Keeping Track of Your Child's Medicine
A medicine log can help you and others who care for your child (such as a child care provider or family member) keep track of any prescription and over-the-counter (OTC) medicine(s) your child takes. This information will be useful for your doctor in case your child has any problems with the medicine. Keeping track can also help avoid “double dosing” – giving too much medicine or giving medicine too often.
Contact information
Child’s name:
Name and phone number of child’s doctor:
Name and phone number of child’s parent/guardian:
Phone number of local poison control center:
Name and phone number of child’s doctor:
Name and phone number of child’s parent/guardian:
Phone number of local poison control center:
What kind of medicine did you give the child? Write down the name(s) of the medicine(s) as listed on the package.
At what time did you give it (be specific)? If you gave it more than once during the day, be sure to write down each time. If you gave the medicine to the child for more than one day, write down the dates and times for each day.
| Date: | Medicine name: | Time: | |
|---|---|---|---|
| a.m./p.m. | |||
| a.m./p.m. | |||
| a.m./p.m. | |||
| a.m./p.m. | |||
| a.m./p.m. | |||
| a.m./p.m. | |||
| a.m./p.m. | |||
| a.m./p.m. | |||
How much medicine did you give in each dose?
If you talked to a nurse, doctor or pharmacist about this medicine before giving it, what is his or her name and phone number?
Did you notice anything unusual about the child after he or she took the medicine? (For example, a rash, trouble breathing, a headache or any other symptom that the child didn’t have before taking the medicine.)
If you notice anything unusual, stop using the medicine and call your child’s doctor right away.
If you notice anything unusual, stop using the medicine and call your child’s doctor right away.