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Medicines Safety

A Working Checklist for Prescription Refills

Prescription Refills: what is worth doing, what is worth avoiding, and when to stop and see a doctor.

Ben Halvorsen, MSc, CSCS Strength and conditioning coach 3 min read 3 views
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Pills — Medicines Safety
Photo by Michal Jarmoluk on StockSnap · CC0

Ongoing supply of regular medicines without a new appointment each time. Convenience makes it easy for medicines to continue long after they are still needed, which is what reviews exist to catch.

Key takeaways

  • Review: regularly with your doctor or pharmacist, more often for some medicines
  • Ordering: usually by pharmacy app, phone or a mail-order service
  • Most useful single change: Refill only what you need.
  • Commonest mistake: Refilling everything on the list out of habit.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

Do

  • Refill only what you need
  • Ask for a full medication review at least once a year
  • Tell your doctor and pharmacy when you stop taking something
  • Ask about synchronizing refills so they fall due on the same day

Do not

  • Refilling everything on the list out of habit
  • Letting a medicine continue for years without review
  • Running out over a holiday weekend; request refills in good time

The numbers behind the list

Here are the figures the checklist is drawn from.

Published figures for Prescription Refills
MeasureFigure
Reviewregularly with your doctor or pharmacist, more often for some medicines
Orderingusually by pharmacy app, phone or a mail-order service
90-day suppliesoften available for long-term medicines; check your plan
Deprescribinga legitimate and planned part of good care

If you change one thing

Refill only what you need. Start there. The rest of the list keeps.

Where to go next

When to speak to a doctor

Never stop a long-term medicine without advice, particularly steroids, beta blockers, seizure medicines or antidepressants. Contact your doctor or pharmacist urgently if you cannot get a medicine you depend on, including insulin, blood thinners or seizure medicines, and call 911 for a seizure, severe breathlessness or chest pain.

Where this comes from

  • FDA — Think It Through: Managing the Benefits and Risks of Medicines
  • CMS — Medication Therapy Management

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarized or generalized beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to your doctor, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 911.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

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Ben Halvorsen

Strength and conditioning coach, and our resident sceptic on anything sold with a before-and-after photo. Writes the programs he has actually run with beginners, not the ones that look impressive on paper.

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