Medication Manager

• Refill reminders
• Days supply tracking
• Prescription expiration alerts
• Pharmacy coordination

Medication Categories I Track

By Schedule

By Purpose

• Chronic disease management (ongoing)
• Symptom relief (PRN)
• Preventive (vaccines, prophylaxis)
• Supplements (vitamins, minerals, herbs)

Data Structure

medication-registry.json

{
  "active_medications": [
    {
      "id": "med_001",
      "name": "Lisinopril",
      "generic_name": "lisinopril",
      "brand_names": ["Prinivil", "Zestril"],
      "drug_class": "ACE Inhibitor",
      "purpose": "hypertension",
      "prescribed_by": "Dr. Smith",
      "prescribed_date": "2025-08-10",
      "dosage": {
        "strength": "10",
        "unit": "mg",
        "form": "tablet"
      },
      "schedule": {
        "type": "fixed_time",
        "frequency": "daily",
        "times": ["08:00"],
        "with_food": false,
        "instructions": "Take in the morning"
      },
      "supply": {
        "quantity_dispensed": 90,
        "quantity_remaining": 45,
        "days_supply": 90,
        "days_remaining": 45,
        "refills_left": 2,
        "refill_due": "2026-04-15",
        "pharmacy": "CVS Pharmacy #1234"
      },
      "adherence_log": [
        {"date": "2026-03-20", "taken": true, "time": "08:05", "notes": ""}
      ],
      "side_effects": ["dry_cough"],
      "allergies_related": false,
      "status": "active"
    }
  ],
  "discontinued_medications": [...],
  "adherence_summary": {
    "overall_30day": 0.94,
    "overall_7day": 1.0,
    "by_medication": {
      "med_001": 0.95,
      "med_002": 0.93
    }
  }
}

prn-medication-log.json

{
  "medications": [
    {
      "name": "Acetaminophen",
      "max_daily_dose": "4000mg",
      "usage": [
        {
          "date": "2026-03-19",
          "time": "14:30",
          "dose": "500mg",
          "reason": "headache",
          "effective": true
        }
      ],
      "monthly_usage": {
        "march_2026": 6
      }
    }
  ]
}

Universal Drug Interaction Check

Severity Levels

Common Major Interactions to Watch

Adherence Tracking

Adherence Calculation

Adherence Rate = (Doses Taken / Doses Prescribed) × 100

Example:
- Prescribed: 1 tablet daily × 30 days = 30 doses
- Taken: 28 doses
- Adherence: (28/30) × 100 = 93.3%

Adherence Interpretation

Common Barriers to Adherence

1. Forgetfulness → Reminder systems, pill organizers
2. Complex regimen → Simplify if possible, combination pills
3. Side effects → Discuss alternatives with doctor
4. Cost → Generic alternatives, patient assistance programs
5. Lack of understanding → Education about condition/medication
6. Cultural beliefs → Address concerns respectfully

Refill Management

Refill Timeline

Automatic Refill Criteria

• Chronic maintenance medications
• Stable dosing for >3 months
• No recent changes
• Good adherence history

Special Medication Protocols

Warfarin Management

• INR monitoring: Weekly when starting, then per protocol
• Target INR: Usually 2.0-3.0 (individualized)
• Diet: Consistent vitamin K intake
• Interactions: Many drugs affect INR

Insulin Management

• Types: Rapid, short, intermediate, long-acting
• Timing: Critical for meal-time insulin
• Storage: Refrigerate unopened; room temp for in-use
• Monitoring: Blood glucose before each dose

Opioid Management

• Risk assessment: Opioid risk tool at initiation
• Monitoring: Pain scores, functional improvement
• Naloxone: Recommended for high doses or risk factors
• Disposal: Safe disposal of unused medication

Biologics

• Storage: Refrigeration critical
• Timing: Precise intervals
• Missed dose: Specific protocols per drug
• Infection risk: Screen for TB, hepatitis

Output Report Format

# Medication Management Report — March 20, 2026

## 💊 Current Medications (4 Active)

### Morning Medications (8:00 AM)
| Medication | Dose | Purpose | Days Left | Refills | Adherence |
|------------|------|---------|-----------|---------|-----------|
| ✅ Lisinopril | 10mg | BP | 45 | 2 | 95% |
| ✅ Metformin | 1000mg | Diabetes | 30 | 1 | 93% |
| ✅ Atorvastatin | 20mg | Cholesterol | 60 | 3 | 100% |

### Evening Medications (8:00 PM)
| Medication | Dose | Purpose | Days Left | Refills | Adherence |
|------------|------|---------|-----------|---------|-----------|
| ✅ Metformin | 1000mg | Diabetes | 30 | 1 | 93% |
| ✅ Aspirin | 81mg | Heart | 90 | 5 | 98% |

---

## 📊 Adherence Summary

### Overall Adherence (Last 30 Days)
| Period | Rate | Status |
|--------|------|--------|
| Overall | 94.2% | ✅ Good |
| Last 7 days | 100% | ✅ Excellent |
| Last 30 days | 94.2% | ✅ Good |

### By Medication
| Medication | 7-Day | 30-Day | Pattern |
|------------|-------|--------|---------|
| Lisinopril | 100% | 95% | Consistent |
| Metformin AM | 100% | 93% | Missed weekends |
| Metformin PM | 100% | 93% | Missed weekends |
| Atorvastatin | 100% | 100% | Perfect |
| Aspirin | 100% | 98% | Very good |

**Insight**: Weekend adherence drops for Metformin. Consider linking to consistent daily activity.

---

## ⚠️ Safety Checks

### Drug Interactions
**Status**: ✅ No major interactions detected

**Minor Interactions to Monitor**:
- Metformin + Lisinopril: Potential for kidney function changes
  - Action: Ensure regular kidney function tests

### Allergy Cross-Check
**Status**: ✅ No conflicts with known allergies

Known Allergies: Penicillin (anaphylaxis), Sulfa (rash)

### Contraindications
**Status**: ✅ No contraindications for your conditions

### Side Effect Tracking
| Medication | Reported Side Effects | Severity | Action |
|------------|----------------------|----------|--------|
| Lisinopril | Dry cough | Mild | Monitor, may need alternative |
| Metformin | GI upset (initial) | Resolved | — |
| Atorvastatin | None | — | — |

---

## 📦 Refill Status

### Upcoming Refills
| Medication | Current Supply | Refill Due | Refills Left | Action |
|------------|---------------|------------|--------------|--------|
| Lisinopril | 45 days | Apr 15 | 2 | Schedule in 2 weeks |
| Metformin | 30 days | Apr 5 | 1 | Schedule now |
| Atorvastatin | 60 days | May 10 | 3 | No action needed |
| Aspirin | 90 days | Jun 15 | 5 | No action needed |

### Prescription Expiration Alert
⚠️ **Metformin prescription expires**: May 10, 2026
- Action: Schedule doctor appointment before May for renewal

---

## 🔄 PRN (As-Needed) Medications

### Usage This Month
| Medication | Max Daily | Used This Month | Last Used | Notes |
|------------|-----------|-----------------|-----------|-------|
| Acetaminophen | 4000mg | 6 doses | Mar 19 | Headache relief |
| Ibuprofen | 1200mg | 2 doses | Mar 15 | Back pain |
| Lorazepam | 2mg | 0 doses | — | Not used (good) |

### Pattern Analysis
- Acetaminophen: Used 6 times for headaches
  - Recommendation: Track headache triggers, discuss with doctor if >10/month

---

## 📅 Daily Schedule

### Optimized Medication Schedule