HealthRX.com · Printable side-effect diary
NMN and NR side effect diary for prescriber visits
Use this sheet to record any side effects you notice while taking an NMN or NR supplement, then bring it to a prescriber or pharmacist. It holds your own observations only, not medical advice.
Supplement details
Copy these exactly from the product label.
Product name as printedWrite the full name on the label
Ingredient listedNMN, NR or both
Maker or brandCompany named on the label
Where you bought itStore, website or pharmacy
Date you startedDay, month and year
Prescription medicines you takeList every name you take
Daily side effect log
Write what you notice, even if it seems minor. Note any change you tried to make.
| Date | Product and amount as labeled | Symptom or change | How strong, in your words | Told prescriber or pharmacist |
|---|---|---|---|---|
Gather before your appointment
- Bring the supplement bottle with its label showing NMN or NR.
- Write the name and maker exactly as printed on each label.
- List all prescription medicines and over the counter products you take.
- Note any liver, kidney, cancer or pregnancy history to share with your prescriber.
- Bring this completed log covering the weeks since you started.
- Confirm with your pharmacist whether your supplement and medicines have been reviewed together.
- Check with your prescriber before adding or changing any supplement.
Questions to ask your prescriber or pharmacist
- Are there any known interactions between NMN or NR and my current prescription medicines?
- Which symptoms from my log should I report to you right away?
- Does my liver or kidney history change how you view these supplements for me?
- How would you assess mild side effects like nausea, flushing or leg cramps in my case?
- Would you want any blood tests while I take this supplement?
- Are there health conditions in my history that mean I should avoid this supplement?
- Is there anything you would like me to stop or pause while we review this?
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.