CancerExplained.org · Free health handout
Medication List Template
One page to record everything you take
For each medicine, write down
- Name of the medicine: ____________ Dose (e.g. 50 mg): ____________
- How often and when you take it (e.g. once daily, with breakfast): ____________
- Why you take it: ____________ Who prescribed it: ____________
- Start date, and any planned stop date: ____________
Don't forget to include
- Over-the-counter medicines (pain relievers, antacids, sleep aids).
- Vitamins, minerals, and herbal or dietary supplements.
- Creams, patches, inhalers, eye drops, and injections.
- Anything you take only occasionally or as needed.
Also record
- Allergies or bad reactions to medicines: ____________
- Your pharmacy name and phone number: ____________
- The date you last updated this list: ____________
Bring an up-to-date medication list to every appointment — and ask your healthcare team to review it with you.
This handout is for education only and is not medical advice. Talk with a qualified healthcare professional about what is right for you.
Sources: NCI: Questions to ask your doctor. Updated 2026-07-05.
Learn more in plain language: https://cancerexplained.org/diagnosis/preparing-for-appointments/ — free to copy and share for non-commercial education.