Medication Side Effects Journal

Medication Management

If a medication is causing unwanted side effects, it is important to write them down. This journal gives you a structured way to record what happened, how severe it was, and whether you told your doctor about it.

Who is this for?

Designed for seniors who are experiencing side effects from one or more medications, caregivers documenting health changes for their care recipients, and anyone whose doctor has asked them to monitor how a medication is affecting them.

How to use

Write your name at the top. Each time you notice a side effect, record the date, the medication you believe caused it, a description of the side effect, how severe it was, and how long it lasted. Check the box once you have reported it to your doctor. Bring this journal to your next appointment.

Medication Side Effects Journal

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