What data are collected about medications during a history and Mental Status Examination (MSE)?

Updated: Sep 24, 2020
  • Author: Jeffrey S Forrest, MD; Chief Editor: David Bienenfeld, MD  more...
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Answer

Answer

List the patient's current medications, including dosages, route, regimen, and whether or not the patient has been compliant. If possible, have the patient bring his or her medications to the visit. Also, inquire about past medications. Additionally, with all past medications, look for signs or patterns of noncompliance, or whether a medication trial was completed. If noncompliance issues or even drug-seeking behaviors appear evident, ask the patient who prescribed the medications and when or why the patient discontinued taking them.


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