HealthRX.com · Printable medication review sheet
Repatha stopping questions for your prescriber
Use this sheet before any decision to stop, pause or change Repatha (evolocumab). Record your current treatment, track injections and LDL results, and bring written questions about what the label and trials do and do not show after stopping.
Current Repatha treatment
Copy these from your prescription label or pharmacy record.
Regimen on your prescriptionWrite exactly as your prescriber wrote it
Date of next scheduled injection
Reason treatment was startedIn your own words, as your prescriber described it
Injection and LDL tracking
Write each injection, late or missed dose, and lipid result as it happens.
| Date | Injection given (yes or no) | LDL result | Notes |
|---|---|---|---|
Bring to the visit
- Bring your current medicine list, including all injections and supplements
- Bring your most recent lipid test results and any earlier LDL reports
- Note every missed or late dose and the date it happened
- Check with your pharmacist that your refill and injection supply dates are current
- Write down any swelling, hives or breathing changes you have noticed since starting
- Confirm your insurance plan name and member number for any coverage questions
Questions to ask your prescriber
- Does the Repatha label describe any reaction when the drug is stopped?
- Has my LDL been checked after any earlier pause in my treatment?
- Which lipid test would you order if I stop, and when would it be done?
- If I miss a dose, which schedule from the label applies to my prescription?
- Would stopping change my heart risk, and how would we monitor it?
- Since the trials did not test stopping, what evidence would guide my decision?
- Which symptoms should make me call you or seek care right away?
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.