AUSTRALIAN ADHD PRESCRIBINGPUBLIC INFORMATION. ORIGINAL SOURCES.
RECORD YOUR QUESTIONS

Medication review journal

Record what you notice and what you want to ask. Bring the journal to your prescriber; it does not recommend treatment changes.

Use the browser worksheet ↓

Download blank worksheet (PDF) ↓A4 · Free · No signup

Notice. Record. Discuss.

Describe what happened rather than trying to decide whether a dose is right. This journal does not score your response, send alerts or recommend starting, stopping or changing a medicine. Ask your prescriber which observations are useful and when to contact them.

Do not wait for a review if you need urgent help. In an emergency call 000. For suspected overdose call the Australian Poisons Information Centre on 13 11 26. Healthdirect safety information ↗

YOUR WORKSHEET

No account. Nothing entered here is sent to our server or saved by this tool. Download or print before leaving. Saved files and printouts may contain sensitive information.

Make a new entry whenever it is useful for your review.

Copy from the label if helpful. This tool does not calculate doses.

Describe a specific task or situation.

What happened, when it happened and its effect on your day.

Sleep, appetite, illness or other changes you want to discuss.

Ask when to seek help and what follow-up is needed.

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