Leukemia Treatment Medication Schedule and Management Guide

Patient Information

Name: ___________________ Date: ____________________ Medical Record #: _________

Daily Medication Schedule

Oral Chemotherapy Medications

• Medication Name: _________________
  • Dosage: ________ mg
  • Time(s): □ Morning □ Evening
  • Take with food: □ Yes □ No
  • Special instructions: _______________

Supportive Medications

Anti-Nausea Medications

• Medication Name: _________________
  • Dosage: ________ mg
  • Schedule: □ Before chemo □ As needed

Blood Cell Growth Factors

• Medication Name: _________________
  • Injection schedule: ______________
  • Site rotation plan: ______________

Important Reminders

Medication Safety

• Store medications at room temperature
• Keep away from direct sunlight
• Use protective gloves when handling
• Do not crush or break pills

When to Contact Your Healthcare Team

• Fever above 100.4°F (38°C)
• Unusual bleeding or bruising
• Severe nausea/vomiting
• Missed doses

Laboratory Schedule

• CBC frequency: ________________
• Chemistry panel: ______________
• Next appointment: _____________

Notes

Emergency Contacts

Oncologist: _________________ Clinic: _____________________ After Hours: ________________