| Week # 1 SOC 2160 PERSONAL DRUG LOG Dates: July 01 to July 07, 2013 ---- Due July 07, 2013 |
| Day / Date | Drug Ingested | Quantity Size of | Location/Setting | Purpose/Occasion/Associates | Result / Effect / Thought |
| Time of Day | | container / amount |
| Monday at 8a, 5p and 8p | Gabapentin | 300 mg | Home & Work | Restless Legs Syndrome | No effect/No thoughts |
| Tuesday at 8a, 5p and 8p | Gabapentin | 300 mg | Home & Work | Restless Legs Syndrome | No effect/No thoughts |
| Wednesday at 8a, 5p and 8p | Gabapentin | 300 mg | Home & Work | Restless Legs Syndrome | No effect/No thoughts |
| Thursday at 8a, 5p and 8p | Gabapentin | 300 mg | Home & Work | Restless Legs Syndrome | No effect/No thoughts |
| Friday at 8a, 5p and 8p | Gabapentin | 300 mg | Home & Work | Restless Legs Syndrome | No effect/No thoughts |
| Saturday at 8a, 5p and 8p | Gabapentin | 300 mg | Home & Work | Restless Legs Syndrome | No effect/No thoughts |
| Sunday at 8a, 5p and 8p | Gabapentin | 300 mg | Home & Work | Restless Legs Syndrome | No effect/No thoughts |
| Day / Date | Drug Ingested | Quantity Size of | Location/Setting | Purpose/Occasion/Associates | Result / Effect / Thought |
| Time of Day | | container / amount |
| Monday at 5p(bedtime) | Amitriptyline HCL with Abilify | 2 tablets 25 mg | Home & Work | Depression | Drousy/When will I no longer need these? |
| Tuesday at 8a(bedtime) | Amitriptyline HCL with Abilify | 2 tablets 25 mg | Home & Work | Depression | Drousy/When will I no longer need these? |
| Wednesday at 8a(bedtime) | Amitriptyline HCL with Abilify | 2 tablets 25 mg | Home & Work | Depression | Drousy/When will I no longer need these? |
| Thursday at 8a(bedtime) | Amitriptyline HCL with Abilify | 2 tablets 25 mg | Home & Work | Depression | Drousy/When will I no longer need these? |
| Friday at 8a(bedtime) | Amitriptyline HCL with Abilify | 2 tablets 25 mg | Home & Work | Depression | Drousy/When will I no longer need these? |
| Saturday at 8a(bedtime) | Amitriptyline HCL with Abilify | 2 tablets 25 mg | Home & Work | Depression | Drousy/When will I no longer need these? |
| Sunday at bedtime | Amitriptyline HCL with Abilify | 2 tablets 25 mg | Home & Work | Depression | Drousy/When will I no longer need these? |
| Day / Date | Drug Ingested | Quantity Size of | Location/Setting | Purpose/Occasion/Associates | Result / Effect / Thought |
| Time of Day | | container / amount |
| Monday at 8a and 5p | IC Naproxen | 1 tablet 500 mg | Home & Work | Headache | No effects/No thoughts |
| Tuesday at 8a and 5p | IC Naproxen | 1 tablet 500 mg | Home & Work | Headache | No effects/No thoughts |
| Wednesday at 8a and 5p | IC Naproxen | 1 tablet 500 mg | Home & Work | Headache | No effects/No thoughts |
| Thursday at 8a and 5p | IC Naproxen | 1 tablet 500 mg | Home & Work | Headache | No effects/No thoughts |
| Friday at 8a and 5p | IC Naproxen | 1 tablet 500 mg | Home & Work | Headache | No effects/No thoughts |
| Saturday at 8a and 5p | IC Naproxen | 1 tablet 500 mg | Home & Work | Headache | No effects/No thoughts |
| Sunday at 8a and 5p | IC Naproxen | 1 tablet 500 mg | Home & Work | Headache | No effects/No thoughts |
| Day / Date | Drug Ingested | Quantity Size of | Location/Setting | Purpose/Occasion/Associates | Result / Effect / Thought |
| Time of Day | | container / amount |
| Monday at 5p(bedtime) | IC Methocarbamol | 2 tablet 750mg | Home & Work | Muscle Pain | No effects/No thoughts |
| Tuesday at 8a(bedtime | IC Methocarbamol | 2 tablet 750mg | Home & Work | Muscle Pain | No effects/No thoughts |
| Wednesday at 8a(bedtime) | IC Methocarbamol | 2 tablet 750mg | Home & Work | Muscle Pain | No effects/No thoughts |
| Thursday at 8a(bedtime) | IC Methocarbamol | 2 tablet 750mg | Home & Work | Muscle Pain | No effects/No thoughts |
| Friday at 8a(bedtime) | IC Methocarbamol | 2 tablet 750mg | Home & Work | Muscle Pain | No effects/No thoughts |
| Saturday at 8a(bedtime) | IC Methocarbamol | 2 tablet 750mg | Home & Work | Muscle Pain | No effects/No thoughts |
| Sunday at bedtime | IC Methocarbamol | 2 tablet 750mg | Home & Work | Muscle Pain | No effects/No thoughts |