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List each medicine that you take. Be sure to include over-the-counter medicines, herbs, vitamins, and other natural health products.
Use this as a guide when you fill out the chart.
Keep this master list of medicines up to date. Review it with your doctor at each visit. At the bottom, list medicines that you're allergic to or that you've stopped for other reasons.
Reason to take
When to take
Side effects to look for
Type of reaction, such as a rash or breathing difficulties
Current as of:
May 27, 2020
Author: Healthwise StaffMedical Review: E. Gregory Thompson MD - Internal MedicineAdam Husney MD - Family Medicine
Current as of: May 27, 2020
E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine
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