Medication Log 
  
MRS.TAHZEEM YOUNUS,WAH CANTT, 52/FDate 
Name of MedicationDate Started
Date Started
Date StoppedDosage, Dosage TimesSpecial InstructionsPurposeSize, Shape, ColorPrescribing PhysicianPhysician Phone NumberSide Effects?Pharmacy Phone Number
Pharmacy Phone Number
REASON TO LEAVE MED.
REASON TO LEAVE MED.
 
TAB.TELFAST(FEXOFENADINE HCL)
TAB.TELFAST(FEXOFENADINE HCL)
22/FEB/07
22/FEB/07
180MG 1 O.D
180MG 1 O.D
6-10 WEEKS COURSE
6-10 WEEKS COURSE
URTICARIA
URTICARIA
PINK OR BAIGE
PINK OR BAIGE
DR.KHALID PAF
DR.KHALID PAF
03025318979
03025318979
NONE
NONE
SHAHEEN CHEMIST
SHAHEEN CHEMIST
 
TAB.GLUCOPHAGE(METFORMIN HCL)
TAB.GLUCOPHAGE(METFORMIN HCL)
18/MAR/07
18/MAR/07
3/APR/07
3/APR/07
500MG 1 T.D.S
500MG 1 T.D.S
DURING FOOD
DURING FOOD
DIABETES
DIABETES
WHITE
WHITE
DR.SHAHID
DR.SHAHID
051-4531111
051-4531111
NAUSIA,VOMITING,G.T DISTURBANCE
NAUSIA,VOMITING,G.T DISTURBANCE
SHAHEEN CHEMIST
SHAHEEN CHEMIST
DOSAGE NEED ADJUSTMENT
DOSAGE NEED ADJUSTMENT
 
TAB.PIOZER(PIOGLITAZONE)
TAB.PIOZER(PIOGLITAZONE)
18/MAR/O7
18/MAR/O7
3/APR/07
3/APR/07
30MG I O.D
30MG I O.D
BEFORE BREAKFAST
BEFORE BREAKFAST
DIABETES
DIABETES
BLUE
BLUE
DR.SHAHID
DR.SHAHID
051-4531111
051-4531111
HYPOGLYCEMIA
HYPOGLYCEMIA
SHAHEEN CHEMIST
SHAHEEN CHEMIST
DOSAGE TIME NEED ADJUSTMENT
DOSAGE TIME NEED ADJUSTMENT
 
TAB.STEMETIL
TAB.STEMETIL
18/MAR/07
18/MAR/07
21/MAR/07
21/MAR/07
10MG 1 T.D.S
10MG 1 T.D.S
AFTER FOOD
AFTER FOOD
DIZZINESS
DIZZINESS
DR.SHAHID
DR.SHAHID
051-4531111
051-4531111
SHAHEEN CHEMIST
SHAHEEN CHEMIST
FEELING UNCOMFORTABLE
FEELING UNCOMFORTABLE
 
TAB.NEODIPAR(METFORMIN HCL)
TAB.NEODIPAR(METFORMIN HCL)
4/APR/07
4/APR/07
850MG 1 B.D
850MG 1 B.D
DURING FOOD
DURING FOOD
DIABETES
DIABETES
DR.NAUMAN
DR.NAUMAN
03005118650
03005118650
NAUSIA,VOMITING,G.T DISTURBANCE
NAUSIA,VOMITING,G.T DISTURBANCE
SHAHEEN CHEMIST
SHAHEEN CHEMIST
 
TAB.PIOZER(PIOGLITAZONE)
TAB.PIOZER(PIOGLITAZONE)
4/APR/07
4/APR/07
30MG I O.D
30MG I O.D
BEFORE LUNCH
BEFORE LUNCH
DIABETES
DIABETES
DR.NAUMAN
DR.NAUMAN
03005118650
03005118650
HYPOGLYCEMIA
HYPOGLYCEMIA
SHAHEEN CHEMIST
SHAHEEN CHEMIST
 
TAB.EZIDAY(LOSARTAN POTASSIUM)
TAB.EZIDAY(LOSARTAN POTASSIUM)
4/APR/07
4/APR/07
50MG 1 O.D
50MG 1 O.D
MORNING
MORNING
HYPERTEN.
HYPERTEN.
DR.NAUMAN
DR.NAUMAN
03005118650
03005118650
URTICARIA,MYELGIA
URTICARIA,MYELGIA
SHAHEEN CHEMIST
SHAHEEN CHEMIST
 
TAB.ASCARD(ACETYLSALICYCLIC ACID)
TAB.ASCARD(ACETYLSALICYCLIC ACID)
4/APR/07
4/APR/07
75MG I O.D
75MG I O.D
ANYTIME
ANYTIME
PREVENTION THROMBOEMBOLIC DISORDERS
PREVENTION THROMBOEMBOLIC DISORDERS
DR.NAUMAN
DR.NAUMAN
03005118650
03005118650
STOMACH PAIN
STOMACH PAIN
SHAHEEN CHEMIST
SHAHEEN CHEMIST
 
TAB.CONCOR(SELECTIVE BETA-BLOCKER)
TAB.CONCOR(SELECTIVE BETA-BLOCKER)
4/APR/07
4/APR/07
10MG I H.S
10MG I H.S
NIGHT
NIGHT
HYPERTEN.
HYPERTEN.
DR.NAUMAN
DR.NAUMAN
03005118650
03005118650
HYPOTENSION,BRADYCARDIA
HYPOTENSION,BRADYCARDIA
SHAHEEN CHEMIST
SHAHEEN CHEMIST
 
TAB.HARMONY(PROT.)
TAB.HARMONY(PROT.)
4/APR/07
4/APR/07
7/APR/07
7/APR/07
20MG I O.D
20MG I O.D
MORNING
MORNING
DEPRESSION
DEPRESSION
DR.NAUMAN
DR.NAUMAN
03005118650
03005118650
DRY THROAT AND UNEASINESS
DRY THROAT AND UNEASINESS
SHAHEEN CHEMIST
SHAHEEN CHEMIST
UNCOMFORTABLE
UNCOMFORTABLE
 
EYE DROPS TEARS NEUTRALIZER
EYE DROPS TEARS NEUTRALIZER
4/APR/07
4/APR/07
14/APR/07
14/APR/07
I DROP T.D.S
I DROP T.D.S
EYE DROPS
EYE DROPS
DRY EYES
DRY EYES
DR.NAEEM
DR.NAEEM
0300-5111622
0300-5111622
SHAHEEN CHEMIST
SHAHEEN CHEMIST
COURSE COMP.
COURSE COMP.
 
EYE DROPS BETAGAN(LEVOBUNOLOL HCL)
EYE DROPS BETAGAN(LEVOBUNOLOL HCL)
4/APR/07
4/APR/07
14/APR/07
14/APR/07
I DROP H.S
I DROP H.S
EYE DROPS
EYE DROPS
cONTROL OF INTRAOCULAR PRESSURE
cONTROL OF INTRAOCULAR PRESSURE
DR.NAEEM
DR.NAEEM
0300-5111622
0300-5111622
SHAHEEN CHEMIST
SHAHEEN CHEMIST
COURSE COMP.
COURSE COMP.
 
EAR DROPS CLOTRIME
EAR DROPS CLOTRIME
4/APR/07
4/APR/07
14/APR/07
14/APR/07
2 DROPS B.D
2 DROPS B.D
EAR DROPS
EAR DROPS
FUNGAL INFECTION
FUNGAL INFECTION
DR.MUSHRAF BAIG
DR.MUSHRAF BAIG
051-4570615-8
051-4570615-8
SHAHEEN CHEMIST
SHAHEEN CHEMIST
COURSE COMP.
COURSE COMP.
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
Copy of Copy of Medication log Sample was created by imkimmyw and last modified on Mon Apr 25 18:12:13 2011.