Medication review prep

How this works, and what it isn’t.

A short, honest description of what the tool does, the line we will not cross, and where every suggested question comes from.

What the tool does

Lets you list every prescription medicine, OTC product, and supplement you take.
Lets you check off symptoms and contextual factors (recent hospital discharge, pregnancy, multiple prescribers).
Surfaces a small set of questions to ask your pharmacist or GP, drawn from published guidance and tagged with the source.
Renders all of the above as a printable sheet you take to the appointment.

What the tool does not do

It does not calculate doses or suggest dose changes.
It does not run a drug-drug interaction matrix or output any interaction warning.
It does not tell you to stop, start, or change any medication.
It does not score, rate, or rank the safety of your regimen.
It does not diagnose side effects or interpret your symptoms.
It does not adjust outputs based on labs or kidney/liver function — your pharmacist will.

Where the questions come from

Every suggested question on the printed sheet cites its source. We use:

NHS England — Structured Medication Reviews. The framework for the “5 or more medicines, ask for an SMR” prompt. NHS SMR guidance.
NICE NG5 — Medicines optimisation. National guidance on safe and effective medicines use across ages. NICE NG5.
STOPP/START v3 (2023). A widely used set of criteria for prescribing review in adults — used here to suggest review questions for benzodiazepines, anticholinergic burden, NSAID + anticoagulant combinations, and similar.
AGS Beers Criteria 2023. US-origin criteria used principally for review prompts where the older-adult evidence base is strongest.
NHS deprescribing guidance. Used for long-term PPI, opioid, and Z-drug review prompts.

Drug recognition

The tool ships with a small, hand-curated list of common medicines (~150 entries). When you type a name we recognise, we suggest a class — and ask you to confirm before applying any class-level question. If we don’t recognise the name, it’s still listed on your sheet and your pharmacist will know it.

The catalog is local — no live drug-database lookup, no outbound calls. See the network audit.

Privacy

Everything you type stays in this browser’s local storage, scoped to your active profile. Nothing is sent to Almavivo, your employer, or any third party. If you wipe the list using the button on the main page, it’s gone — we have no copy.

If something feels urgent

This tool is for routine preparation, not urgent symptoms. If you have new chest pain, breathing difficulty, severe bleeding, sudden weakness or confusion, or thoughts of self-harm, contact your local emergency service (UK 999, US 911) or a crisis line (Samaritans 116 123 in the UK, 988 in the US) before reading this sheet.

This tool is designed as an educational record-keeping and visit-prep aid; it does not interpret your medications, calculate doses, check for interactions, or produce clinical recommendations. It has not been evaluated as a medical device by the FDA, MHRA, EMA, or TGA. Your pharmacist or GP remains the authoritative source for any decision about your medications.