Our Health Library information does not replace the advice of a doctor. Please be advised that this information is made available to assist our patients to learn more about their health. Our providers may not see and/or treat all topics found herein.

Master List of Medicines

Overview

List each medicine that you take. Be sure to include over-the-counter medicines, herbs, vitamins, and other natural health products.

Use this as a guide when you fill out the chart.

  • Medicine names. Include both the brand name and the generic name for all prescription medicines, even those prescribed by another doctor.
  • Doctor's name. Include the name of the doctor who prescribed the medicine. This is especially important if you see more than one doctor.
  • Pharmacy. Include the name and phone number of the pharmacy where you buy the medicine. If you use more than one pharmacy to get your medicines, make sure the pharmacist at each store knows all the medicines you are taking. The pharmacist can then check for medicine interactions.
  • Date started. This is the date you started taking the medicine. This is especially important if you have been taking a certain medicine for a long period of time.
  • Reason to take. Include a short phrase that tells why you are taking the medicine.
  • Dose (such as 2 mg, 5 mL, 1 tsp). The amount of medicine in each pill appears on the prescription label in milligrams (mg). This is called the dose, or strength. The label on liquids and shots lists the dose too. Put the amount of the medicine you take each time you take a dose. For example, if you take a 50 mg pill, you would put 50 mg in this space, not one pill. If you take two 25 mg pills at a time, you would also put 50 mg.
  • When to take. Put how often during the day you need to take the medicine, such as 3 times a day.
  • Side effects to look for. Ask your doctor or pharmacist for side effects you need to watch for while taking the medicine.

Keep this master list of medicines up to date. Review it with your doctor at each visit. At the bottom, list medicines that you're allergic to or that you've stopped for other reasons.

Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Allergies to medicines
Use the chart below to list all medicines, both prescription and over-the-counter, that you are allergic to.

Medicine name

Type of reaction, such as a rash or breathing difficulties























Related Information

Credits

Current as of: October 25, 2024

Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Current as of: October 25, 2024

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Dear patient

I am excited to announce that I will be relocating my practice to Houston Methodist DeBakey Cardiology Associates. Starting November 4, 2024, my new address will be:

Houston Methodist DeBakey Cardiology Associates
6550 Fannin St.
Smith Tower, Suite 1901
Houston, TX 77030

Please note that my phone number and fax number will also change to the following:
24-Hour Telephone: 713-441-1100
Fax: 713-790-2643
Clinical Support Telephone (M-F, 8-5): 713-441-3515

I am excited about caring for you in my new office and hope you will make the transition with me. I will also continue to refill your medications as I have in the past. To assist, please provide your pharmacy with my new contact information.

Please consider checking your prescription refills to verify that you have enough medication on hand to last you until your next visit. Please note that your medical records will remain at my former office until you authorize their transfer. If you choose for me to continue providing your medical care, please complete and sign the enclosed “Authorization for Release of Medical Records” form and fax it to 713-790-2643. Once we receive your authorization, we will be happy to process the request for you.

Thank you for entrusting me with your medical care. My new team and I are dedicated to making this transition as seamless as possible. For help scheduling an appointment and transitioning your care, please call my new office number above.

I look forward to continuing your care at my new location.

Sincerely,
Gopi A. Shah, MD

Dear patient

Dr. Albert Raizner, Dr. Michael Raizner, and Dr. Mohamed El-Beheary are excited to announce that our practice, Houston Cardiovascular Associates, will merge with Houston Cardiovascular Associates on November 1, 2024.

Our new offices are similarly located in Houston, near the Texas Medical Center and in Sugar Land. Our in-hospital care will continue at Houston Methodist Hospital in the Texas Medical Center and Houston Methodist Sugar Land Hospital. Importantly, our new offices expand our services with state-of-the-art equipment and amenities. Our core values will always be, as they began over 40 years ago when Dr. Albert Raizner founded HCA:

Integrity – Compassion – Accountability

Our new address and contact information are:

Your medical records are confidential and remain available at our new locations. We consider it a privilege to serve as your cardiologists and look forward to your continuing with us. However, should you desire to transfer to another physician, you may request a copy of your records by contacting us at our new addresses and phone numbers listed above.

We thank you for your trust and loyalty. As always, we will continue to be here to take care of you. Please do not hesitate to contact us if you have any questions or concerns.

Sincerely,

Dr. Albert Raizner,
Dr. Michael Raizner,
Dr. Mohamed El-Beheary