Copy of Ann-Marie's Medication Log by  aparker  aparker 
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Medication Log
NameDate
Name of MedicationDate Started Date StoppedDosage, Dosage TimesSpecial InstructionsPurposeSize, Shape, ColorPrescribing PhysicianPhysician Phone NumberSide Effects?Refill NumberPharmacy Phone Number
Lovastatin 40mg
Lovastatin 40mg
Daily
Daily
Cholesterol
Cholesterol
Advair Inhaler
Advair Inhaler
Twice Daily
Twice Daily
ASA 325g (Aspirin)
ASA 325g (Aspirin)
Daily
Daily
Septra DS Tablet
Septra DS Tablet
Twice Daily
Twice Daily
for 3 days
for 3 days
Coreg/Carvedilol 6.25mg
Coreg/Carvedilol 6.25mg
Q 12 hours
Q 12 hours
8:00 AM & 8:00 PM
8:00 AM & 8:00 PM
Prinivil/Lisinopril 2.5 mg
Prinivil/Lisinopril 2.5 mg
Daily
Daily
 
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Name:  Copy of Ann-Marie's Medication Log by  aparker aparker 
Description:  Patient Daily Medication log
Tags:  medication log  
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