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Best Questions to Ask About a New Prescription

A new prescription usually comes at the end of a visit, when you are tired and ready to go. That is exactly when the important details slip by. The questions below, drawn from National Institute on Aging and FDA guidance, take about five minutes to ask and can prevent weeks of confusion, side effects or wasted money.

Split them between two people. Your doctor is best for why you need the medicine and what to expect. Your pharmacist is a great source for how to take it, food and drink conflicts, and cost. For general tips on preparing for any appointment, see our guide to getting more out of your doctor visit, and for what to bring the first time, what to bring to your first primary care visit.

The questions

1

What is this for, and how will we know it is working?

Best for: Every new medicine

Ask for the name of the medicine, both brand and generic, and the condition it treats. Then ask when it should start to work and how you will measure that: a lower blood pressure reading, a better A1C, fewer symptoms. Some medicines work in days; others take weeks.

  • Write the name and purpose on your medicine list
  • Ask whether you need blood work or a follow-up visit to check it
  • Ask what happens if it does not work
2

How and when should I take it?

Best for: Getting the full benefit

Ask how much, how many times a day and at what time. Ask whether to take it with food or on an empty stomach. The NIA notes that "empty stomach" generally means at least two hours before or two hours after eating, but follow your pharmacist's exact instructions.

  • Ask whether "four times a day" means around the clock or only while awake
  • Ask what "as needed" means for this medicine
  • Do not crush, split or chew tablets unless your pharmacist says it is OK
3

What side effects should I watch for, and which are urgent?

Best for: Knowing when to call

Most side effects are mild and fade, but a few need attention. Ask which ones are common, which mean you should call the office, and which mean you should call 911. Ask whether it is safe to drive while taking it.

  • Call 911 for trouble breathing, swelling of the face or throat, chest pain or signs of stroke
  • Tell your doctor about past reactions, such as rashes or dizziness
  • Do not stop a medicine because of side effects without asking first
4

Does it interact with anything else I take?

Best for: People on several medicines

Mixing a new drug with medicines or supplements you already take can cause problems. Ask about other prescriptions, over-the-counter medicines, vitamins, herbal supplements and alcohol. Also ask about grapefruit. The FDA warns that grapefruit juice can change how much of some drugs enter your blood, including certain statins, some blood pressure medicines, and amiodarone for heart rhythm.

  • If grapefruit is a problem, the FDA says Seville oranges, pomelos and tangelos may be too
  • Ask whether you should stop or change anything you already take
  • On a blood thinner? Ask about foods, supplements and pain relievers, and see our PT/INR checks
5

What should I do if I miss a dose?

Best for: Busy schedules

The answer is different for different medicines. For some, you take it as soon as you remember; for others, you skip it and never double up. Ask while you are still at the counter, and write the answer on your list.

  • A weekly pill organizer makes missed doses easy to spot
  • Phone alarms help with twice-a-day medicines
  • Tell your doctor if you often forget; a once-a-day option may exist
6

How long will I take it, and can I ever stop?

Best for: Long-term medicines

The NIA advises not stopping a prescription just because you feel better. Some medicines, like many for blood pressure or cholesterol, work only while you take them. Some must be tapered slowly, and antibiotics usually need to be finished.

  • Ask: is it safe to stop suddenly?
  • Ask when you will review whether you still need it
  • At every visit, ask if you still need each medicine
7

Is there a generic or lower-cost option?

Best for: Keeping costs manageable

Generic drugs contain the same active ingredients as the brand-name version. Tell your doctor if cost is a worry; skipping doses to stretch a supply is risky. Compare prices between pharmacies and mail-order, and ask about savings programs from pharmacies, drug makers and nonprofits.

  • Medicare Part D: out-of-pocket costs for covered drugs are capped at $2,100 in 2026
  • Medicare's Extra Help program lowers drug costs for people with limited income
  • The Medicare Prescription Payment Plan spreads costs across the year but does not lower them
8

How do refills work, and who do I call?

Best for: Avoiding a gap

Ask how many refills you have, whether a follow-up visit or lab test is needed before the next refill, and whether a 90-day supply is an option. Know who to call with questions after hours: the pharmacy for dosing questions, the office for anything about your condition.

  • Request refills several days before you run out
  • Hurricane season? See our medication refill tips
  • Keep the pharmacy phone number on your medicine list
9

How should I store it, and how do I get rid of leftovers?

Best for: Homes with kids, pets or visitors

Ask whether it needs the refrigerator and how to keep it away from heat and humidity. For unused medicines, the FDA says a take-back option is best: drop-off kiosks at many pharmacies and police stations, or mail-back envelopes. You can find locations on the DEA website by ZIP code.

  • No take-back nearby? The FDA says to mix most medicines with coffee grounds or dirt, seal in a bag and put it in the trash
  • Only medicines on the FDA flush list should be flushed
  • Scratch out personal information on the bottle label

Extra steps for older adults

  • Use one pharmacy. The NIA recommends filling all prescriptions at the same pharmacy so it can flag conflicts. If you use more than one, share your full list with each.
  • Keep a current list. Include every prescription, over-the-counter medicine, vitamin and supplement, with dose and purpose. Bring it to every visit.
  • Ask about the Beers Criteria. The American Geriatrics Society's Beers Criteria (2023 update) lists medicines that are often best avoided or used with caution in people 65 and older. It is fair to ask, "Is this on the Beers list, and is there a safer choice for me?"
  • Ask about falls and thinking. Some medicines can cause dizziness, drowsiness or confusion, which raise fall risk.

Our guide to primary care for seniors in Davenport and our geriatric care page explain how medication reviews fit into care for older adults.

Start with a doctor who reviews your medicines

At Elon Health Primary Care in Davenport, Dr. Sandeep Pandya and our team can review everything you take, check related labs in our in-house laboratory, and answer your questions before you leave. Request an appointment or call 352-508-5254, Monday to Friday, 8am to 5pm.

Sources

Frequently Asked Questions

Answers to common questions

Should I ask my doctor or my pharmacist?

Both. The National Institute on Aging suggests asking your doctor why you need the medicine, when it should work and what side effects to expect, and asking your pharmacist how and when to take it, what to avoid eating or drinking, and what to do if you forget a dose.

Are generic drugs as good as brand-name drugs?

Generic drugs contain the same active ingredients as their brand-name versions and are made to work the same way. Ask your doctor or pharmacist whether a generic is available for your prescription.

What is the Beers Criteria?

It is a list from the American Geriatrics Society, last updated in 2023, of medicines that may be inappropriate for many adults 65 and older. It is a tool for doctors, not a rule; a medicine on the list may still be the right choice for you after a conversation about risks and benefits.

What is the safest way to throw away old medicine?

The FDA recommends a drug take-back option first, such as a pharmacy or police station drop-off kiosk. If none is available, mix most medicines with coffee grounds or dirt, seal them in a bag and put them in the trash. Flush only medicines on the FDA flush list.

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