Current medication reference
Space for two medications, including:
- Medication name
- Prescribed strength or dose
- Start date, if known
- Prescribed schedule or directions
- Prescribing healthcare professional
- Usual time or routine
Free printable PDF
Thyroid Medication Tracker
Keep prescribed thyroid medication details, routine notes, optional dose-log entries and clinician-directed changes together.
Preview PDF opens the complete file in a new browser tab.
What it helps organize
Medication reference
Keep medication information where you can find it
This printable provides a personal reference for recording prescribed medication information and instructions you have received from a healthcare professional or pharmacist.
The optional dose log records what happened without calculating an adherence score or telling you what to do after a missed or late dose.
What is included
Five-page medication record
Inside the printable
Routine and care-team notes
- Usual timing relative to food or drinks
- Usual timing relative to supplements or other medicines
- Provider or pharmacist instructions you want to remember
Optional 14-day dose log
For each date:
- Taken as prescribed: Yes, Missed, Late or Not recorded
- Approximate time
- Notes
Clinician-directed change history
- Date
- Change made by your healthcare professional
- New prescribed dose or schedule
How to use it
Record information as it was prescribed
Copy medication names, strengths, doses and directions from your prescription information. Use the notes area to preserve instructions you have received rather than creating your own directions.
The dose log is optional. If you are unsure what to do after a missed or late dose, ask your prescriber or pharmacist.
Record medication changes only when they have been directed by your healthcare professional.
Online tool available
Use the Thyroid Medication TrackerPrefer to create your record in your browser?
Use the matching online tool to enter the same medication fields, add optional dose-log entries and print or save your current record.
Frequently asked questions
Medication tracker questions
Does this printable provide medication instructions?
No. It records information and instructions you already have. It does not create a dosing schedule or recommend changes.
Is the 14-day dose log required?
No. Use it only when a short dose log would be useful to you.
What should I do after a missed or late dose?
The printable cannot answer that question. Ask your prescriber or pharmacist for guidance about your medication and situation.
Can I record supplements in this printable?
You can use the routine notes to record timing relative to supplements or other medicines. The Health Record Summary Sheet provides more space for listing current over-the-counter medicines, vitamins and supplements.
Printing tips
Before you print
Printing your worksheet
- Select US Letter paper.
- Print at 100% or Actual Size unless your printer requires a different setting.
- Use portrait orientation.
- Check the print preview before printing.
- Print another blank copy whenever you need one.
- Store completed pages somewhere you are comfortable keeping personal health information.
Personal use
Free for your own records
Free for personal, non-commercial use. Please do not resell or redistribute the files.
Privacy note
Keep completed copies where you choose
This printable may contain personal health information after you complete it. Store printed copies where you are comfortable keeping them and share them only with people you choose.
Community
Learn moreWant to learn from other people’s experiences?
Join the Hypothyroidism Advice & Support Group, an active Facebook community with more than 11k members.
Lifestyle
Read What Surprised MarySome Days Are Hard to Put on Paper
A printable can help organize the details. It may not capture how much effort an ordinary day can take. Mary Taylor says fatigue made work and family life harder. A chance conversation later led her to explore a four-week lifestyle guide focused on familiar food and household choices. Read what surprised her.
For personal organization only. This worksheet is not medical advice, a diagnostic tool or a substitute for care from a qualified healthcare professional.