Professional Documents
Culture Documents
Take this list with you to your next appointment. You may want to give a copy to your doctor. Listen carefully
and keep a record of what you find out. Take notes or bring a friend to take notes for you. Using a tape recorder
will allow you to listen to the answers again later. If something is unclear to you, or if you want more information,
do not be afraid to ask. Your doctor may not be able to answer every question, but can help you find the answers.
❏❏ Is there a generic name for this medication? ❏❏ Will I need blood tests or other regular
check-ups if I use this medication?
How do you spell it?
❏❏ Do you have printed information about this ❏❏ Could I become addicted or dependent on
this medication?
medication I can have?
❏❏ What does this medication do? How will it help me? ❏❏ How do I know if the dose should be changed
or the medication stopped?
❏❏ Why are you recommending this medication to me?
About Options
❏❏ Are there different ways to take this medication ❏❏ What other medication might be helpful to me?
Why are you not recommending them for me
such as pills, shots, or patches?
at this time?
Should I consider these?
About Dosage
❏❏ What happens if I forget to take a dose
❏❏ What is the exact dose you are recommending? at the right time?
❏❏ How often and when should I take this medication?
❏❏ Are there any restrictions if I take this medication ❏❏ I use these medications, vitamins, and
(such as avoid certain foods or not drive)? supplements. Is mixing a problem with
any of them?
❏❏ What happens if I drink alcohol while using this
medication? ❏❏ Other prescribed medications:
❏❏ What happens if I use marijuana or other street ❏❏ Over the counter medications:
drugs while using this medication?
❏❏ Supplements, vitamins, roots, and herbs:
About Cost (If the doctor does not know about costs, ask who does)
❏❏ How much does the medication cost? ❏❏ Where can I get help to pay for these
medications?
❏❏ How much am I responsible to pay?
❏❏ I have high blood pressure (high blood). • Ask your doctor to write down
his or her instructions for you.
❏❏ I have young children at home.
• Ask your doctor for printed
❏❏ I want to lose weight. information about the
❏❏ I have trouble sleeping. medication, its risks, and
side effects.
❏❏ I smoke cigarettes.
• Ask where you can get
❏❏ I get dizzy or lose my balance. more information.
❏❏ I feel stiffness or shakes in my muscles. • Nurses, pharmacists, and
other health care providers
can be a good source of
More Questions I Want To Ask: information. Talk to them
about your questions, too.
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