Data obtained during the medication history interview include; demographic information, dietary information, social habits, current and past prescription medications, current and past non-prescription medications, current and past complementary and alternative medicines, drug allergies, adverse drug reactions, immunizations, and adherence to prescribed or recommended medication regimens. The data obtained should be as complete and descriptive as possible.
Demographic Information:
o Age/date of birth.
o Height and weight.
o Race and/or ethnic origin.
o Type of residence.
o Education.
o Occupation.
Dietary Information:
o Dietary restrictions.
o Dietary supplements.
o Dietary stimulants.
o Dietary suppressants.
Social Habits:
o Tobacco use.
o Alcohol use.
o Illicit drug use.
Current Prescription Medications:
o Name (proprietary and nonproprietary) and/or
description.
o Dose.
o Dose schedule (prescribed and actual).
o Reason for taking the medication.
o Start date.
o Outcome of therapy.
Past Prescription Medications:
o Name (proprietary and nonproprietary) and/or
description.
o Dose.
o Dose schedule (prescribed and actual).
o Reason for taking the medication.
o Start date.
o Stop date.
o Reason for stopping.
o Outcome of therapy.
Current Non-prescription Medications:
o Name (proprietary and nonproprietary) and/or
description.
o Dose.
o Dose schedule (recommended and actual).
o Reason for taking.
o Start date.
o Outcome of therapy.
Past Non-prescription Medications:
o Name (proprietary and nonproprietary) and/or
description.
o Dose.
o Dose schedule (recommended and actual).
o Reason for taking.
o Start date.
o Stop date.
o Reason for stopping.
o Outcome of therapy.
Current Complementary and Alternative
Medicines:
o Name (proprietary and nonproprietary) and/or
description.
o Dose.
o Dose schedule.
o Reason for taking.
o Start date.
o Outcome of therapy.
Past Complementary and Alternative Medicines:
o Name (proprietary and nonproprietary) and/or
description.
o Dose.
o Dose schedule.
o Reason for taking.
o Start date.
o Stop date.
o Reason for stopping.
o Outcome of therapy.
Allergies:
o Drug name and description.
o Dose.
o Date of reaction.
o Description of reaction.
o Treatment for the reaction.
Adverse Drug Reactions:
o Drug name and description.
o Dose.
o Date of reaction.
o Description of reaction.
o Treatment of the reaction.
Immunizations:
o Vaccines.
o Date each vaccine was administered.