Ask your health care provider these questions about each new medicine which is recommended or prescribed.
Write the answers in the spaces provided.
Use a separate sheet for each medicine.
Name of Medicine: _________________________________________________
What are the brand and generic names of the medicine?
Can I use a generic form?
What is the medicine for and what effect should I expect?
Does this drug replace any other medicine I have been using?
How and when will I use it, what amount will I use, and for how long?
What do I do if I miss a dose?
Should I avoid any other medicines, (prescription or over-the-counter), dietary supplements, drinks, foods or activities while using this drug?
When should I notice a difference or improvement?
When should I report back to the team?
Will I need to have any testing to monitor this drug's effects?
Can this medicine be used safely with all my other medications and therapies?
Could there be interactions?
What are the possible side effects?
What do I do if a side effect occurs?
How and where do I store this medicine?
Where and how can I get written information about this medicine?
What other sources of information can I use to make my decision?