Medication & Effects Log
Two weeks of facts to bring to your doctor: dose, focus, mood, sleep, side effects. Memory is not a reliable witness.
Rate focus and mood from 0 (worst) to 5 (best) at the same time each day, for example late afternoon. Note the time of the dose: the wear-off window matters as much as the dose itself. Never change a dose without your prescriber.
What is inside
- ✓Date · Dose / time · Focus 0-5 · Mood 0-5 · Sleep (h) · Appetite · Side effects · Notes
- ✓What I want to ask my doctor
- ✓Patterns I notice (time of day, weekends, caffeine, exercise)
How to use it
- 1Print it, or open it on a tablet and fill it with a stylus.
- 2Use it for one week before judging it. New habits need a few repetitions.
- 3Bring it to your doctor or therapist: a filled sheet says more than memory.
This tool supports self-management. It is not a diagnosis and does not replace professional care.