How To Reduce The Meds Your Take With Your Own “Medication Audit”

How To Reduce The Meds Your Take With Your Own “Medication Audit”

More than four in ten adults 65 and older regularly take five or more prescription medications, nearly double the rate from twenty years ago. More medications mean more chances for something to interact, duplicate, or simply outlive its usefulness, and most people have no one keeping the master list except themselves.

That's what a medication audit is: not a doctor's job, a you job, done before you ever walk into an appointment. Start by gathering everything in one place, every prescription, over-the-counter medication, and supplement you actually take, not just what's on file somewhere. Write down what each one is for and who prescribed it. If you can't answer why you're taking something, that's exactly the kind of item worth flagging.

Look for the obvious red flags: two medications treating the same thing, something prescribed for a condition that's since resolved, or a supplement you started years ago and never stopped. You're not diagnosing anything, you're just building an honest, complete list.

Here's the part that matters most: this list is meant to start a conversation, not end one. Never stop or change a medication on your own, some are genuinely dangerous to quit abruptly. Bring your list to your doctor, your pharmacist, or your next Annual Wellness Visit, and ask directly whether everything on it still earns its place.

We'll cover how a pharmacist-led medication review works, often at no added cost through Medicare, in the next post. For now, the list itself is the whole assignment.

What To Bring To A Medicare Conversation: A Plain English Checklist

What To Bring To A Medicare Conversation: A Plain English Checklist

A Medicare conversation, whether it's with me, your doctor, or a SHIP counselor (non-profit program called HICAP in Texas), goes a lot faster and further when you walk in with a few things ready. Here's the plain English version of what to bring.

Your current coverage. Your Medicare card, and if you already have a Medicare Advantage, Part D, or Medigap plan, that card too. If you still have coverage through an employer, bring that information as well, since it changes what applies to you.

Your medication list. Names and dosages of everything you take regularly. This is the single most useful thing you can bring, since it lets us check whether a plan's drug list and pharmacy network actually fit what you're already taking, instead of guessing.

Your doctors. A short list of the providers and specialists you don't want to give up. Networks vary plan to plan, and this is one of the most common surprises people run into after they've already switched.

Your questions, written down. Whatever's actually on your mind, cost, a recent diagnosis, an upcoming procedure, a move, jot it down beforehand. It's easy to forget in the moment, and there's no such thing as a small question here.

One more thing worth bringing: a family member or friend, if you'd like a second set of ears. Plenty of people do, and it's always welcome.

None of this needs to be fancy or complete. Even a partial list is more useful than none. Come as you are, and we'll fill in the rest together.