Medication Review
Created by
Laura Evans
Specialty
Pharmacist
Last edited
10/20/2026
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0 times
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About this template
A reusable template for pharmacists to document a patient’s medication regimen and review medication-related information. It covers current and newly prescribed medicines, changes, adverse effects, adherence, allergies, monitoring results, education, and follow-up recommendations.
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Medication Review
- Current medications: naproxen 500 mg PO BD, omeprazole 20 mg PO OD, paracetamol 1,000 mg PO QDS PRN, amitriptyline 10 mg PO ON
- Newly prescribed medications: ibuprofen 5% gel TOP TDS PRN (via independent prescriber)
- Medication changes: Reduce naproxen to 250 mg PO BD due to GI intolerance; trial switch to topical NSAID for localised R knee OA pain.
- Side effects / adverse reactions: Mild epigastric discomfort with naproxen, morning drowsiness with amitriptyline.
- OTC / supplements: Glucosamine sulphate 1,500 mg PO OD, colecalciferol (vitamin D3) 1,000 IU PO OD.
- Adherence: Good adherence to regular regimen; occasionally misses midday paracetamol dose. Takes naproxen with food.
- Allergies / contraindications: Codeine (causes severe nausea/vomiting); caution with oral NSAIDs (hx of gastritis).
- Lab results / monitoring: eGFR > 90 mL/min/1.73m² (12/05/2026), BP 128/78 mmHg.
- Patient education: Advised to take amitriptyline 2 hours earlier (approx. 20:00) to minimise morning grogginess. Educated on pacing analgesia 30 mins prior to physiotherapy exercises. Discussed GI red flags (melaena, severe epigastric pain).
- Follow-up / recommendations: Review pain control and GI symptoms at next physio f/u in 2/52. Notify GP if epigastric discomfort persists despite dose reduction.
How to use this template
This template can be used to assist with various tasks in the medical field. You can use it to generate notes, manage patient information, or assist with diagnosis and the Assessment and Plan. To use this template, simply click the “Use Template” button above. If you have any questions or need assistance, feel free to reach out to the support team or refer to the description and example output provided above.