HealthRX.com · Printable medication review sheet
CJC peptide with ibuprofen or naproxen review sheet
Use this sheet before a visit with your prescriber or pharmacist if you use or are thinking about the CJC peptide and also take ibuprofen, naproxen or another NSAID. It helps you list each product, gather labels and record symptoms to discuss.
Medicines I take or may take
Write exactly what is printed on each bottle, box or vial.
CJC peptide sourceWhere the product came from and who supplied it
My injection plan in my own wordsDays and times you inject, as you were told
Ibuprofen product and label namePrescription or over-the-counter, and the name on the box
Naproxen product and label namePrescription or over-the-counter, and the name on the box
Other NSAIDs or pain relieversAny other products that contain an NSAID
Other medicines, supplements or hormonesInclude any growth hormone products
Prescriber name and phone
Pharmacist name and phone
Gather before the visit
Bring this sheet and every product you use.
- Bring every bottle, box and vial, including over-the-counter pain relievers.
- Write down each NSAID label name exactly as printed on the box.
- Note any boxed warning text printed on your prescription labels.
- Bring any written information you received about the CJC peptide.
- Check with your pharmacist whether each NSAID label lists heart or stomach warnings.
- Confirm which prescriber manages your pain and which one knows about the peptide.
- List your most recent blood pressure readings and any kidney tests.
- Note any swelling in your legs, hands or face and when it started.
Questions to ask at the visit
- Has any study tested the CJC peptide together with ibuprofen or naproxen?
- Does the label of my NSAID say anything about growth hormone or IGF-I?
- Could ibuprofen or naproxen change how my body responds to the CJC peptide?
- Should my heart rate or blood pressure be checked while I use both?
- Which symptoms should make me call you the same day?
- What stomach symptoms from an NSAID should I report straight away?
- Is there a pain reliever that is safer to discuss with you than ibuprofen or naproxen?
Daily record to bring
Write what you took and noticed each day until the visit.
| Date | NSAID and amount taken | Injection given | Symptoms or changes |
|---|---|---|---|