Healthcare V / \ i 1 I --I r r \ ! f 3 I 0 © 0 © h a l t o n h e a l t h c a r e . c o m The a n a to m y o f a good m e d ic a tio n list M y M e d ic a tio n L is t A comprehensive and current medication list can save precious time during an emergency. 1 Name: Jane Patient Family Physician: Dr. John Smith Pharmacy Name: ABC Pharmacy 3 Allergies: Describe Reaction Latex-rash Nuts-Anaphylactic shock Eggs-Trouble breathing Currently taking medications/ supplements at home? X Yes □ No □ Unknown Date: 0 3 /2 8 /1 8 Phone: (XXX) XXX-XXXX Phone: (XXX) XXX-XXXX □ No Known Reactions When do you take your medications? Medication Name 5 Dose M orning Noon Evening As Needed Metformin- diabetes 500 mg 2 Tylenol Arthritis- pain 650 mg ( Vitamin D 1000 mg 2 Natural Tears 1 drop X Insulin Kwik pen- diabetes 4 units X X X Hydrocortisone Cream .1% X Whether you are coming to the hospital Emergency Department, to a walk in clinic or other medical appointment, you should be asked for a current list of your medications. W hy is your m edication list im portant? When seeking medical care, especially in the Emergency Department, your healthcare team needs to consider your whole health picture. In addition to understanding your physical symptoms, an important part of your health assessment is to know what medications are being taken and why they are being taken. 1. Include your full name and the name and contact number o f your fam ily physician and pharmacy. 2. Make sure the list is current. Review and update your list when you renew prescriptions or schedule it on the calendar at least once or tw ice a year. 3. List all allergies and sensitivities. Include medication, food and environmental allergies along w ith your allergy symptoms. 4. List all prescription medications. Include over the counter medications, vitamins, minerals, herbal supplements, etc. Don't forget eye drops, prescribed creams and nasal sprays. 5. This section is very im portan t-w hat is the dosage of each item listed? How often do you take it? What time of day do you take it? Create your own M edication List You can find a sample form on the Halton Healthcare website, haltonhealthcare.com. Fill it in or create your own and bring the list with you to all your medical appointments. Update this list regularly, as your medications change. MARCH 2018 HALTON HEALTHCARE CM | O akville B eaver | Thursday, M arch 29,2018 insidehalton.com