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This mini article is part of The Unprescribed, a series of reflections on the prescriptions doctors wish they could write, but never do. Shared on Sundays.

By Dr. Maria K. Jimmy

A good consultation is a two-way conversation. Doctors ask plenty of questions, but important details can still slip through the cracks.

To get the most out of your appointment, here are seven things worth mentioning:

1. Everything You’re Taking

This includes prescription medicines, over-the-counter drugs, vitamins, supplements, birth control pills, and herbal remedies. They can interact with medications or affect test results.

2. Allergies and Bad Reactions

A rash, swelling, vomiting, or any previous reaction to a medicine is important information.

3. What’s Happening in Your Body

Mention symptoms that are new, worsening, or different from before. Significant weight gain or loss also matters. Women who are pregnant, trying to conceive, or currently menstruating should mention this to their doctor.

4. Family History of Major Illnesses

Conditions such as diabetes, heart disease, stroke, and certain cancers can run in families and influence your own health risks.

5. Your Mental Health

Stress, anxiety, low mood, poor sleep, grief, and major life changes can affect physical health more than many people realise.

6. Smoking, Alcohol, and Other Substances

Smoking, vaping, alcohol use, and recreational drugs can affect your health, interact with medications, and influence treatment decisions.

Your doctor is asking for medical reasons, not to judge you.

7. What You’re Most Worried About

Many patients never voice their biggest concern. Whether you’re worried about cancer, a heart problem, or something else, sharing it helps your doctor understand your concerns and address them appropriately.

You may have more to discuss; these are simply the basics. The more complete the picture, the better your doctor can help.

The Unprescribed / Advice that never makes it onto the prescription note.