Medication & how-you-feel log

To bring to your prescriber, not to self-adjust

Read this first

This is a tracking sheet to share with the person who prescribes for you. It is not dosing advice. Never change, stop, or add a medication based on this page. Always talk to your prescriber.

The log

One row a day for the first stretch on a new medication. Print a fresh page each week. Your prescriber will thank you.

Day	Med + dose	Time taken	Appetite	Sleep	Focus 1–5	Mood 1–5	Anything I noticed
Mon
Tue
Wed
Thu
Fri
Sat
Sun

Questions to bring to your prescriber

"Is what I'm noticing expected, and does it usually settle?"

"How long before we'd know if this is the right fit?"

"What should make me call you sooner rather than wait?"

When to call, not wait

⚠️

If you ever feel physically unwell, have chest symptoms, severe mood changes, or anything frightening, contact your prescriber or seek urgent care right away. Don't wait for the next scheduled visit. This log is for routine tracking only.

Haze to Health is not a medical or mental-health provider. We do not diagnose, treat, or prescribe. This is educational and organizational information only, not medical, legal, or psychological advice. Only a licensed professional can evaluate or diagnose ADHD or any other condition.

If you are in crisis or thinking about harming yourself, call or text 988 (Suicide & Crisis Lifeline), any time, free and confidential.