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Making a Medicine List Makes You - National Council on Patient ...

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<str<strong>on</strong>g>Making</str<strong>on</strong>g> a <str<strong>on</strong>g>Medicine</str<strong>on</strong>g> <str<strong>on</strong>g>List</str<strong>on</strong>g> <str<strong>on</strong>g>Makes</str<strong>on</strong>g> <str<strong>on</strong>g>You</str<strong>on</strong>g> “<str<strong>on</strong>g>Medicine</str<strong>on</strong>g> Smart”<br />

Do you write down a list of the things you want to do each day? In today’s busy world it’s a good idea to keep a<br />

list.<br />

If you are taking a medicine - - and especially if you are taking two, three, or more medicines – either<br />

prescripti<strong>on</strong> or over-the-counter (OTC) -- it’s important to keep track of what you are taking by keeping a current<br />

list of all of the medicines you are taking, including the doses and how you take each medicine. Be sure to<br />

include vitamins, dietary supplements or herbal remedies.<br />

Make a copy of your medicine list and keep it with you in your wallet or purse. By sharing your up-to-date<br />

medicine list with your healthcare providers at every visit, you help make sure that you d<strong>on</strong>’t take a prescripti<strong>on</strong><br />

or over-the counter (OTC) medicine that should not be taken with the other medicines <strong>on</strong> your list. It’s also a<br />

good idea to provide a copy to the pharmacies you use.<br />

D<strong>on</strong>’t forget to make a copy of your medicine list for a family member or other loved <strong>on</strong>e. That way, if a medical<br />

emergency does happen to you, your medicine list can be provided to the emergency room or hospital.<br />

Many organizati<strong>on</strong>s now offer a medicine list (also called a medicati<strong>on</strong> record). See below for links to several<br />

websites that offer different opti<strong>on</strong>s to help you create your own medicine list. Depending <strong>on</strong> which versi<strong>on</strong> you<br />

select, you can either print it out or keep it <strong>on</strong>-line and in your computer. Remember to keep your medicine list<br />

up-to-date.<br />

<br />

<br />

Pers<strong>on</strong>al Medicati<strong>on</strong> Record – Ariz<strong>on</strong>a Center for Evaluati<strong>on</strong> and Research in Therapeutics<br />

(CERT) www.ariz<strong>on</strong>acert.org/c<strong>on</strong>sumers/c<strong>on</strong>sumer_pdf/pml.pdf<br />

How to Create a Pill Card – Agency for Healthcare Research and Quality (AHRQ)<br />

http://www.ahrq.gov/qual/pillcard/pillcard.htm<br />

My <str<strong>on</strong>g>Medicine</str<strong>on</strong>g> <str<strong>on</strong>g>List</str<strong>on</strong>g> – American Society of Health System Pharmacists<br />

http://www.safemedicati<strong>on</strong>.com/safemed/My<str<strong>on</strong>g>Medicine</str<strong>on</strong>g><str<strong>on</strong>g>List</str<strong>on</strong>g>.aspx My <str<strong>on</strong>g>Medicine</str<strong>on</strong>g> <str<strong>on</strong>g>List</str<strong>on</strong>g> is can be filled out<br />

electr<strong>on</strong>ically and saved to your computer for printing out as needed.<br />

<br />

<br />

Pers<strong>on</strong>al Medicati<strong>on</strong> Card – Rx Resp<strong>on</strong>se http://www.rxresp<strong>on</strong>se.org/web/guest/medcard<br />

Rx Resp<strong>on</strong>se partners: American Hospital Associati<strong>on</strong>; American Red Cross; Biotechnology Industry<br />

Organizati<strong>on</strong>; Generic Pharmaceutical Associati<strong>on</strong>; Healthcare Distributi<strong>on</strong> Management Associati<strong>on</strong>;<br />

<str<strong>on</strong>g>Nati<strong>on</strong>al</str<strong>on</strong>g> Associati<strong>on</strong> of Chain Drug Stores; <str<strong>on</strong>g>Nati<strong>on</strong>al</str<strong>on</strong>g> Community Pharmacists Associati<strong>on</strong>;<br />

Pharmaceutical Research and Manufacturers of America<br />

Pers<strong>on</strong>al Medicati<strong>on</strong> Record - AARP; developed by the SOS Rx Coaliti<strong>on</strong>. Available in PDF and<br />

Word formats.<br />

http://www.aarp.org/health/rx_drugs/usingmeds/my_pers<strong>on</strong>al_medicati<strong>on</strong>_record.html<br />

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Medicati<strong>on</strong> Record Form – Agency for Healthcare Research and Quality (AHRQ)<br />

http://www.ahrq.gov/questi<strong>on</strong>saretheanswer/level3col_1.asp?nav=3colNav05&c<strong>on</strong>tent=05_0_prescripti<strong>on</strong><br />

My Medicati<strong>on</strong> Record – Food and Drug Administrati<strong>on</strong>;<br />

http://www.fda.gov/downloads/AboutFDA/ReportsManualsForms/Forms/UCM095018.pdf.<br />

The Med Form http://www.themedform.com/ Ariz<strong>on</strong>a's healthcare community has joined forces to<br />

support The Med Form. Available at Ariz<strong>on</strong>a hospitals and physician offices. Available in English or<br />

Spanish.<br />

My Medicati<strong>on</strong> Record - <str<strong>on</strong>g>Nati<strong>on</strong>al</str<strong>on</strong>g> Associati<strong>on</strong> of Chain Drug Stores and the American Pharmacists<br />

Associati<strong>on</strong><br />

http://www.nacdsfoundati<strong>on</strong>.org/user-assets/Documents/PDF/PMRMyMedicati<strong>on</strong>Record.pdf<br />

This medicati<strong>on</strong> record is intended for patients to use in medicati<strong>on</strong> self-management. The creati<strong>on</strong> and<br />

maintenance of such a pers<strong>on</strong>al medicati<strong>on</strong> record is intended to be a collaborative effort am<strong>on</strong>g the<br />

patient, pharmacist, physician, and other healthcare professi<strong>on</strong>als. <strong>Patient</strong>s, however, are resp<strong>on</strong>sible for<br />

maintaining and updating this perpetual document. Pharmacies or other organizati<strong>on</strong>s interested in<br />

providing this medicati<strong>on</strong> record to patients may download and customize with their logo.<br />

Research Report Awareness and Use of Pers<strong>on</strong>al Medicati<strong>on</strong> Records am<strong>on</strong>g 50+ Americans by Laura<br />

Skufca http://www.aarp.org/research/health/drugs/med_records.html AARP Knowledge Management<br />

(March 2006)<br />

Brought to you by the<br />

<str<strong>on</strong>g>Nati<strong>on</strong>al</str<strong>on</strong>g> <str<strong>on</strong>g>Council</str<strong>on</strong>g> <strong>on</strong> <strong>Patient</strong> Informati<strong>on</strong> and Educati<strong>on</strong><br />

www.talkaboutrx.org www.bemedwise.org www.mustforseniors.org<br />

© 2009. <str<strong>on</strong>g>Nati<strong>on</strong>al</str<strong>on</strong>g> <str<strong>on</strong>g>Council</str<strong>on</strong>g> <strong>on</strong> <strong>Patient</strong> Informati<strong>on</strong> and Educati<strong>on</strong>, Rockville, MD<br />

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