Medication Adherence Tips

Building a Medication Routine

• •Habit-stack: Take your medication at the same time as an existing daily habit (morning coffee, brushing teeth, breakfast)
• •Use a weekly pill organizer — visual confirmation that you have taken your dose
• •Set a daily phone alarm with a label like 'Take Lexapro' — keep it until the habit is solid
• •Keep your medication visible (in a place you will see it) unless you have children at home — in that case, secure storage is essential

When You Miss a Dose

• •If you miss a dose: take it as soon as you remember the same day
• •If it is close to your next scheduled dose: skip the missed one and resume your normal schedule
• •Do NOT double up to compensate
• •Some medications (especially venlafaxine and paroxetine) cause noticeable discontinuation effects after even one missed dose — contact your provider if this happens

Travel and Time Zone Changes

• •Always pack medication in your carry-on — never checked luggage
• •Bring more than you need for the trip — at least 3–5 extra days' supply
• •For significant time zone changes: gradually shift your dosing time by 1–2 hours per day in the days before travel, or discuss with your provider
• •Controlled substances require extra planning for international travel — contact your pharmacy and your provider well in advance

Common Reasons People Stop — and What to Do Instead

• •"I feel better" — Feeling better is often evidence the medication is working. Do not stop without a plan.
• •"I do not like the side effects" — Discuss with your provider. There are often adjustments or alternatives.
• •"I forgot to refill" — Set a calendar reminder 10 days before you run out.
• •"I am embarrassed to still need medication" — This is a medical treatment, not a sign of weakness.
• •"I read something scary online" — Bring your concerns to your provider rather than making changes alone.

Before You Stop Your Medication

Please contact Valley Vista Telepsychiatry before making any changes to your medication — even if you feel well. Abrupt discontinuation of many psychiatric medications can cause uncomfortable or serious withdrawal symptoms and can trigger relapse. We will work with you to create a safe tapering plan if and when the time comes.