{"id":7986,"date":"2026-10-12T22:00:27","date_gmt":"2026-10-12T22:00:27","guid":{"rendered":"https:\/\/www.visiting-angels.co.uk\/cheshire-east\/?p=7986"},"modified":"2026-10-12T22:13:46","modified_gmt":"2026-10-12T22:13:46","slug":"signs-of-missed-medication","status":"publish","type":"post","link":"https:\/\/www.visiting-angels.co.uk\/cheshire-east\/signs-of-missed-medication\/","title":{"rendered":"How to tell if your parent is missing their medication"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"7986\" class=\"elementor elementor-7986\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2607b910 e-flex e-con-boxed e-con e-parent\" data-id=\"2607b910\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d2e8bff elementor-widget elementor-widget-text-editor\" data-id=\"d2e8bff\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h3><b>Quick summary<\/b><\/h3><p><span style=\"font-weight: 400;\">Count what is left in the blister pack against the date on the box If the numbers do not add up, take everything to the GP or pharmacist and ask for a medication review rather than setting up a system yourself.<\/span><\/p><p>\u00a0<\/p><h3><b>The twenty second check<\/b><\/h3><p><span style=\"font-weight: 400;\">Pick up a box. It will say when it was dispensed and how many were in it. Count what is left. Work out how many should have gone.<\/span><\/p><p><span style=\"font-weight: 400;\">A box of 28 dispensed three weeks ago, taken once a day, should have about seven left. Twenty left means two weeks of doses are unaccounted for. One left means something else is happening.<\/span><\/p><p><b>Do this for every medicine, not one.<\/b><span style=\"font-weight: 400;\"> People frequently keep taking the tablets they think matter and quietly stop the ones they do not understand, which is why one full box tells you more than a whole conversation.<\/span><\/p><p>\u00a0<\/p><h3><b>Other signs worth looking for<\/b><\/h3><p>\u00a0<\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Boxes still sealed<\/b><span style=\"font-weight: 400;\"> at the end of the month.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Several part-used packets of the same medicine<\/b><span style=\"font-weight: 400;\">, which usually means repeat prescriptions are arriving faster than they are being taken.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>A dosette box with full compartments<\/b><span style=\"font-weight: 400;\"> from earlier in the week.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Loose tablets<\/b><span style=\"font-weight: 400;\"> in drawers, pots or on the side.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Out of date medicines<\/b><span style=\"font-weight: 400;\"> still in use.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Medicines for someone else<\/b><span style=\"font-weight: 400;\">, including a late partner, still in the cupboard.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Prescriptions not collected.<\/b><span style=\"font-weight: 400;\"> The pharmacy will tell you if you ask, with the person&#8217;s agreement.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Symptoms returning<\/b><span style=\"font-weight: 400;\"> that were previously well controlled: swollen ankles, breathlessness, pain, blood pressure, mood.<\/span><\/li><\/ul><p><br \/><br \/><\/p><h3><b>Why people stop taking medicines<\/b><\/h3><p><span style=\"font-weight: 400;\">Rarely stubbornness, and knowing the reason decides the fix.<\/span><\/p><table><thead><tr><th><p><b>Reason<\/b><\/p><\/th><th><p><b>What tends to help<\/b><\/p><\/th><\/tr><\/thead><tbody><tr><td><p><span style=\"font-weight: 400;\">Forgetting<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">A dosette box, alarms, linking doses to routines, or a visit at the right time<\/span><\/p><\/td><\/tr><tr><td><p><span style=\"font-weight: 400;\">Too many to manage<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">A medication review. Taking four or more medicines is associated with an 18 per cent increase in fall rates in people over 60<\/span><\/p><\/td><\/tr><tr><td><p><span style=\"font-weight: 400;\">Side effects<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Ask the GP. Nausea, dizziness and needing the toilet at night are common reasons people stop quietly<\/span><\/p><\/td><\/tr><tr><td><p><span style=\"font-weight: 400;\">Cannot open the packet<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Pharmacies can supply easy-open containers and larger labels<\/span><\/p><\/td><\/tr><tr><td><p><span style=\"font-weight: 400;\">Cannot swallow them<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Tell the GP or pharmacist. Do not crush tablets without advice, because it is unsafe with some medicines<\/span><\/p><\/td><\/tr><tr><td><p><span style=\"font-weight: 400;\">Does not believe it helps<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">A conversation with the prescriber, not an argument at home<\/span><\/p><\/td><\/tr><tr><td><p><span style=\"font-weight: 400;\">Confusion or memory problems<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Prompting or administration by a carer, set out in a care plan<\/span><\/p><\/td><\/tr><tr><td><p><span style=\"font-weight: 400;\">Cost or ordering problems<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Prescription prepayment, repeat dispensing, delivery from the pharmacy<\/span><\/p><\/td><\/tr><\/tbody><\/table><p>\u00a0<\/p><h3><b>What to do next<\/b><\/h3><p>\u00a0<\/p><ol><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Gather everything<\/b><span style=\"font-weight: 400;\">, including anything bought over the counter and anything in other rooms.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Book a medication review<\/b><span style=\"font-weight: 400;\"> with the GP or pharmacist. Take the lot with you, along with your count.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Ask specifically:<\/b><span style=\"font-weight: 400;\"> is each of these still needed, could any be contributing to falls or drowsiness, and could the regimen be simplified?<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Ask the pharmacy about practical help:<\/b><span style=\"font-weight: 400;\"> dosette boxes, repeat dispensing, delivery, easy-open lids.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Then consider a care visit<\/b><span style=\"font-weight: 400;\"> at the time doses are due, if prompting is what is actually needed.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Dispose of old medicines safely<\/b><span style=\"font-weight: 400;\"> by taking them to a pharmacy, not in the bin.<\/span><\/li><\/ol><p><span style=\"font-weight: 400;\">Do not stop, start or change anything yourself, and do not decant tablets into unlabelled containers.<\/span><\/p><p>\u00a0<\/p><h3><b>A caution about dosette boxes<\/b><\/h3><p><span style=\"font-weight: 400;\">They are useful for some people and they are not automatically the answer.<\/span><\/p><p><span style=\"font-weight: 400;\">They only work if the person opens them, and they can be harder to open than original packaging. Not all medicines can go in one. And a filled box tells you a dose was not taken, which is genuinely useful information.<\/span><\/p><p><span style=\"font-weight: 400;\">Ask the pharmacist whether one is appropriate rather than buying a container and filling it yourself, which introduces its own risks.<\/span><\/p><p>\u00a0<\/p><h3><b>When missing doses becomes urgent<\/b><\/h3><p>\u00a0<\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Parkinson&#8217;s medication.<\/b><span style=\"font-weight: 400;\"> Timing is critical, and being more than 30 minutes late can cause symptoms to return and raise the risk of falls. See our <\/span><a href=\"https:\/\/www.visiting-angels.co.uk\/cheshire-east\/parkinsons-care-at-home\/\"><span style=\"font-weight: 400;\">Parkinson&#8217;s guide<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Insulin and diabetes medicines.<\/b><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Heart failure and blood pressure medicines<\/b><span style=\"font-weight: 400;\">, where stopping can cause rapid deterioration.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Anticoagulants.<\/b><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Epilepsy medicines.<\/b><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Steroids<\/b><span style=\"font-weight: 400;\">, which should not be stopped abruptly.<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">If doses of any of these have been missed, ring the GP or 111 for advice rather than waiting for the next appointment. If someone is acutely unwell or suddenly confused, the NHS advice is to go to A and E or call 999. Our <\/span><a href=\"https:\/\/www.visiting-angels.co.uk\/cheshire-east\/sudden-confusion-in-older-people\/\"><span style=\"font-weight: 400;\">piece on sudden confusion<\/span><\/a><span style=\"font-weight: 400;\"> explains why.<\/span><\/p><p>\u00a0<\/p><h3><b>Raising it without a row<\/b><\/h3><p><span style=\"font-weight: 400;\">Managing your own medicines is one of the last markers of independence, so this conversation lands harder than it looks.<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Lead with the specific.<\/b><span style=\"font-weight: 400;\"> &#8220;There are twenty left and there should be seven&#8221; is factual rather than accusatory.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Ask why<\/b><span style=\"font-weight: 400;\"> before proposing a solution. The answer is often practical and easily fixed.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Frame it as simplifying<\/b><span style=\"font-weight: 400;\">, since a review often reduces the number of tablets rather than adding supervision.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Let the pharmacist suggest the system.<\/b><span style=\"font-weight: 400;\"> It carries more weight than a son or daughter suggesting it.<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Our <\/span><a href=\"https:\/\/www.visiting-angels.co.uk\/cheshire-east\/talking-to-parents-about-care\/\"><span style=\"font-weight: 400;\">guide to raising difficult subjects<\/span><\/a><span style=\"font-weight: 400;\"> applies directly here.<\/span><\/p><p>\u00a0<\/p><h3><b>Frequently asked questions<\/b><\/h3><p><b>How do I know if my mum is taking her tablets?<\/b><\/p><p><span style=\"font-weight: 400;\">Count what is left against the dispensing date on the box. Do it for every medicine, because people often keep taking some and stop others.<\/span><\/p><p><b>Can I ask the pharmacy whether prescriptions are collected?<\/b><\/p><p><span style=\"font-weight: 400;\">With the person&#8217;s consent, usually yes. Without capacity, an attorney with a registered LPA can generally ask.<\/span><\/p><p><b>Should I put her tablets in a pill organiser myself?<\/b><\/p><p><span style=\"font-weight: 400;\">Ask the pharmacist first. Not all medicines are suitable, and removing them from labelled packaging introduces risk.<\/span><\/p><p><b>What if she refuses to take them?<\/b><\/p><p><span style=\"font-weight: 400;\">Tell the GP. An adult with capacity can refuse medication, and the reason is often a side effect that can be changed.<\/span><\/p><p><b>Can a carer give the tablets?<\/b><\/p><p><span style=\"font-weight: 400;\">Carers can prompt, assist or administer medicines depending on training and what the care plan says. Our next article explains the difference.<\/span><\/p><p><b>What is a medication review?<\/b><\/p><p><span style=\"font-weight: 400;\">An appointment with a GP or pharmacist looking at everything someone takes, whether it is still needed, and whether anything is causing harm. Ask for one annually, and after any hospital stay.<\/span><\/p><p>\u00a0<\/p><h3><b>About Visiting Angels Cheshire East<\/b><\/h3><p><span style=\"font-weight: 400;\">Visiting Angels Cheshire East provides care at home across Macclesfield, Wilmslow, Knutsford, Congleton, Alsager and the surrounding villages of East Cheshire, along with Buxton, Whaley Bridge and the Staffordshire Moorlands towns.<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Medication support in line with the care plan<\/b><span style=\"font-weight: 400;\">, recorded at every visit.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Visits timed around doses<\/b><span style=\"font-weight: 400;\"> where timing matters, which for Parkinson&#8217;s it does.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>You see the same faces.<\/b><span style=\"font-weight: 400;\"> Our carer turnover is 12 per cent, against a sector figure of 23.7 per cent (<\/span><a href=\"https:\/\/www.skillsforcare.org.uk\/\"><span style=\"font-weight: 400;\">Skills for Care, 2025<\/span><\/a><span style=\"font-weight: 400;\">), and a familiar carer notices a pattern.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>No visit is ever shorter than an hour.<\/b><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>You choose your caregiver<\/b><span style=\"font-weight: 400;\">, and meet them before care starts.<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Jude&#8217;s mother Joyce is 100 and lives by herself:<\/span><\/p><p><i><span style=\"font-weight: 400;\">&#8220;Joyce lives by herself and we needed a care provider that could give us the same carer most visits. Visiting Angels have been able to accommodate this, which is very helpful. They know her routine and have built up a rapport with my Mum. Understanding the details of her routine is an important part of her care and wellbeing. I trust them with keys, security and being with Mum to, cook, sit and talk and give tablets etc etc..&#8221;<\/span><\/i><\/p><p><span style=\"font-weight: 400;\">Jude Burton, Google review<\/span><\/p><p>\u00a0<\/p><h3><b>Not sure what you need yet? Start with a free assessment<\/b><\/h3><p><span style=\"font-weight: 400;\">Our free home care assessment is a visit at a time that suits you, with no obligation afterwards. In it we will:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Work out what is actually difficult<\/b><span style=\"font-weight: 400;\">, and at which times of day doses are being missed.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Talk through a realistic package<\/b><span style=\"font-weight: 400;\">, and what it would cost.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Look at the money with you<\/b><span style=\"font-weight: 400;\">, and point you towards the funding, benefits and grants you may be entitled to.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Tell you honestly if a medication review and a pharmacy dosette box would fix it<\/b><span style=\"font-weight: 400;\">, because quite often they will.<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">If the numbers in the box are not adding up, call us on 01625 720157. You can also <\/span><a href=\"https:\/\/www.visiting-angels.co.uk\/cheshire-east\/enquire-now\/\"><span style=\"font-weight: 400;\">send an enquiry<\/span><\/a><span style=\"font-weight: 400;\">, and you can see <\/span><a href=\"https:\/\/www.visiting-angels.co.uk\/cheshire-east\/services\/home-care-services\/\"><span style=\"font-weight: 400;\">what our services cover<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p><p><span style=\"font-weight: 400;\">Authored by Kim Blissett, Registered Manager, Visiting Angels Cheshire East.<\/span><\/p><p><span style=\"font-weight: 400;\">Published 27 September 2026. Last updated 27 September 2026.<\/span><\/p><p><i><span style=\"font-weight: 400;\">This article is general information, not medical advice, and no substitute for a GP or pharmacist. Do not start, stop, crush or change any medicine, or transfer medicines out of labelled packaging, without professional advice. If doses of critical medicines have been missed, contact the GP or NHS 111. If someone is acutely unwell or suddenly confused, go to A and E or call 999. Visiting Angels Cheshire East provides personal care at home rather than medical or nursing care. To the fullest extent permitted by law, GB Care at Home Ltd accepts no liability for any loss or injury arising from reliance on this article.<\/span><\/i><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Quick summary Count what is left in the blister pack against the date on the box If the numbers do [&hellip;]<\/p>\n","protected":false},"author":81,"featured_media":8025,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[35,36],"tags":[],"class_list":["post-7986","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-funding","category-blog"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>How to tell if your parent is missing their medication | Cheshire East<\/title>\n<meta name=\"description\" content=\"Leftover tablets, repeat prescriptions that last too long and new confusion are the signs. 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