before or after a meal

5/1/22

Allergies to medicine

HF

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