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Copy of Divine Transformation Medication Log
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Medication Log,,,,,,,,,,,,,, Name,,,,,,,,Date,,,,,, Name of Medication,Date Started ,Date Stopped,Dosage\, Dosage Times,Special Instructions,Purpose,Size\, Shape\, Color,Prescribing Physician,Physician Phone Number,Side Effects?,Refill Number,Pharmacy Phone Number,,, Norvasc 5mg,Feb. 22/09,,1 tablet daily,Morning(Breakfast),,white oblong,Dr. Oswauld,,,935089,519-586-3983,,, Novo-Pantoprazole 40mg,Feb.22/09,,1 tablet daily,Morning(Breakfast),,Yellow oval tab.,Dr. Oswauld,,,749227,,,, Lipitor 80mg,,,1 tablet daily,Evening(Bedtime),Cholesterol,White ellipitcal,Dr. Bard/Dr. Mead,Dr. Bard-519-428-9992/Dr. Mead 905-779-3436,,749225,,,, PS Enteric Coated ASA 81mg,,,1 tablet daily,Morning(Breakfast),,round white,Dr. Bard/Dr. Mead,,,740807,,,, APO Furosemide 40mg,,,1 tablet daily,Morning(Breakfast),,Yellow round tablet,Dr. Bard/Dr. Mead,,,740806,,,, Metformin 500mg,,,2 tablets once daily,Morning(Breakfast),,Big white round tablet,Dr. Bard/Dr. Mead,,,740313,,,, Atacand 16mg,,,1 Tablet TWICE daily,Morning(Breakfast) Evening(Bedtime),,rose round tablet,Dr. Bard/Dr. Mead,,,736720,,,, Ezetrol 10mg,,,1 Tablet daily,Evening(Bedtime),,Small white oval tablet,Dr. Bard/Dr. Mead,,,732905,,,, Quinine 300 mg,,,1 Tablet daily,Evening(Bedtime),,White capsule black lettering,Dr. Bard/ Dr. Mead,,,687852,,,, Nitro Derm 0.4mg,,,1 patch daily,Put on patch Morning/Remove at bedtime,,Patch,Dr. Oswauld,,,,,,, ,,,,,,,,,,,,,, Humalin insulin,,,15 units,Breakfast/Lunch/Dinner,,Insulin,,,,,,,, Humalog insulin,,,50 units,Bedtime,,Insulin,,,,,,,, ,,,,,,,,,,,,,, Prochlorazine 10mg,March 6/09,,1 tablet 3 times per day,ONLY WHEN NEEDED,,,Dr. Mead,,,,,,, ,,,,,,,,,,,,,, ,,,,,,,,,,,,,, ,,,,,,,,,,,,,, Dr. Mead - Family Doctor,,,,,,,,,,,,,, Lions Medical Clinic,,,,,,,,,,,,,, Fisherville Ontario,,,,,,,,,,,,,, ,,,,,,,,,,,,,, 905-779-3436,,,,,,,,,,,,,, ,,,,,,,,,,,,,, Dr. Timothy Bard-Specialist,,,,,,,,,,,,,, 216 West St.,,,,,,,,,,,,,, suite 204,,,,,,,,,,,,,, Simcoe\, Ontario,,,,,,,,,,,,,, 519-428-9992,,,,,,,,,,,,,, ,,,,,,,,,,,,,,
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