What to Do if You Miss a Dose of Medication

Missing a dose of medication happens to almost everyone at some point. While some medications can be taken as soon as you remember, others require a more cautious approach to avoid complications. Here’s a guide to help you know what to do when you miss a dose, which medications require extra care, and tips to prevent missed doses in the future.


When to Take a Missed Dose

If you forget to take a medication, the general rule is:

Take it as soon as you remember unless it’s close to your next scheduled dose.

However, do not double up on doses unless instructed by your doctor. Taking extra medication can lead to serious side effects or overdose risks.

Each medication type has different recommendations for missed doses. Here’s what you should know:


Common Medications and How to Handle a Missed Dose

1. Daily Medications for Chronic Conditions

  • Examples: Blood pressure medications, cholesterol drugs, antidepressants
  • What to Do: Take it as soon as you remember, unless it’s close to your next scheduled dose.
  • Why It Matters: Missing multiple doses can cause symptoms to return or worsen.

2. Birth Control Pills

  • What to Do:
    • Combination Pills (Estrogen & Progestin): Take the missed pill as soon as possible, even if it means taking two in one day. If you miss two or more, consult your pill’s instructions, as you may need backup contraception.
    • Progestin-Only Pills (Mini-Pill): If more than 3 hours late, take the pill immediately and use backup contraception for the next 48 hours.

3. Antibiotics

  • What to Do: Take it as soon as you remember unless your next dose is due soon.
  • Why It Matters: Skipping doses can make the infection harder to treat and contribute to antibiotic resistance.

4. Blood Thinners (Anticoagulants)

  • Examples: Warfarin, Eliquis, Xarelto
  • What to Do: Contact your doctor if you miss a dose.
  • Why It Matters: These drugs help prevent blood clots, so missing a dose could increase your risk of stroke or clotting disorders.

5. Insulin and Diabetes Medications

  • What to Do:
    • If you miss a meal-time insulin dose, take it only if you’re about to eat.
    • Oral diabetes medications should be taken as soon as you remember, but never double up.
  • Why It Matters: Missing a dose can cause blood sugar fluctuations, leading to high or low blood sugar episodes.

6. Seizure Medications

  • What to Do: Take it as soon as you remember, but never double up.
  • Why It Matters: Missing doses can trigger seizures, so maintaining a consistent schedule is essential.

7. Thyroid Medication (Levothyroxine)

  • What to Do: Take it as soon as you remember, even if later in the day, but avoid doubling up the next day.
  • Why It Matters: Consistency is important, but a single missed dose is usually not dangerous—just don’t make it a habit.

8. Medications for Mental Health Conditions

  • Examples: Antidepressants, antipsychotics, mood stabilizers
  • What to Do:
    • If taken daily, take it as soon as you remember.
    • If more than a day has passed, check with your doctor before resuming.
  • Why It Matters: Sudden interruptions can cause withdrawal symptoms or mood swings.

When NOT to Take a Missed Dose

🚫 Skip the missed dose and take your next dose as scheduled if:

  • The next dose is within a few hours (for most medications).
  • Your medication label specifically says “do not double up” or take extra doses.
  • Your doctor has advised against taking it late.

If you’re ever unsure, check with your pharmacist or healthcare provider before making a decision.


How to Prevent Missed Doses in the Future

Missing doses regularly can affect how well your medications work. Here are some practical strategies to stay on track:

Use a Pill Organizer

  • A weekly pill organizer can help keep track of what you’ve taken. Some even have alarms!

Set Alarms or Reminders

  • Use your phone’s alarm or a medication reminder app to get notifications when it’s time for your dose.

Tie Medications to Daily Habits

  • Take your meds at the same time as another routine activity, like brushing your teeth or eating breakfast.

Keep Medications Visible (If Safe to Do So)

  • Store frequently used medications in a spot where you’ll see them, like next to your coffee maker.

Use a Medication Tracking App

  • Apps like Medisafe or MyTherapy send notifications and track missed doses.

Request a Daily Dosing Schedule from Your Pharmacist

  • Your pharmacist can help you simplify your medication routine to reduce missed doses.

Consider Automatic Refills


Final Thoughts

Missing a dose of medication isn’t the end of the world, but knowing how to handle it correctly can prevent serious health risks. If you ever miss a dose and are unsure what to do, contact your pharmacist for guidance.

💊 Need Help Managing Your Medications?
Visit Olympia Plaza Pharmacy or call us at  (323) 937-2590 for personalized medication guidance and refill reminders. Your health is our priority!