HealthRX.com · Printable medication review sheet
Lisinopril and finasteride medication review sheet
Use this sheet before a visit with your prescriber or pharmacist about taking lisinopril together with finasteride or Propecia. Fill it in by hand, bring it along, and keep a copy at home to track questions, PSA testing and side effects.
Medicines and prescribers
Write each name exactly as it appears on the bottle or label.
Lisinopril prescriber nameDoctor or clinic that prescribes lisinopril
Lisinopril strength and directions on labelCopy from the pharmacy label
Finasteride or Propecia prescriber nameDoctor or clinic that prescribes finasteride
Finasteride strength and directions on labelCopy from the pharmacy label
Pharmacy name and contactPharmacy that fills each medicine
Other medicines and supplementsInclude store bought products
Before the visit
Gather these items so the visit covers everything.
- Bring all current bottles, including over the counter products and supplements.
- Confirm which prescriber manages each medicine and write the name above.
- Note any blood pressure readings you have recorded at home.
- Check whether a PSA test is scheduled and write the date and prescriber.
- List any sexual side effects, mood changes or fertility concerns you have noticed.
- Write down any pregnancy or handling concerns in your household.
- Confirm what your insurer covers for each medicine and note the plan name.
Questions to ask at the visit
- Does the finasteride label list any interaction with lisinopril that applies to me?
- Should my blood pressure be checked more often now that I take both medicines?
- How will my PSA results be read while I take finasteride?
- Which PSA change would need further evaluation in my case?
- Which side effects should I report to you right away?
- What should I do if sexual side effects continue after I stop finasteride?
- Who should I contact if a new symptom appears after a medicine change?
- Are there any reasons to review or change either prescription?
Symptoms and changes over time
Record new symptoms, missed doses and any mood or sexual changes as they happen.
| Date | Symptom or change | Medicine involved | Who was told |
|---|---|---|---|
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.