Medication review after Brookhaven discharge

Best first step: Use the Brookhaven discharge medication list as the main reference. Bring that list, medication bottles, pharmacy information, and any side effect concerns to the first follow-up medication review.

• Medication review helps confirm what to take, what changed, what stopped, and who manages medication after Brookhaven care.
• The discharge medication list should be treated as the main reference unless a provider gives updated instructions.
• Bring medication bottles, pharmacy details, refill questions, and side-effect notes to follow-up review.
• Do not restart old medications, stop medications, double doses, or change timing without asking a prescriber or pharmacist.
• Support people may help with reminders, pickup, safe storage, and follow-up when the patient agrees.
• Urgent side effects, allergic reactions, overdose concerns, withdrawal concerns, or unsafe thoughts should not wait for a routine review.

Review goal	What it may confirm
Current list	Which medications the patient should currently take.
Stopped medications	Which medications should not be restarted without provider review.
Changed doses	Whether the dose, timing, or instructions changed during Brookhaven care.
Safety concerns	Side effects, sedation, missed doses, unsafe thoughts, overdose risk, or withdrawal concerns.
Next provider	Who manages refills, future medication changes, and follow-up monitoring.

• Before leaving Brookhaven, during discharge teaching.
• At the first outpatient psychiatry or therapy-related follow-up.
• At a primary care or medication-management visit.
• When the pharmacy says a prescription is missing, delayed, or unclear.
• When the portal, bottle, and discharge instructions do not match.
• When side effects, missed doses, or worsening symptoms occur.
• Before medication runs out.
• Before restarting a medication that Brookhaven stopped.

Reviewer	What they may help with
Brookhaven provider	Discharge medication questions, recent changes, short-term transition needs, or clarification after discharge.
Outpatient psychiatrist or prescriber	Ongoing psychiatric medication management, refills, side-effect monitoring, and future changes.
Primary care provider	Medical medication review, general health monitoring, labs, or coordination with specialists.
Pharmacist	Pharmacy instructions, refill status, interactions, side effects, label questions, and safe use guidance.
Case manager or social worker	Follow-up coordination, access barriers, pharmacy pickup, transportation, and support-person planning.

• Brookhaven discharge medication list.
• Medication bottles, packaging, or pharmacy labels.
• List of medications taken before Brookhaven admission.
• Over-the-counter medications, vitamins, supplements, and herbal products.
• Preferred pharmacy name, address, and phone number.
• Notes about missed doses, extra doses, side effects, or symptoms.
• Questions about refills, cost, insurance, or pharmacy pickup.
• Follow-up appointment details.

• Whether each medication should still be taken.
• Whether the dose, timing, or instructions changed at discharge.
• Whether any medication should be stopped or avoided.
• Whether any old medications should remain discontinued.
• Whether side effects or symptoms suggest a change is needed.
• Whether the medication interacts with other prescriptions, supplements, alcohol, cannabis, or sedatives.
• Whether refills are available before the next follow-up appointment.
• Whether safe storage or support-person help is needed.

Mismatch	What to do
Portal shows an old medication	Check the discharge medication list and ask whether the portal is showing older history.
Pharmacy says no prescription was received	Confirm the pharmacy location and ask whether the prescription is still processing or needs to be resent.
Bottle instructions differ from discharge paperwork	Ask the pharmacy or prescriber to clarify before taking the medication differently.
Refill option is missing	Ask whether the refill should go through Brookhaven, pharmacy, or an outpatient provider.
Proxy cannot see medication details	Ask whether proxy access, authorization, or medication privacy limits apply.

Do not wait for a scheduled medication review if the patient has trouble breathing, swelling, chest pain, fainting, severe confusion, suspected overdose, withdrawal symptoms, severe agitation, or thoughts of self-harm or harm to others.

• Write down the medication name and dose.
• Note when the symptom started.
• Note whether the symptom started after a new medication or dose change.
• Tell the provider about missed doses, extra doses, or stopped medication.
• Ask whether medication review should happen sooner.
• Use urgent help if symptoms affect safety or feel severe.

Important: A support person can share medication concerns with Brookhaven, but Brookhaven may not be able to share medication information back unless the patient has authorized it or legal authority applies.

• Which medications should I take now?
• Which medications should I stop or avoid?
• Which medications changed during Brookhaven care?
• When is the next dose due?
• What side effects should I report?
• What symptoms need urgent help?
• Who manages refills before the next appointment?
• What should I do if the pharmacy instructions do not match the discharge list?
• Can a support person help with pickup, storage, or reminders?
• When should the next medication review happen?

Do not wait for a routine medication review, portal reply, or scheduled appointment if the medication concern affects immediate safety, severe symptoms, allergic reaction, suspected overdose, withdrawal concern, missed critical medication, or thoughts of self-harm or harm to others.

• Call the pharmacy directly if the problem is pickup, refill status, or label instructions.
• Contact the care team or follow-up prescriber directly if instructions conflict.
• Seek urgent medical help for severe, sudden, allergic, or unsafe symptoms.
• If the patient feels unsafe or may harm themselves or someone else, seek immediate help.
• If the patient is still at Brookhaven, tell the assigned nurse or nearest staff member immediately.