Medication List



MEDICATION LISTName: Birth date: Cell:Emergency Contact Name: (relationship)Cell:Primary Physician: Phone: Fax/Email: Rheumatologist: Phone: Fax/Email: Nephrologist: Phone: Fax/Email: Naturopath: Phone: Fax/Email: LUPUS PATIENTMEDICATION ALLERGIES: Sulpha AntibioticsList of all Prescription Medications, Over-the-Counter, and Vitamins/SupplementsMedication & StrengthHow To TakeAMNoonDinnerBedtimeAs NeededPrednisone (20mg)Take once a dayXPlaquenil (400 mg)Take 200 mg twice a dayXXMulti-VitaminTake once a dayXVitamin D3 (5000 iu)Take once a dayXOrthobioticTake once a dayXOmega Pure 780 (1,000)Take 4 pills once a dayXDHEA (5mg)Take 3 pills once a dayXUpdated: 10/01/14 ................
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