My Medicines
Take Time to Take Care of your Health
Keep a record of medicines you use:
You can help prevent some medicine errors, by taking an active role in your health care. You can start by keeping a list of all your medications. Make sure you keep this information easily available and provide updated copies to your health care providers. Your medication list will assist medical professionals in detecting and avoiding future problems.
Place a “x” for the ones you use:
___ Aspirin or other pain/
headache/fever medicine
___ Allergy medicine
___ Antacids
___ Cold medicine
___ Diet pills/Supplements
___ Laxatives
___ Sleeping pills
___ Vitamins
___ Minerals
___ Herbals
___ Others __________________
Example of a detailed prescription list you can use for your next visit to your health care provider.