6) My medications

It may be helpful to keep a note of what medication you are taking. You can print off this form and fill it in. Keep it handy in case you ever need to discuss your medication with anyone.

Address: ___________________________________________________________________
DOB: ________________________________________________________________________
GP name: ____________________________________________________________________
Date: _______________________________________________________________________

Drug When do you take it (✔)
Your drug name Dosage (mg) Breakfast Lunch Dinner Bedtime
Antiplatelet drugs: take to reduce blood clotting
Statins: take to lower cholesterol
Anticoagulation therapy: take to reduce the risk of blood clots that could cause another stroke
Blood Pressure medication: to lower blood pressure

Download My medicines sheet [.pdf, 118 KB]