Medication List For Seniors
I. Patient Information
Name | Age | Gender | Emergency Contact |
|---|
Roland Grant | 75 | Male | Carol Grant (spouse) - 222 555 7777 |
II. Healthcare Provider Information
Name | Specialty | Email Address |
|---|
[Your Name] | Primary Care | [Your Email] |
Dr. Wilson Cook | Cardiologist | wilson@email.com |
III. Medication Schedule
Medication | Dosage | Frequency | Purpose | Special Instructions |
|---|
Lisinopril | 10 mg | Once daily | Hypertension | Take with water |
Metformin | 500 mg | Twice daily | Diabetes | Take with meals |
Atorvastatin | 20 mg | Once daily | High Cholesterol | Take at bedtime |
Warfarin | 5 mg | Once daily | Blood Thinner | Monitor INR regularly |
Levothyroxine | 75 mcg | Once daily | Hypothyroidism | Take on an empty stomach |
IV. Over-the-Counter Medications and Supplements
Medication/Supplement | Dosage | Frequency | Purpose | Special Instructions |
|---|
Aspirin | 81 mg | Once daily | Blood Thinner | Take with food |
Vitamin D | 1000 IU | Once daily | Bone Health | Take with water |
Calcium | 500 mg | Twice daily | Bone Health | Take with meals |
V. Allergies and Adverse Reactions
Medication/Substance | Reaction Type | Notes |
|---|
Penicillin | Rash, Swelling | Avoid all penicillin derivatives |
Ibuprofen | Stomach Upset | Prefer acetaminophen for pain relief |
VI. Important Reminders
Regular Medication Review: Schedule periodic reviews with the healthcare provider to reassess the necessity, dosage, and interactions of medications, especially if new conditions arise or existing ones change.
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